Luo En, Du Wen, Li Jiayang, Zhu Songsong, Li Jihua, Hu Jing
West China Hospital of Stomatology, State Key Laboratory of Oral Disease, Sichuan University, Chengdu, China.
J Craniofac Surg. 2016 Jul;27(5):1156-61. doi: 10.1097/SCS.0000000000002471.
Surgical treatment of condylar osteochondroma combined with secondary dentofacial deformities is a significant clinical challenge. The authors present this review article to provide some guidelines for the surgical treatment for this severely complex condition.
Diagnosis and treatment protocol of condylar osteochondroma patients combined with secondary dentofacial deformities are discussed at the basis of published literatures and the authors' own clinical experiences. Proper treatment protocol was designed according to features of tumor and dentofacial deformities. Follow-up and radiographic examination was performed to evaluate recurrence of tumor, occlusion, joint function, and facial appearance after surgery.
The patients received 1 or several methods of resection of tumor, condylar reconstruction, correction of skeletal deformities, and treatment of malocclusion. The condylar ostechondroma and secondary dentofacial deformities were treated satisfactorily. Temporomandibular joint function, occlusion, and facial appearance were improved obviously after operation evidenced by radiographic examination and follow-up.
Surgical management of condylar osteochondroma with secondary dentofacial deformities requires careful patient selection, treatment planning, and precise execution. This article has reviewed the current status of surgical treatment options and provided practical guidelines for oral and maxillofacial surgeons to consider their clinical practice.
髁突骨软骨瘤合并继发性牙颌面畸形的手术治疗是一项重大的临床挑战。作者撰写这篇综述文章，为这种严重复杂病症的手术治疗提供一些指导原则。
基于已发表的文献及作者自身的临床经验，探讨髁突骨软骨瘤合并继发性牙颌面畸形患者的诊断与治疗方案。根据肿瘤及牙颌面畸形的特点设计合适的治疗方案。术后进行随访及影像学检查，以评估肿瘤复发情况、咬合关系、关节功能及面部外观。
患者接受了肿瘤切除、髁突重建、骨骼畸形矫正及错牙合治疗等一种或多种方法。髁突骨软骨瘤及继发性牙颌面畸形均得到满意治疗。影像学检查及随访表明，术后颞下颌关节功能、咬合关系及面部外观均有明显改善。
髁突骨软骨瘤合并继发性牙颌面畸形的手术治疗需要仔细选择患者、制定治疗计划并精确实施。本文回顾了手术治疗方案的现状，为口腔颌面外科医生在临床实践中提供了实用的指导原则。
