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Yoo SH, Pineles SL, Jarrahy R, Velez FG. Ophthalmic manifestations of cherubism. J AAPOS 2015; 19:70-2. [PMID: 25727591 PMCID: PMC4503315 DOI: 10.1016/j.jaapos.2014.08.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2014] [Revised: 07/30/2014] [Accepted: 08/01/2014] [Indexed: 11/18/2022]
Abstract
Cherubism is a rare craniofacial disorder characterized by progressive replacement of mandibular and maxillary bone with multicystic fibro-osseous tissue, potentially resulting in significant deformity and morbidity. The severity of the disorder is variable; more advanced disease may affect the orbit and impact vision. We detail the ophthalmological findings in 2 patients, 7 and 8 years of age, with cherubism.
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Affiliation(s)
- Sylvia H Yoo
- Jules Stein Eye Institute, University of California Los Angeles, Los Angeles, California
| | - Stacy L Pineles
- Jules Stein Eye Institute, University of California Los Angeles, Los Angeles, California
| | - Reza Jarrahy
- Division of Plastic and Reconstructive Surgery, University of California Los Angeles, Los Angeles, California
| | - Federico G Velez
- Jules Stein Eye Institute, University of California Los Angeles, Los Angeles, California.
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Fibrous dysplasia of the zygomaticomaxillary region: outcomes of surgical intervention. Plast Reconstr Surg 2013; 131:1329-1338. [PMID: 23714793 DOI: 10.1097/prs.0b013e31828bd70c] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Fibrous dysplasia is the most common craniofacial tumor, presenting in both monostotic and polyostotic forms with varying degrees of severity. No consensus exists regarding the surgical management of craniofacial fibrous dysplasia, particularly in the zygomaticomaxillary region. The present study compared long-term outcomes of limited reduction burring versus radical resection of zygomaticomaxillary fibrous dysplasia. METHODS Patients with craniofacial fibrous dysplasia at the University of California, Los Angeles, Craniofacial Center from 1982 to 2008 were studied based on demographics, treatment, and follow-up data, including examinations, computed tomographic scans, photographs, physician Whitaker scoring, and patient surveys (n=97). Outcomes were compared for zygomaticomaxillary disease treated with radical resection with cranial bone graft reconstruction or limited reduction burring (n=58). RESULTS Thirty-four percent of patients had monostotic disease, 66 percent had polyostotic disease, 3 percent had McCune-Albright syndrome, and 2.1 percent had malignant degeneration into osteosarcoma. Most patients had surgical treatment (84.5 percent). Of the patients that required optic nerve decompression for vision changes (11.4 percent), most (75 percent) had vision stabilization postoperatively. Differences were recorded in zygomaticomaxillary disease treated with radical resection (63.8 percent) versus reduction burring (36.2 percent) according to age (19.6 versus 14.2 years), complications (13.5 percent versus 4.8 percent), recurrence (66.7 percent versus 24.3 percent), and number of subsequent procedures (2.8 versus 4.0). There were similarities in Whitaker outcome score (1.3±0.3 versus 1.5±0.6) and patient satisfaction (2.7±0.4 versus 2.8±0.3). CONCLUSIONS Although different approaches have been advocated to treat fibrous dysplasia, the authors' data support a more aggressive management for zygomaticomaxillary disease with radical resection and cranial bone graft reconstruction, especially for more involved disease. CLINICAL QUESTION OF EVIDENCE: Therapeutic, III.
