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Benign neoplasms of the maxillofacial area

In the practice of maxillofacial surgeon and dental surgeon, benign neoplasms are common. Among them are:  

  1. Benign tumors of the skin and its appendages: pigmented nevus, blue nevus, etc., keratoma, atheroma, etc.,) _ cc781905-5cde-3194-bb3b-136bad5cf58d_

  2. Benign tumors of the soft tissues of the face and oral organs account for 10% to 15-18% of all facial neoplasms: lipoma, papilloma, hemangioma, fibroma, fibroids and others.

  3. Benign tumors of bone and cartilage, as well as non-osteogenic bone tumors: osteoma, osteoid - osteoma, chondroma, osteochondroma, intraosseous fibroma, intraosseous hemangioma, etc.

  4. Separate cysts of the maxillofacial area and neck should be singled out.

  5. As well as tumor-like diseases of the jaws: fibrous dysplasia, granulomas, etc.

Clinical case: removal of multiple tumors (nevus) of the upper and lower eyelids 

Невус

The patient complained of tumors on the upper and lower eyelids, which created significant aesthetic and psychological discomfort.  

The tumor was observed from childhood, but in recent months began to increase in size, which created additional discomfort for the patient.

Many specialists refused this case. 

The difficulty of this case is to achieve a good aesthetic result in the removal of tumors, while maintaining the functionality of the eyelids, cilia and eyelashes.

Множественный опухоли верхнего и нижнего

Treatment of multiple eyelid nevus:

The treatment was divided into 3 stages:  

  1. Removal of the main tumor by access by type of lower blepharoplasty. 

  2. Microsurgical removal of the tumor in the ciliary area with preservation of the eyelashes. 

  3. Removal of a tumor of the upper eyelid with a cartilage graft. 

It is planned to carry out the 3rd stage of treatment: removal of the upper tumor, laser grinding and depigmentation of the lower eyelid, circular blepharoplasty. 

The result of surgical treatment of eyelid tumors:  

Результат после хирургического лечения.J

Result 3 months after the first operation: subconjunctival removal of the tumor, microsurgical laser correction of the lower eyelid, captopexy. 

At this stage of surgical treatment a good aesthetic and functional result is achieved. 

In the photo before you see the condition before treatment - 3 tumors of the upper and lower eyelids, with a bumpy surface. 

 

In the photo after - the result of subconjunctival removal of the tumor, microsurgical laser correction of the lower eyelid. captopexy. 3 months have passed since the first operation. 

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Despite the fact that there is still a third stage of surgical treatment of multiple tumors of the upper and lower eyelids. the patient is already at this stage satisfied with the aesthetic result. 

Specialists:  

  • Maxillofacial Surgeon - Alexander Kobyakov 

  • Ophthalmosurgeon - Dmitry Yatsenko 

Остеома

Clinical case: osteoma of the superciliary area 

Osteoma is a benign osteogenic tumor of formed bone tissue, accounting for about 15% of all bone tumors of the maxillofacial area.

 

The first clinical sign of osteoma is usually a bone deformity.

It was with complaints of aesthetic disorders and discomfort that this patient turned to us.

 

Остеома.jpeg

Photo before the operation: osteoma of the superciliary area is seen in red. 

Also in the photo shows surgical access by type of upper blepharoplasty. 

Osteoma is defined as a dense painless protrusion with a smooth or bumpy surface, with clear boundaries. The skin or mucous membranes covering the osteoma are usually not discolored, not fused with the tumor.

X-ray methods of research help to establish the diagnosis.

Treatment of osteoma is exclusively surgical.

The tumor is removed within healthy tissues.

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Appearance of the postoperative scar 4 weeks after osteoma removal. 

Due to surgical access on the type of upper blepharoplasty, a thin scar is invisible and well hidden in the fold of the upper eyelid. 

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Removed osteoma of the superciliary area consisted of bone tissue and dense connective tissue membrane.  

If you notice signs of a tumor in yourself or a loved one - do not delay a visit to a specialist. 

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