口内入路手术治疗进行性肌肉骨化症导致的开口受限  

Operation via oral route to solve trismus from fibrodysplasia ossificans progressiva

作　　者：常世民[1] 张海钟[1] 柳春明[1] 

机构地区：[1]解放军总医院-军医进修学院口腔颌面外科

出　　处：《口腔医学》2008年第1期1-4,共4页Stomatology

基　　金：国家自然科学基金资助项目(30471902);首都医学发展科研基金项目(20023091)

摘　　要：目的解除进行性肌肉骨化症患者翼突至下颌骨骨性融合导致的完全开口受限。方法采用口内入路,右下前磨牙龈颊沟向后至升支前缘邻近喙突部做切口,切至骨面,分离切口两侧软组织,暴露翼突至下颌骨体内侧面的骨性肿物并去除。自左翼下颌韧带内侧至硬腭后缘做切口钝性分离暴露翼突翼内外板,去除其末端骨化肌腱和附着于翼突内外侧板的骨化肿物至翼突根部。结果患者手术切口愈合好,开口度2指,术后4个月无复发。结论口内入路切除翼突至下颌骨骨性肿物术野暴露清楚,操作方便。Objective To solve trismus from fibrodysplasia ossificans progressiva（FOP） in a rare ease Of a 17 year-old boy without esthetic side-effects. Methods A modified surgical mode was designed and performed. Ectopic ossified region between pyterygoid process and mandible was approached via oral route. Ossificated tissues were removed along with the surface of pyterygoid process and the operation was accomphshed with thorough hemostasis. An analogic pathologic lesion in coax was also resected simultaneously. Results The patient can now open his mouth for about two fingers wide. He was free of recurrence 4 months after operation. Conclusion Resection of fibrodysplasia ossificans progressive tissue between pyterygoid process and mandible via oral route is effective and safe. In this way, no skin scar was left on the patient＇s face.

关 键 词：进行性肌肉骨化症 开口受限 口内入路 

分 类 号：R739.82[医药卫生—肿瘤]