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我科遇到1例颌面部战伤病员,40年后因局部感染,经拍X线片检查,发现右下颌骨升支囊性变伴金属弹头存留,经手术后治愈,现报告如下。高××,男,61岁。因右腮面部炎性肿胀,血尿、发热、贫血等全身疾患,住我院内科治疗。缘于1个多月前,发现右腮腺区红肿伴张口受限,经用抗菌素治疗后好转。专科检查:右颈上部见0.5cm直径陈旧性疤痕,右腮腺咬肌区下部可及4×4cm大小的肿块,质地硬,无波动感,轻度压痛。右下颌骨X线片及下颌骨CT片,示右下颌骨近下颌角上方升支部有3.5×0.5cm大小的金属弹头。金属物周围可见骨质破坏,呈囊性阴影改变。经对症治疗而控制全身疾患后,于1988年6月7日在局麻下行右下颌骨病变及金属异物探查术。手术采用右腮腺颌
I encountered 1 case of maxillofacial war patients, 40 years after the local infection, by film X-ray examination and found that the right mandible ascending bursa cystic degeneration with metal warheads remain, after surgery cured, are as follows . High × ×, male, 61 years old. Because of the right cheek facial inflammatory swelling, hematuria, fever, anemia and other systemic diseases, live in our hospital medical treatment. Due to more than a month ago, found that the right parotid gland swelling with limited mouth, after treatment with antibiotics improved. Specialist examination: see the upper right cervical 0.5cm diameter old scars, lower right parotid masseter area and 4 × 4cm size of the mass, texture hard, no sense of fluctuation, mild tenderness. The right mandibular X-ray and mandibular CT films showed that the mandible near the mandibular angle of the ascending branch has a 3.5 × 0.5cm size metal warhead. Visible around the metal objects bone destruction, a cystic shadow change. After symptomatic treatment and control of systemic disease, in June 7, 1988 under local anesthesia right mandible disease and metal foreign body exploration. Surgical use parotid gland jaw