局部切除肿块治疗下颌骨髁突骨软骨瘤：38 例系列病例的适应证和不同方法。
Local resection of the mass to treat the osteochondroma of the mandibular condyle: indications and different methods with 38-case series.
机构信息
Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
出版信息
Head Neck. 2014 Feb;36(2):273-9. doi: 10.1002/hed.23218. Epub 2013 Mar 18.
BACKGROUND
Local resection of the mass was reported to treat the condylar osteochodroma in some cases. The purpose of this study was to evaluate the feasibility and the indications of the local resection.
METHODS
In all, 47 patients with osteochondroma of the mandibular condyle were treated from January 2002 to March 2012. The decision to perform local resection depended on 2 factors: there was a stalk existing between the mass and the condyle, and the condylar surface was involved less than 1/2.
RESULTS
Local resection of the mass was performed in 38 cases (80.1%). These masses were removed by 4 methods: direct removal (18 cases), pushed-out by a screw and steel wire (14 cases), excision in multiple pieces (3 cases), and temporary osteotomy of the zygomatic arch (3 cases). In the follow-up period, there was no recurrence.
CONCLUSION
Local resection of the mass was a more conservative procedure to treat the solitary osteochondroma with a stalk.
背景
局部切除肿块被报道可用于治疗某些情况下的髁突骨软骨瘤。本研究旨在评估局部切除的可行性和适应证。
方法
2002 年 1 月至 2012 年 3 月，共治疗 47 例下颌骨髁突骨软骨瘤患者。决定行局部切除取决于 2 个因素：肿块与髁突之间存在蒂，且髁突表面受累小于 1/2。
结果
38 例（80.1%）患者行肿块局部切除术。这些肿块通过 4 种方法切除：直接切除（18 例）、用螺钉和钢丝推出（14 例）、分块切除（3 例）和临时颧骨切开术（3 例）。随访期间无复发。
结论
局部切除肿块是治疗有蒂孤立性骨软骨瘤的一种更为保守的方法。
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