儿童颌骨成釉细胞瘤的治疗
Treatment of ameloblastoma of the jaws in children.
作者信息
Abdulai A E
机构信息
Department of Oral & Maxillofacial Surgery, University of Ghana Dental School, Korle Bu Teaching Hospital, P. O. Box 77, Korle Bu, Accra, Ghana.
出版信息
Ghana Med J. 2011 Mar;45(1):35-7. doi: 10.4314/gmj.v45i1.68921.
BACKGROUND
To report the surgical experience on the treatment of ameloblastoma of the jaws in children.
METHOD
This is a prospective study of six children below the age of 16 years with ameloblastoma of the jaws seen at the Maxillofacial Unit of the Department of Surgery, Korle Bu Teaching Hospital over a fifteen year period. The clinico-pathological data and management of these children is presented here. The initial surgical technique used in their treatment consisted of one mandibular resection three enucleations with preservation of the surrounding dentition, and two marginal mandibular resections, preserving the lingual cortical plate in one, and the lower cortical border in the other.
RESULTS
Though the end result of treatment in all the six children was satisfactory, all the three cases of enucleation showed signs of recurrence soon after and needed repeated surgery.
CONCLUSION
In terms of long term cure for this tumour, enucleation has limited benefits. In children however, especially in those afflicted with the unilocular type, enucleation may be used as an interim procedure for the mandible to achieve further growth before carrying out a more appropriate definitive surgery.
背景
报告儿童颌骨成釉细胞瘤的手术治疗经验。
方法
这是一项前瞻性研究，对15年间在科勒布教学医院外科颌面科就诊的6名16岁以下颌骨成釉细胞瘤患儿进行了研究。本文介绍了这些患儿的临床病理资料及治疗情况。他们治疗初期采用的手术技术包括1例下颌骨切除术、3例保留周围牙列的摘除术以及2例边缘性下颌骨切除术，其中1例保留舌侧皮质板，另1例保留下颌骨下缘皮质。
结果
尽管所有6名患儿的治疗最终结果令人满意，但3例摘除术病例术后不久均出现复发迹象，需要再次手术。
结论
就该肿瘤的长期治愈而言，摘除术的益处有限。然而，对于儿童，尤其是患单房型的儿童，摘除术可作为下颌骨实现进一步生长的临时手术，之后再进行更合适的确定性手术。
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