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J Stomatol Oral Maxillofac Surg. 2019 Sep;120(4):369-372. doi: 10.1016/j.jormas.2019.04.004. Epub 2019 Apr 10.
Most patients treated in childhood with radiotherapy for head and neck tumors develop craniofacial alterations related to impaired growth of the irradiated regions. These deformities have a significant functional and aesthetic impact, generating physiological and social troubles. The therapeutic solutions are mostly surgical and multidisciplinary. In this article, we describe the orthodontic and surgical care of a teenager treated with radiotherapy for a bilateral retinoblastoma at the age of 8 month and a half. The patient presented growth defects of the middle third of the face. These growth deficiencies are at the origin of significant aesthetic and physical disorders. Moreover, the three-dimensional skeletal abnormalities and the histological changes of these irradiated tissues make surgical management of the cases complex and specific.
大多数儿童时期因头颈部肿瘤接受放射治疗的患者会出现与照射区域生长受损相关的颅面改变。这些畸形会产生显著的功能和美学影响，导致生理和社会问题。治疗方法主要是手术和多学科治疗。本文描述了一位青少年的正畸和手术治疗情况，该患者在 8 个半月大时因双侧视网膜母细胞瘤接受放射治疗。患者表现出中面部生长缺陷。这些生长缺陷是导致显著的美学和身体障碍的原因。此外，这些照射组织的三维骨骼异常和组织学变化使得病例的手术管理变得复杂和具有特殊性。
