This 12 year old girl came in with a swollen Cheel. She obviosly had fibrous dysplasia-Fibrous dysplasia is an uncommon bone disorder in which scar-like (fibrous) tissue develops in place of normal bone. This can weaken the affected bone and cause it to deform or fracture. In most cases, fibrous dysplasia affects only a single bone — most commonly the skull or a long bone in the arms or legs. We operated and found massive fibrous tissue requiring a chisel for revoval of the entire maxilla. During removal we found several ectopic teeth-perhaps the stimulus for her problem. 

The orbital floor was gone and the eye drooped down into the sinus when we were done. We used a polypropylene mesh sling to support the eye-which is onlevel with the other eye after surgery. She is healing well.