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下颌髁突骨软骨瘤治疗的保守性髁突切除术

Conservative condylectomy for management of osteochondroma of the mandibular condyle.

作者信息

de Melo Willian Morais, Pereira-Santos Darklilson, Sonoda Celso Koogi, de Moura Walter Leal, de Paulo-Cravinhos Julio César

机构信息

Oral and Maxillofacial Surgery Program, Surgery and Integrated Clinic, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil.

出版信息

J Craniofac Surg. 2013 May;24(3):e209-11. doi: 10.1097/SCS.0b013e3182700b64.

Abstract

Osteochondroma is one of the most common benign tumors of the skeleton. This tumor is rare in the craniofacial region, with the most common sites of occurrence being the coronoid process of the mandible and the mandibular condyle. Traditionally, the treatments of these lesions include total condylectomy or local resection of the lesion. Conservative condylectomy procedure with reshaping of the remaining condylar neck and repositioning of the articular disk has been suggested. This article aimed to describe a 35-year-old woman with osteochondroma in the left mandibular condyle who was treated by conservative condylectomy. The patient has been free of recurrence for 2 years, showing good aesthetic and functional stability.

摘要

骨软骨瘤是骨骼最常见的良性肿瘤之一。这种肿瘤在颅面部区域罕见,最常见的发生部位是下颌骨冠状突和下颌髁突。传统上,这些病变的治疗方法包括全髁突切除术或病变局部切除术。有人提出采用保留髁突的手术方法,对剩余的髁突颈部进行塑形并重新定位关节盘。本文旨在描述一名35岁左侧下颌髁突骨软骨瘤女性患者,采用保留髁突手术治疗。该患者已无复发2年,显示出良好的美学和功能稳定性。

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