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在下颌骨巨大牙源性黏液瘤切除术后使用髁突假体。

Using the condylar prosthesis after resection of a large odontogenic myxoma tumor in the mandible.

作者信息

De Melo Willian Morais, Pereira-Santos Darklilson, Brêda Marcus Antônio, Sonoda Celso Koogi, Hochuli-Vieira Eduardo, Serra e Silva Fabrício Moreira

机构信息

Surgery and Integrated Clinic Department, UNESP, Araçatuba Dental School, São Paulo State University, Araçatuba, São Paulo, Brazil.

出版信息

J Craniofac Surg. 2012 Sep;23(5):e398-400. doi: 10.1097/SCS.0b013e31825b353c.

Abstract

Odontogenic myxomas are considered to be a benign odontogenic tumor with locally aggressive behavior. Because these neoplasms are rare in the oral cavity, the possible surgical management can be quite variable. Literature recommendation can vary from simple curettage and peripheral ostectomy to segmental resection. The authors report a case of a 20-year-old patient with an odontogenic myxoma tumor located in the left mandibular angle, ascending ramus, and mandibular symphysis. It was treated by radical resection followed by titanium reconstruction with condylar prosthesis, which allowed rapid return of function with improvement in quality of life and restoration of cosmetic and functional deficits. The lesion did not recur after surgical procedure.

摘要

牙源性黏液瘤被认为是一种具有局部侵袭性的良性牙源性肿瘤。由于这些肿瘤在口腔中较为罕见,其可能的手术治疗方式差异较大。文献推荐的治疗方法从单纯刮除术和周边骨切除术到节段性切除术不等。作者报告了一例20岁患者,其牙源性黏液瘤位于左下颌角、升支和下颌联合处。该患者接受了根治性切除,随后采用髁突假体进行钛重建,这使得功能迅速恢复,生活质量得到改善,美容和功能缺陷得以修复。手术后病变未复发。

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