Two-stage surgical strategy for extensive craniofacial fibrous dysplasia with cerebral compression

BACKGROUND: The management of extensive craniofacial fibrous dysplasia requires balancing the extent of resection with the perioperative morbidity and complications. METHOD: The authors describe a case involving the resection of extensive craniofacial fibrous dysplasia performed in two stages. The first surgery aims on removing most of the lesion and planning for bony reconstruction, while the second stage focuses to complete disease removal and implant a custom-made prosthesis. CONCLUSION: This case highlights the benefits of a two-stage surgical approach in reducing morbidity compared to a single extensive surgery while achieving excellent disease resection and functional outcomes.