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Midfacial Degloving Approach for Resectioning and Reconstruction of Extensive Maxillary Fibrous Dysplasia. J Craniofac Surg 2012; 23:1658-61. [DOI: 10.1097/scs.0b013e31826460fd] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Chung EM, Murphey MD, Specht CS, Cube R, Smirniotopoulos J. From the Archives of the AFIP Pediatric Orbit Tumors and Tumorlike Lesions: Osseous Lesions of the Orbit. Radiographics 2008; 28:1193-214. [DOI: 10.1148/rg.284085013] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Goisis M, Biglioli F, Guareschi M, Frigerio A, Mortini P. Fibrous dysplasia of the orbital region: current clinical perspectives in ophthalmology and cranio-maxillofacial surgery. Ophthalmic Plast Reconstr Surg 2006; 22:383-7. [PMID: 16985425 DOI: 10.1097/01.iop.0000229761.37416.3e] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE To describe the multidisciplinary diagnosis and treatment of patients with orbital fibrous dysplasia, a slowly progressive disease that may lead to asymmetry, disfigurement, and functional ocular problems. METHODS Ten patients with orbital fibrous dysplasia underwent bifrontal craniotomy through a coronal flap, with the removal of the supraorbital arch and dysplastic process involving the anterior and middle base of the skull. Four patients underwent superior orbital fissure and optic nerve canal decompression. Reconstruction was performed by using an autologous bone graft for both the adults and children, in whom a rib graft was preferred. The mean follow-up was 53.2 +/- 18.3 months (range, 14 to 94 months). The patients' preoperative status and postoperative status were compared. RESULTS The immediate and long-term morphologic and aesthetic results were good in all cases. All of the patients complained of some degree of diplopia during the immediate postoperative period, but the problem spontaneously resolved within 1 to 6 months in all but one case. No postoperative reduction in visual function was observed in the patients who underwent optic nerve decompression. The only reported complication was the irregular reabsorption of regrafted dysplastic bone in one patient. CONCLUSIONS A multidisciplinary approach to orbital fibrous dysplasia is fundamental for treatment planning and execution.
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Affiliation(s)
- Mario Goisis
- Department of Ophthalmology, University of Milano Bicocca, Policlinico di Monza, Monza, Italy
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Affiliation(s)
- Andrew S Fang
- Department of Musculoskeletal Oncology, The Permanente Medical Group, Inc., 1200 El Camino Real, South San Francisco, CA 94080-3299, USA.
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Hunt JA, Hobar PC. Common craniofacial anomalies: conditions of craniofacial atrophy/hypoplasia and neoplasia. Plast Reconstr Surg 2003; 111:1497-508; quiz 1509-10. [PMID: 12618611 DOI: 10.1097/01.prs.0000049646.25757.be] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The spectrum of craniofacial malformations includes conditions of congenital and acquired etiology. The conditions of craniofacial atrophy and hypoplasia may arise primarily or secondary to previous therapeutic interventions. The conditions of progressive hemifacial atrophy (Romberg disease) and radiation-induced hypoplasia will be reviewed on the basis of their etiology, pathogenesis, anatomy, and treatment. Approaches to the surgical management of these conditions will be discussed. The craniofacial neoplastic conditions of fibrous dysplasia, neurofibromatosis, and craniofacial tumors will also be reviewed and discussed.
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Affiliation(s)
- Jeremy A Hunt
- Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75246, USA
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Sharma RR, Mahapatra AK, Pawar SJ, Lad SD, Athale SD, Musa MM. Symptomatic cranial fibrous dysplasias: clinico-radiological analysis in a series of eight operative cases with follow-up results. J Clin Neurosci 2002; 9:381-90. [PMID: 12217666 DOI: 10.1054/jocn.2002.1056] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Cranial fibrous dysplasias are rare and comprise less than one percent of all primary bone lesions. These painless progressively expanding destructive bone swellings produce cosmetic deformities (commonest), sino-orbital and auditive complications (less common), peripheral compressive cranial neuropathies (uncommon) and compressive central neurological manifestations (rarest). Until recently some of the primary dysplastic skull base lesions were either treated expectantly or excised incompletely. In a significant percentage of cases, these lesions were considered inaccessible. However, with the development of modern neuro-imaging (CT and MRI) and the applications of current skull base approaches, the more aggressive and radical surgical procedures are being undertaken, with a significant improvement in overall outcome. We present a series of 8 cases of fibrous dysplasia in the age group of 10-33 years with a mean age of 19.75 years. Four cases each had monostotic type and polyostotic type. All patients presented with mild to moderate headaches, and seven cases with some form of cosmetic deformity. In 4 patients there was a unilateral proptosis, while only two had visual deterioration. One patient had anosmia and one hearing impairment. In one case fibrous dysplasia was hemicranial, and in another case the disease was pancranial. Neuro-imaging studies have well delineated the extent of the lesions. In two patients with unilateral fronto-orbital fibrous dysplasia, the removal of dysplastic bone, autoclaving and remodeling and replacement were performed. In two patients of sphenoidal wing fibrous dysplasia a total excision was possible. In the remaining four patients, a partial excision was performed. Overall outcome was good. There was no mortality. One patient had recurrent post-operative extradural haematomas. The authors present the results of an analysis of eight surgically treated cases of symptomatic cranial fibrous dysplasias along with their long-term outcome and the lessons learnt from this series.
