Journal of Korean Dental Science

Korean Academy of Dental Science (대한치의학회)
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Surgical Extraction in Patient with McCune-Albright Syndrome: A Case Report

  • Dohee Kim (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Jeong Joon Han (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Hoon Myoung (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University)
  • Received : 2023.04.17
  • Accepted : 2023.06.13
  • Published : 2023.06.30
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Abstract

McCune-Albright syndrome (MAS) is a disease with clinical features such as fibrous dysplasia in which normal bone tissue is replaced with abnormal fibrous tissue, abnormalities in the endocrine system, and cafe-au-lait spots on the skin. Although MAS patients are generally known to have reduced bone healing ability, postoperative healing after invasive surgical extraction is still not clearly known due to its relatively rare occurrence. In this report, a 25-year-old female patient, who had been diagnosed with MAS and had a history of abnormal bone healing after fractures of her extremities, underwent surgical extraction of the mandibular third molar with surrounding bone removal. Postoperatively, the patient showed favorable soft tissue and bone healing at the surgical site without abnormal findings such as newly developed fibro-osseous lesions, postoperative infection, or osteomyelitis.

Keywords

References

  1. Gorham LW, Campbell EH, Howard WC, Donhauser JL, Rust NH. Albright's syndrome - A group of cases characterized by osteitis fibrosa disseminata, areas of pigmentation and a gonadal dysfunction. Trans Am Clin Climatol Assoc. 1941; 57: 179-87. 
  2. Shenker A, Weinstein LS, Moran A, Pescovitz OH, Charest NJ, Boney CM, Van Wyk JJ, Merino MJ, Feuillan PP, Spiegel AM. Severe endocrine and nonendocrine manifestations of the McCune-Albright syndrome associated with activating mutations of stimulatory G protein GS. J Pediatr. 1993; 123: 509-18.  https://doi.org/10.1016/S0022-3476(05)80943-6
  3. Stephenson PA. Dental management of fibrous dysplasia. N Z Dent J. 1993; 89: 54-8. 
  4. Akintoye SO, Lee JS, Feimster T, Booher S, Brahim J, Kingman A, Riminucci M, Robey PG, Collins MT. Dental characteristics of fibrous dysplasia and McCune-Albright syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96: 275-82.  https://doi.org/10.1016/S1079-2104(03)00225-7
  5. Akintoye SO, Boyce AM, Collins MT. Dental perspectives in fibrous dysplasia and McCune-Albright syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 116: e149-55.  https://doi.org/10.1016/j.oooo.2013.05.023
  6. Leet AI, Chebli C, Kushner H, Chen CC, Kelly MH, Brillante BA, Robey PG, Bianco P, Wientroub S, Collins MT. Fracture incidence in polyostotic fibrous dysplasia and the McCune-Albright syndrome. J Bone Miner Res. 2004; 19: 571-7.  https://doi.org/10.1359/JBMR.0301262
  7. Majoor BC, Appelman-Dijkstra NM, Fiocco M, van de Sande MA, Dijkstra PS, Hamdy NA. Outcome of long-term bisphosphonate therapy in McCune-Albright syndrome and polyostotic fibrous dysplasia. J Bone Miner Res. 2017; 32: 264-76.  https://doi.org/10.1002/jbmr.2999
  8. Bajwa MS, Ethunandan M, Flood TR. Oral rehabilitation with endosseous implants in a patient with fibrous dysplasia (McCune-Albright syndrome): a case report. J Oral Maxillofac Surg. 2008; 66: 2605-8.  https://doi.org/10.1016/j.joms.2007.06.669
  9. Gurler T, Alper M, Gencosmanoglu R, Totan S, Guner U, Akin Y. McCune-Albright syndrome progressing with severe fibrous dysplasia. J Craniofac Surg. 1998; 9: 79-82.  https://doi.org/10.1097/00001665-199801000-00017
  10. Kabali TM, Moshy JR, Owibingire SS, Sohal KS, Simon ENM. Craniofacial fibrous dysplasia associated with McCune-Albright syndrome: challenges in diagnosis and treatment: case reports. BMC Oral Health. 2019; 19: 180. 
  11. Wojcik S, Koszowski R, Drozdowska B, Smieszek-Wilczewska J, Raczkowska-Siostrzonek A. Maxillary fibrous dysplasia associated with McCune-Albright syndrome. A case study. Open Med (Wars). 2016; 11: 465-70. https://doi.org/10.1515/med-2016-0082