Postsurgical follow-up of two years in patient with progressive fibrodysplasia ossificant – case report

Vol. 12 – Number 48 – 2021 INTERDISCIPLINARY NOTEBOOK Case report Page 104-108 Postsurgical follow-up of two years in patient with progressive fibrodysplasia ossificant – case report George Douglas Oliveira da Silva1 Maurilio Campos Matos2 Rogério Bonfante Moraes3 Alayana Matuda Calixto4 Felipe Politano Lange5 Wagner Humberto Martins dos Santos6 Abstract Fibrodysplasia ossificans progressive (FOP) is a rare disease related to an autosomal dominant genetic disorder in which ectopic bone formations occur in muscles, tendons, ligaments, and aponeuroses. The aim of this paper is to report the case of an adolescent patient with FOP, demonstrating the clinical and surgical interdisciplinary approach (dental and medical), as well as discussing the evolution of this disease and possible complications of inadequate surgical treatment. In this case, the surgical procedure performed were dental extractions under general anesthesia, avoiding any infiltrative local anesthesia or broad surgical flap to protect the orofacial muscles from possible induction of local ossification. In the two-year post-operative follow-up, the patient presented a normal mouth opening and no ectopic ossification was found. It was concluded that oral surgeries performed in a hospital environment under general anesthesia and with conservative technique can prevent facial muscle calcifications in patients with fibrodysplasia ossificans progressive. Descriptors: Fibrodysplasia ossificans progressive, heterotopic ossification, oral surgery, local anesthetics, general anesthesia. 1 DC, Specialist in Forensic Dentistry, Specialist in Oral and Maxillofacial Surgery and Traumatology – Hospital Regional de Cacoal/RO. 2 CD, Master’s Degree student in Implant Dentistry, Specialist in Oral and Maxillofacial Surgery – Hospital Regional de Cacoal/RO. 3 CD, M.Sc. in Oral and Maxillofacial Surgery and Traumatology – Hospital Regional de Cacoal/RO. 4 CD, M. Sc. in Health Sciences, Specialty in Pediatric Dentistry and Patients with Special Needs – Hospital Regional de Cacoal/RO. 5 CD, Specialist in Oral and Maxillofacial Surgery, MD, Specialist in Otorhinolaryngology – Regional Hospital of Cacoal/RO. 6 DC, Master’s Degree Student in Oral and Maxillofacial Surgery – Hospital Regional de Cacoal/RO. DOI: 10.24077/2021;1248-104108