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Affiliation(s)
- Rewati Raman Sharma
- Department of Neurosurgery, The National Neurosurgical Centre, Khoula Hospital, Mina-AL-Fahal, Muscat, Sultanate of Oman.
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Thomas C, Mahapatra AK, Joy MJ, Krishnan A, Sharma RR. Craniofacial surgery in Oman: a preliminary study of 10 cases. J Craniofac Surg 2001; 12:247-52. [PMID: 11358098 DOI: 10.1097/00001665-200105000-00010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Craniofacial surgery requires a highly specialized surgical team, appropriate precision delicate instruments, dedicated anesthetist, and upgraded intensive care unit facilities. This type of surgery is undertaken in a large number of congenital problems such as encephalocele, craniosynostosis, hypertelorism, tumors of the craniofacial region, and for craniofacial injuries. We present our experience with craniofacial surgery in 10 patients during a 15-month period at Khoula Hospital, Muscat, Sultanate of Oman. These operations were the first of this kind to be done in this part of the world. This article highlights the need for developing craniofacial units in the Gulf region.
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Affiliation(s)
- C Thomas
- Department of Plastic and Reconstructive Surgery, Khoula Hospital, Muscat, Sultanate of Oman
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Vories A, Mansfield E. Hydroxyapatite Cranioplasty in Fibrous Dysplasia of the Skull. EAR, NOSE & THROAT JOURNAL 2001. [DOI: 10.1177/014556130108000108] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We describe the case of a woman who had complained of worsening headache during the previous year. Analysis of computed tomography imaging and biopsy led to a diagnosis of fibrous dysplasia of the skull. A symptomatic frontal bone lesion was removed, and the resulting defect was repaired with hydroxyapatite cement. Hydroxyapatite cement has several advantages over hydroxyapatite ceramic blocks and granules, and it is particularly well suited for calvarial reconstruction.
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Affiliation(s)
- Andrew Vories
- Otolaryngology–Head and Neck Surgery Service, Womack Army Medical Center, Fort Bragg, N.C
| | - Eric Mansfield
- Otolaryngology–Head and Neck Surgery Service, Womack Army Medical Center, Fort Bragg, N.C
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Posnick JC. Fibrous dysplasia of the craniomaxillofacial region: current clinical perspectives. Br J Oral Maxillofac Surg 1998; 36:264-73. [PMID: 9762454 DOI: 10.1016/s0266-4356(98)90710-0] [Citation(s) in RCA: 54] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Fibrous dysplasia is a benign fibro-osseous disease of bone of unknown etiology. Its occurrence in the craniomaxillofacial skeleton is frequent and varies in severity from an asymptomatic monostotic lesion to polyostotic involvement resulting in progressive functional deficit and aesthetic problems. With the advent of refined instrumentation and craniofacial surgical techniques, a more aggressive, non-disabling approach to these benign yet deforming fibro-osseous growths is possible. In some patients, complete excision of the involved bone with graft reconstruction of the resultant defect with primary autogenous bone may be possible. Lifelong continuous ongoing monitoring of the involved region is required throughout the patient's life.
