下颌升支垂直切开术重建颞下颌关节治疗髁状突骨软骨瘤的疗效观察  

The curative effect of vertical ramus osteotomy to reconstruct the temporomandibular joint in the treatment of osteochondroma of condyle

作　　者：周昊[1] 廖楚航[1] 费伟[1] ZHOU Hao;LIAO Chu-hang;FEI Wei(Department of Stomatology,Sichuan Academy of Medical Sciences,Sichuan Provincial People s Hospital,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院口腔科,四川成都610072

出　　处：《实用医院临床杂志》2018年第2期35-37,共3页Practical Journal of Clinical Medicine

基　　金：国家自然科学基金资助项目(编号:81600852)

摘　　要：目的评估下颌升支后缘垂直切开术重建颞下颌关节治疗髁突骨软骨瘤的临床疗效。方法对我院2012年1月至2016年10月收治的5例应用下颌升支垂直切开术治疗髁状突骨软骨瘤的患者随访11~36个月,通过影像学及咬合关系对其临床效果进行评估。结果所有病例术后咬合关系和面型均恢复良好,影像学未观察到明显的骨性吸收,且无1例患者复发。结论带有翼内肌蒂的下颌升支后缘垂直切开上移重建颞下颌关节,可以有效防止骨吸收使其具有更好的远期临床效果,是治疗髁状突骨软骨瘤的一种理想方法。To evaluate the clinical effects of reconstruction of the temporomandibular joint by vertical ramus osteotomy to treat osteochondroma of condyle.Five patients with osteochondroma of condyle were treated by vertical ramus osteotomy in our hospital from January 2012 to October 2016 were observed.The patients were followed up for 11-36 months.Clinical effects were evaluated with radiographs and occlusion relation.All patients had satisfactory clinical outcomes.Facial symmetry and good occlusion were achieved.There was no bony absorption and no recurrence of the tumor in any patient during the follow-up period.The advantages of the reconstruction of the temporomandibular joint by vertical sliding ramus osteotomy with internal pedicled pterygoid muscle include less bony absorption and better long-term clinical outcomes.It is an ideal method to treat the osteochondroma of condyle.

关 键 词：骨软骨瘤 下颌升支垂直切开 颞下颌关节重建 

分 类 号：R782[医药卫生—口腔医学]