PMC8247748_01
(a) CT head (2017), axial cut showing fibrous dysplasia arising from frontal bone, (b) 3D CT head (2017) showing fibrous dysplasia appearance on forehead, (c) CT head (2020) showing engulfment of titanium mesh, (d) 3D reconstruction depicting status of mesh and recurrent lesion.
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F1
CT head confirmed FD of frontal bone and sinuses [Figure 1a and b] and recurrence of lesion almost 1 year after first surgery [Figure 1c-e]. CT head confirmed engulfing titanium mesh and arising from frontal bone and sinus. [Figure 1c-d].
(a) Intraoperative image of fibrous dysplasia superior view, first surgery, (b) lateral view, (c) lesion resected with free bony margin, except frontal sinus area, anterior aspect, (d) posterior aspect.
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F2
She underwent excision of bony lesion and titanium mesh cranioplasty [Figure 2a-d].
(a) Forehead shape before surgery, (b) intraoperative image showing recurrent fibrous dysplasia involving mesh, (c) resected lesion with mesh, anterior aspect, (d) posterior aspect, (e) forehead shape after surgery.
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F3
The titanium mesh was completely engulfed by recurrent lesion [Figure 3b and c]. Wide bony margins were resected to remove lesion en bloc with free bony margins [Figure 3d]. Satisfactory contour was given [Figure 3e].
PMC8247748_02
(a) Forehead shape before surgery, (b) intraoperative image showing recurrent fibrous dysplasia involving mesh, (c) resected lesion with mesh, anterior aspect, (d) posterior aspect, (e) forehead shape after surgery.
SNI-12-299-g003.jpg
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F3
The titanium mesh was completely engulfed by recurrent lesion [Figure 3b and c]. Wide bony margins were resected to remove lesion en bloc with free bony margins [Figure 3d]. Satisfactory contour was given [Figure 3e].