下颌升支骨动脉瘤样骨囊肿。病例报告。

Aneurysmal bone cyst of the ascending ramus mandible. A case report.

作者信息

Neuschl Matthias, Reinert Siegmar, Gülicher Dirk, Neuschl Judith, Hoffmann Jürgen

机构信息

Department of Oral and Maxillofacial Surgery, University Hospital Tübingen (Head: Prof. Dr. Dr. Siegmar Reinert), Osianderstr. 2-8, D-72076 Tübingen, Germany.

出版信息

J Craniomaxillofac Surg. 2014 Apr;42(3):e36-8. doi: 10.1016/j.jcms.2013.05.027. Epub 2013 Jun 22.

DOI:10.1016/j.jcms.2013.05.027

PMID:23800754

Abstract

We report the clinical course of a 28-year old male patient with a large aneurysmal bone cyst of the ascending ramus of the left mandible. Surgical treatment was performed as radical resection of the ascending ramus of the mandible including the condyle with one-stage reconstruction with a free fibula flap. Aggressive growth, clinical symptoms and a high recurrence rate of aneurysmatic bone cysts were the reason for this surgical treatment. The free fibula flap offers a good quality of cortical bone, which is supposed to be the best choice for reconstruction of the condyle.

摘要

我们报告了一名28岁男性患者的临床病程，该患者患有左下颌升支的巨大动脉瘤样骨囊肿。手术治疗采用根治性切除下颌升支，包括髁突，并采用游离腓骨瓣进行一期重建。动脉瘤样骨囊肿的侵袭性生长、临床症状和高复发率是进行这种手术治疗的原因。游离腓骨瓣提供了良好质量的皮质骨，被认为是髁突重建的最佳选择。