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[眶颧区域骨血管瘤的外科治疗]

[Surgical treatment of hemangioma of bones of the orbito-zygomatic region].

作者信息

de Ponte F S, Bottini D J, Valentini V

机构信息

Università degli Studi di Roma, La Sapienza.

出版信息

Minerva Stomatol. 1994 Jul-Aug;43(7-8):365-72.

PMID:7984135
Abstract

The incidence of intraosseous haemangiomas is very low. The mandible, the zygoma, the maxilla and the frontal bone are the most frequent areas of localization in the craniomaxillofacial region. Pain and swelling are the most important symptoms of these tumors when they are localized in the orbit or in zygoma. Surgery, without preoperative embolization is always the best treatment for intraosseous haemangiomas of the zygoma. The radical removal of the tumor frequently causes a plain aesthetical loss which has to be restored. Calvarial grafts are a good solution to the problem of reconstruction of bone loss. They are easy to prepare, near to the implant zone, and they don't need changes of the patient's position during the operation. The implants fixed by mini- and micro-fixation systems provide a good functional and aesthetical result. The authors, after a review of the literature about intraosseous haemangiomas of the cranio-maxillofacial region, report two cases of intraosseous haemangioma of the zygoma in which removal of the tumor and reconstruction with calvarial grafts has been performed.

摘要

骨内血管瘤的发病率很低。下颌骨、颧骨、上颌骨和额骨是颅颌面区域最常发生的部位。当这些肿瘤位于眼眶或颧骨时,疼痛和肿胀是其最重要的症状。对于颧骨骨内血管瘤,不进行术前栓塞的手术始终是最佳治疗方法。肿瘤的根治性切除常常会导致明显的美学缺失,必须予以修复。颅骨移植是解决骨缺损重建问题的一个好办法。它们易于制备,靠近植入区,并且在手术过程中不需要改变患者的体位。通过微型和微型固定系统固定的植入物可提供良好的功能和美学效果。作者在回顾了有关颅颌面区域骨内血管瘤的文献后,报告了两例颧骨骨内血管瘤病例,其中进行了肿瘤切除和颅骨移植重建。

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