髁突骨软骨瘤的正颌外科治疗  

Orthognathic surgery in the treatment of condylar osteochondroma

作　　者：马晓辉[1] 王昊[1] 张熙恩[1] 

机构地区：[1]首都医科大学口腔医院口腔颌面外科,北京100050

出　　处：《华西口腔医学杂志》2014年第2期150-152,共3页West China Journal of Stomatology

摘　　要：目的探讨正颌外科技术在髁突骨软骨瘤治疗中的应用效果。方法利用正颌外科方法治疗12例髁突骨软骨瘤患者,进行Le FortⅠ型截骨术修正上颌骨,采用口内入路患侧升支垂直截骨术切除病变髁突,健侧行升支矢状切开术及颏成形术矫正咬合及偏斜。结果 12例患者术后面型均得到矫正,随访2年以上无1例复发。结论利用正颌外科技术治疗髁突骨软骨瘤,可以避免常规口外切口面部留有的瘢痕,并在切除肿瘤的同时矫正了面型。Objective To evaluate the effect of orthognathic surgery in the treatment of condylar osteochondroma. Methods A total of 12 cases of condylar osteochondroma were treated with Le Fort I osteotomy, intraoral vertical ramus osteotomy, sagittal split ramus osteotomy and genioplasty. Results No recurrence of condylar osteochondroma was observed in all 12 cases two years after the treatments. Facial asymmetry was obviously corrected. Conclusion The orthognathic surgery me- thods are advantageous in improving facial figure without scar development in the treatment of condylar osteochondroma.

关 键 词：髁突 骨软骨瘤 正颌外科 

分 类 号：R739.8[医药卫生—肿瘤]