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目的为偏畸形的原因提供一个新的诊断思路。方法报道1例髁状突骨软骨瘤病例,并回顾相关文献。结果1例50岁男性髁状突软骨瘤患者,术前CT检查明确病变部位及大小,全麻下切除病变骨并进行颞下颌关节重建,术后进行颌间牵引,咬合关系恢复良好。结论对状突骨软骨瘤,为避免复发及恶变,须作肿物切除术,如肿物与髁突粘连,须作髁突切除术及颞下颌关节重建,恢复患者的咬合关系。
Objective To provide a new diagnostic method for the reason of partial deformity. Methods One case of condylar osteochondroma was reported and related literature was reviewed. Results A 50-year-old man with condylar chondroma was examined by CT. The lesion and size were determined by preoperative CT. The lesion bone was removed under general anesthesia and temporomandibular joint reconstruction was performed. The intermaxillary traction was performed after operation. The occlusal relationship recovered well. Conclusions For osteoid osteochondroma, to avoid recurrence and malignant transformation, resection of the tumor should be performed. For example, tumor and condyle should be resected, condyles resection and temporomandibular joint reconstruction should be performed to restore the occlusion relationship.