Lima Bernardo Correia, Pinheiro Giulianna Lima, Pinto Leonardo Augustus Peral Ferreira, Cavalcante Maria Aparecida de Albuquerque
Department of Oral Surgery, Oral Surgery Service, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Natl J Maxillofac Surg. 2021 Sep-Dec;12(3):414-417. doi: 10.4103/njms.NJMS_227_20. Epub 2021 Dec 13.
Central giant cell lesion (CGCL) is a benign intraosseous lesion that usually accompany the gnathic bones in the anterior region, mostly crossing the midline. Its clinical features involve cortical expansion, tooth displacement, and root resorption. Pain may occur in 20% of cases. Histopathological characteristics are like other pathological entities, being necessary discarding them. In this case, a 53-year-old female presented an expansive legion in the anterior mandible with tooth displacement and pain. After incisional biopsy, the result was CGCL. Surgical planning involved manufacturing a biomodel, bending the reconstruction plate to give the correct mandibular arch perimeter. After that, it was performed a segmental resection and installation of a reconstruction plate using a cervical approach. The patient is under follow-up with no signs of recurrence or complications.
中央巨细胞病变（CGCL）是一种良性骨内病变，通常发生于前部颌骨，大多跨越中线。其临床特征包括皮质膨胀、牙齿移位和牙根吸收。20%的病例可能会出现疼痛。组织病理学特征与其他病理实体相似，因此有必要将它们排除。在本病例中，一名53岁女性在前下颌骨出现一个膨胀性病变，并伴有牙齿移位和疼痛。切开活检后，结果为CGCL。手术规划包括制作一个生物模型，弯曲重建钢板以获得正确的下颌弓周长。之后，采用颈部入路进行节段性切除并安装重建钢板。患者正在接受随访，没有复发或并发症的迹象。
