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患者男、22岁,左下颌肿物逐增大咀嚼无力并在下唇麻木2月余,于1988年8月来院就诊。检查:外观左下颌稍肿、扪及左下颌角体部稍膨隆、质硬,张口度正常,5—8松动Ⅱ—Ⅲ°,颊龈微肿、舌侧龈隆起平颌面,乒乓感。X线片示左下颌体稍膨隆,5至左下颌角低密度破坏区约5cm,单房状,边缘清楚,5—8齿槽骨已破坏。诊断:左下颌造釉细胞瘤。 治疗:全麻下行4至左下颌角肿瘤及颌骨截除术,取左颞肌蒂带颞顶骨瓣移植左下颌骨重建术。先行左下颌下缘切口、暴露左下颌骨体,4拔牙,截除4至左下颌角
Male patient, 22 years old, left mandibular tumor by increased chewing weakness and numbness in the lower lip more than 2 months, in August 1988 to the hospital. Check: Appearance of the left lower jaw slightly swollen, palpable left mandibular body slightly bulging, hard, normal mouth, 5-8 loosening Ⅱ-Ⅲ °, buccal gingival swelling, lingual gingival bulge from the surface of the maxillofacial, ping pong. X-ray film showed a slight swelling of the left mandibular body, 5 to the left mandibular angle low density destruction of about 5cm, single-chamber shape, clear edge, 5-8 alveolar bone has been destroyed. Diagnosis: Left mandible ameloblastoma. Treatment: under general anesthesia 4 to the left mandibular tumor and jaw amputation, left temporomandibular bone flap with left temporal mandibular reconstruction. First lower left mandibular incision, exposed left mandibular body, 4 tooth extraction, cut 4 to the left mandibular angle