Yih W Y, Ma G S, Merrill R G, Sperry D W
Department of Oral and Maxillofacial Surgery, Oregon Health Sciences University, Portland 97201.
J Oral Maxillofac Surg. 1989 Nov;47(11):1154-60. doi: 10.1016/0278-2391(89)90005-0.
Fifteen cases of central hemangioma of the jaws in 14 patients are reported, and considerations in diagnosis and treatment are discussed. In the management of these tumors, diagnostic considerations are of paramount importance if associated risks are to be minimized while maximizing the chances for a successful outcome. A search of the literature suggests that surgery, either alone or in combination with embolization, remains the treatment of choice for these lesions. All cases in this report were treated surgically without incident and with good results. Of special interest were two cases in which the tumor was removed from the excised mandible, which was then sterilized and used in the immediate reconstruction of the surgical defect.
报告了14例患者的15例颌骨中心性血管瘤病例,并讨论了诊断和治疗方面的注意事项。在这些肿瘤的治疗中,如果要将相关风险降至最低,同时最大程度地提高成功治疗的机会,诊断方面的考虑至关重要。文献检索表明,单独手术或手术联合栓塞仍是这些病变的首选治疗方法。本报告中的所有病例均接受了手术治疗,无一发生意外,且效果良好。特别值得关注的是两例病例,其中肿瘤从切除的下颌骨中取出,然后对下颌骨进行消毒,并立即用于修复手术缺损。