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论文摘要

下颌升支后缘上移联合面部轮廓整形术同期治疗髁突骨软骨瘤及继发颌骨畸形

One-stage treatment of condylar osteochondroma combined with secondary jaw bone deformities by sliding vertical ramus osteotomy and mandibular contouring

作者:杨孝勤,施鹏伟,汪健,杜文,胡静,罗恩

Author:Yang Xiaoqin, Shi Pengwei, Wang Jian, Du Wen, Hu Jing, Luo En

收稿日期:2014-06-12          年卷(期)页码:2015,42(2):143-146

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:髁突骨软骨瘤,面部畸形,下颌升支后缘切开上移术,

Key words:osteochondroma of condylar,facial asymmetry,sliding vertical ramus osteotomy,

基金项目:

国家临床重点专科建设项目(2011年);广东省医学科研基金(B2013042)

中文摘要

目的 研究在髁突骨软骨瘤患者病变髁突切除后,联合采用下颌升支后缘切开上移术和面部轮廓整形术同期治疗其继发颌骨畸形的手术效果,并探讨其临床应用价值。方法 选择8例髁突骨软骨瘤的患者,全部采用病变髁突切除+下颌升支后缘切开上移术重建髁突+下颌轮廓整形手术,并辅助术后正畸或颌间结扎,同期治疗患者的髁突疾病及面部不对称问题。结果 所有患者对术后效果都比较满意,患者面型不对称畸形、咬合及关节功能异常均得到很大改善,且随访期间髁突骨软骨瘤未见复发。结论 髁突骨软骨瘤的病变髁突切除术后同期采用下颌升支后缘切开上移术+下颌轮廓整形手术的联合使用不仅可以摘除肿瘤,还可以有效的改善患者的面容,取得良好的治疗效果。

英文摘要

Objective To evaluate the combined application of condylectomy, sliding vertical ramus osteotomy, and mandibular contouring in treating condylar osteochondroma. Methods Eight patients with osteochondroma of the mandibular condyle were subjected to condylectomy, sliding vertical ramus osteotomy, and mandibular contouring at one stage. After the surgery, orthodontic treatment or intermaxillary fixation was applied to help treat those patients with facial asymmetry and abnormal occlusion. Results All the patients demonstrated satisfactory results. Their temporomandibular joint dysfunction, facial asymmetry, and abnormal occlusion were improved greatly. No patient developed a recurrence of the tumor during the follow-up period. Conclusion Condylectomy, sliding vertical ramus osteotomy, and mandibular contouring do not only remove the tumor, but also effectively ameliorate the facial asymmetry and abnormal occlusion of the patients as well as produce a favorable therapeutic effect.

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