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Le Fort I Disassembly for the Management of Juvenile Ossifying Fibroma Extending To the Skull Base

Ganesh, Praveen et al.

The journal of craniofacial surgery. Volume 27:Issue 7 (2016) -- [Lippincott Williams & Wilkins]

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  • Title:
    Le Fort I Disassembly for the Management of Juvenile Ossifying Fibroma Extending To the Skull Base
  • Author: Ganesh, Praveen;
    Raut, Rohan P.;
    Boyina, Kiran Kumar;
    Shetty, Samarth;
    Salins, Paul C.
  • Found In: The journal of craniofacial surgery. Volume 27:Issue 7 (2016)
  • Journal Title: The journal of craniofacial surgery
  • Subjects: Face--Surgery--Periodicals; Facial bones--Surgery--Periodicals; Skull--Surgery--Periodicals; Surgery, Plastic--Periodicals; Fibro-osseous lesion--Le Fort I--ossifying fibroma; Dewey: 617.52
  • Rights: legaldeposit
  • Publication Details: [Lippincott Williams & Wilkins]
  • Abstract: Abstract : Abstract:

    Ossifying fibroma is a rare benign osteogenic neoplasm arising from undifferentiated cells of the periodontal ligament. Ossifying fibroma have a well-defined border that differentiates it from fibrous dysplasia clinically; these tumors manifest as a round or ovoid, expansile, painless, slow-growing mass may displace the roots of adjacent teeth and also cause root resorption. A variety of approaches for resection of the maxilla have been described. Most involve the use of facial and lip-splitting incisions to gain wide access. Surgical approach specifically to the ossifying fibroma located in the midface includes the Le Fort I approach, Caldwell–Luc access, lateral rhinotomy with medial or total maxillectomy, external ethmoidectomy, and endoscopic surgery. The access through Le Fort I disassembly is a versatile approach not only because of the aesthetic potential in using intraoral incision but also due to its minimal invasiveness, lesser complications and gives the possibility of reconstruction in a single operation. Le Fort I disassembly followed by an excision appears to be a versatile, secure, and satisfactory option.


  • Identifier: System Number: LDEAvdc_100052163780.0x000001; Journal ISSN: 1049-2275; 10.1097/SCS.0000000000002964
  • Publication Date: 2016
  • Physical Description: Electronic
  • Shelfmark(s): ELD Digital store

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