Lv Mingming, Li Jun, Shen Yi, Wang Liang, Sun Jian
Resident, Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
Associate Professor, Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
J Oral Maxillofac Surg. 2017 Aug;75(8):1752-1761. doi: 10.1016/j.joms.2016.12.031. Epub 2016 Dec 29.
The aim of this article is to introduce a new surgical method for the treatment of ossifying fibroma (OF) in the maxilla with dislocation of the eyeball and to evaluate the postoperative outcomes and prognosis.
Cases of maxillary OF treated with "drawer-like" resection from 2014 to 2015 were reviewed. The surgical procedure consisted of total removal of the orbital floor and most of the maxilla with preservation of the alveolar ridge immediately followed by reconstruction with titanium mesh. Postoperative appearance and function were assessed. In addition, the recurrence rate was statistically observed.
The study included 6 patients with maxillary OF who were treated with drawer-like resection. Good esthetics and decrease of the globe were successfully achieved in all patients. Long-term follow-up showed a low recurrence rate. The original occlusal relation and masticatory function were preserved.
With this new method, the original occlusal relation can be well preserved and bulging of the maxilla and eyeball displacement can be corrected.
本文旨在介绍一种治疗上颌骨骨化性纤维瘤（OF）伴眼球脱位的新手术方法，并评估术后效果及预后。
回顾2014年至2015年采用“抽屉式”切除术治疗的上颌骨OF病例。手术步骤包括完全切除眶底和大部分上颌骨，保留牙槽嵴，随后立即用钛网进行重建。评估术后外观和功能。此外，对复发率进行统计学观察。
该研究纳入6例接受抽屉式切除术治疗的上颌骨OF患者。所有患者均成功实现了良好的美学效果和眼球复位。长期随访显示复发率较低。保留了原有的咬合关系和咀嚼功能。
采用这种新方法，可以很好地保留原有的咬合关系，并纠正上颌骨隆起和眼球移位。
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