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巨颌症的外科及病理学考量

Surgical and pathological considerations in cherubism.

作者信息

Friedman E, Eisenbud L

出版信息

Int J Oral Surg. 1981;10(Suppl 1):52-7.

PMID:6807908
Abstract

Although cherubism was recognized over half a century ago, there are few reports in the literature describing the overall management of this puzzling and challenging condition. The early onset of this disease and its continued growth result in therapeutic dilemmas with respect to pathological potential, deformity, dysfunction, and possible facial and emotional scarring. This report describes a staged approach to a major case, utilizing the advantages of current advances such as surgical technology, transoral approach, pantomography, and radioscintography. Foremost consideration is given to the histopathology of this and related fibro-osseous diseases. It is concluded that a curettement-recontouring procedure is the surgical modality of choice.

摘要

尽管半个多世纪前就已认识到家族性颌骨多囊病,但文献中很少有报道描述这种令人困惑且具有挑战性疾病的整体治疗方法。该疾病的早期发病及其持续进展,在病理潜能、畸形、功能障碍以及可能的面部和情感创伤方面带来了治疗难题。本报告描述了对一例重大病例的分阶段治疗方法,利用了当前外科技术、经口入路、全景X线摄影和放射性核素显像等进展的优势。首要考虑的是这种疾病以及相关纤维骨性疾病的组织病理学。结论是刮除 - 重塑手术是首选的手术方式。

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