De Ponte F S, Becelli R, Rinna C, Sassano P P
Department of Maxillo-Facial Surgery, University of Rome La Sapienza, Italy.
J Craniofac Surg. 1995 Nov;6(6):506-9. doi: 10.1097/00001665-199511000-00019.
The incidence of intraosseus hemangiomas is very low. The mandible, the zygoma, the maxilla, and the frontal bone are the most frequent areas of localization in the craniomaxillofacial region. Surgery, without preoperative embolization, is always the best treatment for intraosseus hemangiomas of the zygoma. The radical removal of the tumor frequently causes a contour defect that has to be corrected. Calvarial grafts provide a good solution to the problem of reconstruction of bone loss. They are easy to prepare, near to the implant zone, and they do not require changes in the patient's position during the operation. The implants fixed by micro- and minifixation systems provide a good functional and aesthetic result. We, after a review of the literature on intraosseus hemangiomas of the craniomaxillofacial region, report two cases of intraosseus hemangiomas of the zygoma in which removal of the tumor and reconstruction with calvarial grafts have been performed.
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见的发病部位。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轮廓缺损，必须加以矫正。颅骨移植为骨缺损重建问题提供了一个很好的解决方案。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。通过微型和小型固定系统固定的植入物能带来良好的功能和美学效果。我们在回顾了关于颅颌面区域骨内血管瘤的文献后，报告两例颧骨骨内血管瘤病例，其中进行了肿瘤切除并用颅骨移植进行重建。
