{"id":"76ea65fd-6768-4d4d-94b1-b93af5252ccf","slug":"hump-on-head-rare-case-of-bi-frontal-fibrous-dysplasia","title":"Hump on head: Rare case of bi-frontal fibrous dysplasia","authors":["Kunal Singla","Nishant Goyal","Pulkit Mittal","Zahed Ali Qamer","Jitender Chaturvedi","Arvind Kumar"],"abstract":"Background: FD is relatively rare in the craniofacial region, accounting for only 20% of all cases. Currently, two general subtypes of FD are recognized: monostotic and polyostotic. The monostotic form is more frequent, accounting for 75% to 80% of fibrous dysplasia cases. Case Description: An 18-year-old male presented with the complaint of bony-hard swelling over the forehead for 8 years. Radiology showed an expansile osseous lesion involving frontal bones. The patient underwent bi-frontal craniectomy with gross total resection of tumour mass with titanium mesh cranioplasty. His postoperative period was uneventful and was discharged on the seventh postoperative day. Conclusion: The cases of monostotic skull fibrous dysplasia should be treated by resection of the affected bone and cranioplasty. However, a more conservative re-contouring may be carried out in cases with multifocal involvement or when the excision is considered risky due to proximity to the major venous sinuses.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/76ea65fd-6768-4d4d-94b1-b93af5252ccf/featured/hero-1781559819622.png","publishDate":"2024-01-05T00:00:00.000Z","doi":"10.25259/SNI_201_2023","categories":["Unique Case Observations","Image Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/01/12699/SNI-15-1.pdf"}