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下颌成釉细胞瘤切除术后的假体康复治疗:7年随访病例报告

Postsurgical Prosthetic Rehabilitation after Mandibular Ameloblastoma Resection: A 7-Year Follow-Up Case Report.

作者信息

Moreno-Soriano C, Estrugo-Devesa A, Castañeda-Vega P, Jané-Salas E, López-López J

机构信息

Department of Odontostomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain.

Oral Health and Masticatory System Group, Institut d'Investigació Biomédica de Bellvitge (IDIBELL, Bellvitge Institute of Biomedical Research), L'Hospitalet de Llobregat, Barcelona, Spain.

出版信息

Case Rep Dent. 2021 Mar 28;2021:5593973. doi: 10.1155/2021/5593973. eCollection 2021.

Abstract

Ameloblastomas are benign but locally invasive odontogenic tumors most frequently located in the mandible. The gold standard of treatment is the surgical resection of the tumor with safety margins. Postsurgical defects generate a significant morbidity that needs reconstruction and oral rehabilitation to restore the oral functions. This case report describes the prosthetic rehabilitation of a 42-year-old male after resection of a mandibular ameloblastoma. Excision of the lesion by segmental mandibulectomy and mandibular reconstruction by microvascularized fibula flap was performed. After placement of 6 dental implants, the patient was rehabilitated with a lower hybrid prosthesis fabricated using computer-aided design-computer-aided manufacturing. During a 7-year and 5-month follow-up, some clinical complications were observed.

摘要

成釉细胞瘤是良性但具有局部侵袭性的牙源性肿瘤,最常位于下颌骨。治疗的金标准是手术切除肿瘤并保留安全切缘。术后缺损会导致严重的功能障碍,需要进行重建和口腔修复以恢复口腔功能。本病例报告描述了一名42岁男性下颌成釉细胞瘤切除术后的修复情况。通过节段性下颌骨切除术切除病变,并采用带血管蒂腓骨瓣进行下颌骨重建。植入6颗牙种植体后,使用计算机辅助设计-计算机辅助制造技术制作了下颌混合义齿对患者进行修复。在7年5个月的随访期间,观察到了一些临床并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9594/8021463/b93f799044ee/CRID2021-5593973.001.jpg

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