Division of Plastic Surgery, Nicklaus Children's Hospital, Miami, FL, USA.
Cardiovascular Surgery Advanced Projects Laboratory, Nicklaus Children's Hospital, Miami, FL, USA.
Cleft Palate Craniofac J. 2024 Jun;61(6):1054-1060. doi: 10.1177/10556656231154814. Epub 2023 Mar 27.
Osteosarcomas arising within the pterygomaxillary/infratemporal fossa region are rare among the pediatric population. Survival rates are most influenced by tumor resection with negative margins, which can be dependent on surgical accessibility of the tumor site. The pterygomaxillary/infratemporal fossa location poses several challenges to safe and adequate tumor resection, including proximity of the facial nerve and great vessels and scarring associated with traditional transfacial approaches. In this article, we present the case of a 6-year-old boy with an osteosarcoma of the left pterygomaxillary/infratemporal fossa region successfully managed with an "oncoplastic" approach, incorporating the use of CAD/CAM and mixed reality technologies.
发生于翼腭窝/颞下窝区域的骨肉瘤在儿科人群中较为罕见。生存率受肿瘤边缘阴性的肿瘤切除术影响最大，而手术能否完全切除肿瘤取决于肿瘤部位的手术可及性。翼腭窝/颞下窝的位置给安全和充分的肿瘤切除带来了一些挑战，包括面神经和大血管的临近以及传统经面入路相关的疤痕。本文介绍了 1 例 6 岁男孩，他患有左侧翼腭窝/颞下窝区域骨肉瘤，成功采用了“整形肿瘤切除术”，该术式联合使用了 CAD/CAM 和混合现实技术。
