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上颌骨黏液瘤:采用颊脂垫瓣的手术治疗与重建:病例报告

Maxillary myxoma: surgical treatment and reconstruction with buccal fat pad flap: a case report.

作者信息

Ogütcen-Toller Melahat, Sener Ismail, Kasap Vildan, Cakir-Ozkan Nilüfer

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.

出版信息

J Contemp Dent Pract. 2006 Feb 15;7(1):107-16.

Abstract

Myxoma is a benign tumor that arises from mesenchymal tissue and is found less commonly in the bone than in soft tissue. The majority of bony myxomas occur in the jaws. When compared with other odontogenic tumors, myxoma of the jaws is a rare entity. Numerous types of treatment have been used for these tumors including simple curettage, enucleation, curettage with peripheral ostectomy, and en bloc resection with or without immediate reconstruction. The buccal fat pad (BFP) is a lobulated mass of fatty tissue in the oromaxillofacial region, which has long been a source of grafts in facial augmentation. A case of an odontogenic myxoma in the left maxillary molar area of a 34-year-old female that was treated by curettage and peripheral ostectomy is presented. The surgical defect was successfully repaired with a pedicled BFP flap.

摘要

黏液瘤是一种起源于间叶组织的良性肿瘤,在骨中比在软组织中更少见。大多数骨黏液瘤发生于颌骨。与其他牙源性肿瘤相比,颌骨黏液瘤是一种罕见的病变。针对这些肿瘤已采用了多种治疗方法,包括单纯刮除术、摘除术、外周骨切除术刮除术以及行或不行即刻重建的整块切除术。颊脂垫(BFP)是颌面区域的一个分叶状脂肪组织块,长期以来一直是面部填充移植的来源。本文报告了一例34岁女性左上颌磨牙区牙源性黏液瘤,采用刮除术和外周骨切除术进行治疗。手术缺损通过带蒂BFP皮瓣成功修复。

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