下颌支后缘垂直切开上移重建髁突治疗骨软骨瘤  

Reconstruction of the mandibular condyle by vertical ramus osteotomy to treat osteochondroma

作　　者：王国松[1] 刘尧[1] 宋冬惠[1] 李继华[1] 祝颂松[1] 罗恩[1] 冯戈[1] 胡静[1] 

机构地区：[1]四川大学华西口腔医院口腔颌面外科,四川成都610041

出　　处：《中国口腔颌面外科杂志》2011年第3期227-229,共3页China Journal of Oral and Maxillofacial Surgery

基　　金：卫生部临床学科重点项目(2007-353)~~

摘　　要：目的:评价下颌支后缘垂直骨切开术用于治疗髁突骨软骨瘤的临床效果。方法:对我院2004—2009年间9例应用髁突切除术及带蒂下颌支后缘上移重建髁突治疗髁突骨软骨瘤的患者进行随访,并通过影像学、咬合关系及颞下颌关节功能进行综合评估。结果:经过至少8个月的随访,所有患者髁突重建后的咬合关系、面形及关节功能均恢复良好。影像学检查显示,下颌支后缘上端位于关节窝内,随着时间的推移,逐渐改建呈光滑的扁球形。结论:下颌支后缘垂直骨切开带蒂上移,是重建因骨软骨瘤切除所导致的髁突缺损的一种较为理想的方法。PURPOSE： To evaluate the clinical effects of vertical ramus osteotomy for treatment of condylar osteochondroma.METHODS： Nine patients with osteochondroma of the mandibular condyle from 2004 to 2009,treated by condylar resection and application of pedicled bone grafts gained by vertical ramus osteotomy to reconstruct the condyle,were observed and evaluated.Imaging examinations,occlusion and the function of temporomandibular joint were assessed after surgery.RESULTS： After following up for at least 8 months,good occlusion,symmetrical face,and satisfactory function of temporomandibular joint were regained.Imaging examinations showed that the upper ends of posterior ramus were in the glenoid fossa,and with time going on,it became a smooth and flat ball gradually.CONCLUSION： The posterior margin of ramus with a blood supply obtained by vertical ramus osteotomy is a relatively ideal method to reconstruct the mandibular condyle to be resected because of osteochondroma.

关 键 词：髁突 骨软骨瘤 下颌支后缘垂直切开上移术 重建 

分 类 号：R739.8[医药卫生—肿瘤]