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髁突全切术后游离颌骨支骨块同期重建

Simultaneous Condylar Reconstruction by Free Ramus Osteotomy Graft After Complete Condylectomy for Osteochondroma.

机构信息

Department of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Vietnam.

Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.

出版信息

J Craniofac Surg. 2021;32(5):e477-e479. doi: 10.1097/SCS.0000000000007464.

Abstract

Mandibular condyle osteochondromas cause morphologic and functional disturbances. Multiple options exist for reconstructing the condylar segment following complete condylectomy. In this series, we describe 3 cases of mandibular condyle osteochondroma treated with complete condylectomy, orthognathic surgery, and a novel free ramus osteotomy graft. This is the first report to reconstruct the temporomandibular joint using a free ramus graft. Through this single-staged approach we were able to avoid recurrence, preserve function, and restore facial balance without a separate donor site or an alloplastic implant.

摘要

下颌骨髁突骨软骨瘤会引起形态和功能的紊乱。在完全切除髁突后,有多种选择可用于重建髁突段。在本系列中,我们描述了 3 例下颌骨髁突骨软骨瘤患者,采用完全切除髁突、正颌手术和新型游离支骨切开移植术进行治疗。这是首例使用游离支移植重建颞下颌关节的报道。通过这种单阶段方法,我们能够避免复发,保留功能,并在不使用单独供体部位或异体植入物的情况下恢复面部平衡。

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