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Affiliation(s)
- J C Posnick
- Craniomaxillofacial Center, Georgetown Craniofacial Center, Georgetown University Medical Center, Washington, DC, USA
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Diagnostic Considerations, Biopsy, Laboratory Analysis, and Communication. Oral Maxillofac Surg Clin North Am 1997. [DOI: 10.1016/s1042-3699(20)30353-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Chen YR, Breidahl A, Chang CN. Optic nerve decompression in fibrous dysplasia: indications, efficacy, and safety. Plast Reconstr Surg 1997; 99:22-30; discussion 31-3. [PMID: 8982183 DOI: 10.1097/00006534-199701000-00004] [Citation(s) in RCA: 71] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Optic nerve decompression is controversial in posttraumatic visual loss and as a prophylactic therapy in fibrous dysplasia involving the optic canal. It is less controversial for the treatment of optic nerve compression in fibrous dysplasia. Thirteen patients with craniomaxillofacial fibrous dysplasia who underwent 16 optic nerve decompressions at the Chang Gung Craniofacial Centre for both therapeutic (10) and prophylactic (6) indications are reported. One patient sustained a clinically useful improvement in vision in response to two therapeutic decompressions, and another demonstrated marked improvement after therapeutic decompression, with visual acuity improving from 0.4 to 1.0 in the affected eye. No patient underwent a permanent deterioration of vision as a result of either therapeutic or prophylactic decompression. One patient suffered extraocular muscle dysfunction that was corrected with strabismus surgery. A review of the literature clarifies the controversies and allows establishment of indications for optic nerve decompression.
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Affiliation(s)
- Y R Chen
- Division of Neurosurgery, Chang Gung Medical College, Taipei, Taiwan
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Delap TG, Kaberos A, Dowling P, Rees J, Golding-Wood D. Cranio-facial fibro-osseous dysplasia. A case report and overview of the management of the condition. Int J Pediatr Otorhinolaryngol 1996; 37:179-91. [PMID: 8894816 DOI: 10.1016/0165-5876(96)01399-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Fibro-osseous dysplasia is a developmental non familial, benign anomaly of bone development occurring in single or multiple bones, characterised by the replacement of normal bone by fibro-osseous tissue. We describe the case of a fourteen year old boy, which illustrates many of the difficulties confronting surgeons dealing with this uncommon condition. Complete surgical excision was required, before a definitive histological diagnosis could be established. We report the clinical, radiological and pathological features of this unusual case. We review the pathology of the condition and discuss the approaches to surgical management.
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Affiliation(s)
- T G Delap
- E.N.T. Department, Royal Free Hospital, London, UK
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null,null,null-- ytqp] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null,null,null,null,null#] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null-- bkrd] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 1391=(select 1391 from pg_sleep(5))-- yqwh] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null#] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 5203=7674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null,null,null-- olwm] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 order by 9941-- pwcx] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null-- cdsj] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null,null,null,null-- wskf] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 7957=2929-- rbde] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 order by 1-- dggw] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 9606=(select 9606 from pg_sleep(5))] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 1391=(select 1391 from pg_sleep(5))] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 order by 4948#] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and sleep(5)-- sxqs] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null,null,null,null-- yuop] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 9606=(select 9606 from pg_sleep(5))-- gigk] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 6210=6210-- zgnf] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 1500=dbms_pipe.receive_message(chr(70)||chr(90)||chr(75)||chr(119),5)] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 order by 9677#] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null-- uhjx] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 order by 8448#] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null-- hxcv] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 and 3586=3586-- nyzt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null,null,null,null#] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null,null-- noaf] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 union all select null,null,null#] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 order by 4378-- mstw] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Samman N, Piette E, Cheung L, Tideman H. Feasibility of osteotomies in fibrous dysplasia of the jaws. Int J Oral Maxillofac Surg 1991. [DOI: 10.1016/s0901-5027(05)80264-4 waitfor delay '0:0:5'-- dqme] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/01/2022]
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