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患者女性,19岁。1年前口腔内右侧颌骨有一蚕豆大小之肿块,后逐渐增大,隆起,不疼。检查:右下颌在8-3部位颊舌两侧骨板均膨胀,质地硬,无搏动,颌下淋巴结不肿大。X线摄片:见下颌骨8-2呈蜂窝状改变。手术方法:手术分两组进行一、供区:在腓骨颈处挑开附着在腓骨小头上的腓骨肌,游离腓总神经,沿腓骨长肌解剖出腓浅神经及腓深神经,锯断腓骨两端,切开骨间膜,保护腓动、静脉,游离至起始分叉处,放止血带,肌肉袖渗血,腓动脉直径1.8mm,静脉2mm。二、受区:沿右下颌下缘1.5cm处作切口,先游离颌外动脉及面前静脉,游离至足够长度,然后切除
Patient female, 19 years old. A year ago, the oral cavity of the right side of the jaw has a mass of broad beans, and then gradually increase, uplift, no pain. Check: right mandible in the 8-3 parts of the buccal and lingual plate on both sides of the expansion, texture hard, no beating, submandibular lymph nodes does not enlarge. X-ray: see mandibular 8-2 honeycomb change. Surgical methods: Surgery was divided into two groups, one for the area: open the fibula neck attached to the fibula in the head of the fibula, the free common peroneal nerve along the peroneus longus anatomy of the peroneal nerve and deep peroneal nerve, sawing Fibula at both ends, cut off the interosseous membrane, protecting the phlebotomy, vein, free to the initial bifurcation, put the tourniquet, muscle sleeve oozing, peroneal artery diameter 1.8mm, vein 2mm. Second, the area: along the right lower edge of the lower edge of 1.5cm at the incision, first free of external carotid artery and anterior vein, free enough length, and then excised