一名存在医疗问题的患者，因嗜酸性肉芽肿继发下颌骨病理性骨折。
Pathological fracture of the mandible, secondary to eosinophilic granuloma in a medically compromised patient.
作者信息
Baliga M J, Darvish E, Mallya L, Singh G K
机构信息
Dept. of Oral and Maxillofacial Surgery, College of Dental Surgery, K.M.C., Chandra Building Balmatta, 575 001 Mangalore, India.
出版信息
Indian J Otolaryngol Head Neck Surg. 1997 Oct;49(4):384-7. doi: 10.1007/BF02994657.
A case of eosinophilic granuloma of the mandible with submandibular lymph node involvement in a medically compromised patient is presented. The lesion caused the pathologic fracture of the. mandible. It was treated radically with the resection of the mandible between the angle posteriorly and the midline anteriorly and immediate reconstruction with a 3DBDB AO reconstruction plate. This was followed by telecobalt therapy of 2000 cGys in 10 fractions over 20 days.The combined surgical and radiation therapy should be reserved for patients having: (1) unremitting pain following currettage (2) Limitation of activity (3) a medically compromised patient or (3) in whom radiographic findings suggest an aggressive lesion involving adjacent tissues and/or causing pathologic fractures.
本文报告1例患有嗜酸性肉芽肿的下颌骨病例，该患者存在颌下淋巴结受累且存在医疗并发症。该病变导致下颌骨病理性骨折。通过切除下颌骨后部角部与前部中线之间的部分，并立即使用3DBDB AO重建钢板进行重建，对其进行了根治性治疗。随后在20天内分10次进行了2000 cGy的远距离钴治疗。联合手术和放射治疗应保留给具有以下情况的患者：（1）刮除术后持续疼痛；（2）活动受限；（3）存在医疗并发症的患者；或（4）影像学检查结果提示病变侵袭性强，累及相邻组织和/或导致病理性骨折的患者。
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