有症状的颅面骨纤维性骨病变的临床放射学分析
A clinicoradiologic analysis of symptomatic craniofacial fibro-osseous lesions.
作者信息
Panda Naresh K, Parida Pradipta K, Sharma Ramesh, Jain Ajay, Bapuraj Jayapalli Rajiv
机构信息
Department of Otolaryngology-Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh-160012, India.
出版信息
Otolaryngol Head Neck Surg. 2007 Jun;136(6):928-33. doi: 10.1016/j.otohns.2007.01.031.
OBJECTIVE
To outline the clinical and radiologic aspects of symptomatic craniofacial fibro-osseous lesions and to study the appropriate surgical management with follow-up results.
STUDY DESIGN AND SETTING
A retrospective review of 11 patients who underwent surgical treatment during 1985 to 2004 in a tertiary health care center.
RESULTS
Most (72.7%) cases were of fibrous dysplasia and were under 25 years of age (72%). Maxilla was the most common bone involved (81%). Lateral rhinotomy was the main approach for surgical resection. One patient underwent bilateral optic nerve decompression (left side therapeutic and on right side prophylactic). Six (54.5%) cases had recurrences that were managed by either radical surgery (total maxillectomy) or by further shaving off the lesion.
CONCLUSION
Treatment of craniofacial fibro-osseous lesions is highly individualized. A conservative approach may not be able to treat all cases of craniofacial fibro-osseous lesions. A more radical approach that includes a craniofacial resection or a total maxillectomy may be warranted in few cases.
目的
概述有症状的颅面骨纤维性骨病变的临床和放射学特征，并研究适当的手术治疗方法及随访结果。
研究设计与背景
对1985年至2004年期间在一家三级医疗保健中心接受手术治疗的11例患者进行回顾性研究。
结果
大多数（72.7%）病例为骨纤维发育不良，且年龄在25岁以下（72%）。上颌骨是最常受累的骨骼（81%）。鼻侧切开术是手术切除的主要方法。1例患者接受了双侧视神经减压术（左侧为治疗性，右侧为预防性）。6例（54.5%）病例出现复发，通过根治性手术（全上颌骨切除术）或进一步刮除病变进行处理。
结论
颅面骨纤维性骨病变的治疗具有高度个体化。保守治疗方法可能无法治疗所有颅面骨纤维性骨病变病例。在少数情况下，可能需要采用更激进的方法，包括颅面切除术或全上颌骨切除术。
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