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目的 :探讨内镜辅助下颌面部良性肿瘤切除的可靠性。方法 :18例颌面部良性肿瘤患者,男7例,女11例;年龄5~34岁,平均16.8岁。前额部纤维瘤3例、脂肪瘤4例;颧部脂肪瘤2例、肌内静脉畸形3例、皮样囊肿6例。肿物大小1.7 cm×2.2 cm~2.0 cm×3.2 cm。全部病例在内镜辅助下耳屏前或发际切口切除。结果:全部肿瘤完整切除,手术时间45~75 min,平均54 min。术中出血量6~15 mL,平均8.5 mL。手术过程顺利,切口一期愈合。随访2~8个月,肿瘤无复发,瘢痕隐蔽,美容效果好。结论:内镜辅助下耳屏前或额部单通道小切口切除颌面部良性肿瘤安全、可靠,瘢痕隐蔽,美容效果好。
Objective: To investigate the reliability of endoscopic assisted maxillofacial benign tumor resection. Methods: 18 patients with maxillofacial benign tumor, 7 males and 11 females, aged 5 to 34 years (average 16.8 years). 3 cases of prefrontal fibroma, 4 cases of lipoma; 2 cases of zygomatic lipoma, 3 cases of intramuscular venous malformations, 6 cases of dermoid cysts. Size of the tumor 1.7 cm × 2.2 cm ~ 2.0 cm × 3.2 cm. All cases under endoscopy assisted trabeculectomy or incision. Results: All tumors were completely resected. The operation time was 45-75 min with an average of 54 min. Intraoperative bleeding 6 ~ 15 mL, an average of 8.5 mL. The operation is smooth and the incision healed. Follow-up 2 to 8 months, no recurrence of cancer, scar concealment, cosmetic effect is good. Conclusion: Endoscopic-assisted removal of maxillofacial benign tumors with a single small incision on the anterior or frontal trabeculectomy is safe, reliable, and scar-free and has a good cosmetic effect.