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下颌骨髁状突肿瘤外科手术治疗的研究
引用本文:陶学金,凌翔,陈卫民,朱声荣,孙国洪.下颌骨髁状突肿瘤外科手术治疗的研究[J].华中科技大学学报(医学版),2003,32(4):446-448.
作者姓名:陶学金  凌翔  陈卫民  朱声荣  孙国洪
作者单位:华中科技大学同济医学院附属同济医院口腔医学中心,武汉,430030
摘    要:目的探讨下颌骨髁状突肿瘤的有效治疗方案,以恢复患者术后的美观及(he)功能的重建。方法1997年5月以来对3例下颌骨髁状突肿瘤患者应用多种治疗手段相结合的方法进行治疗,包括术前计算机三维模拟手术,模型外科,外科手术切除肿瘤,重建颞下颌关节,正颌外科手术及正畸治疗等,术后依情况对颌骨运动制动2周。结果术后3例患者面容恢复,咬合关系正常,开口度正常,(he)功能得到恢复。结论由于下颌骨髁状突为颞下颌关节的重要组成部分,具有独特的解剖外形及功能,故对下颌骨髁状突肿瘤的治疗应以恢复面形及(he)功能为重点,而多手段相结合的治疗方法是提高髁状突肿瘤治疗效果的关键。

关 键 词:髁状突  肿瘤  模型外科  正颌外科

Surgical Managaement of Patients with Mandibular Condyle Tumor
Tao Xuejin,Ling Xiang,Chen Weimin et al Center of Stomatological Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan.Surgical Managaement of Patients with Mandibular Condyle Tumor[J].Journal of Huazhong University of Science and Technology(Health Sciences),2003,32(4):446-448.
Authors:Tao Xuejin  Ling Xiang  Chen Weimin Center of Stomatological Medicine  Tongji Hospital  Tongji Medical College  Huazhong University of Science and Technology  Wuhan
Institution:Tao Xuejin,Ling Xiang,Chen Weimin et al Center of Stomatological Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030
Abstract:Objective To explore the effective method for mandibular condyle tumor. Methods Three patients who suffered from tumor of condyle had been treated with combined methods since May 1997. The treatments included three dimensional mimic operation in computer, cast plaster model surgery, resection of tumor, orthodontics treatment and orthognathic surgery. Some patients were subjected to immobilization of jaws for 2 weeks. Results All patient got satisfactory restoration in function and beauty aspects. A 5 year follow up study revealed no relapse. Conclusion The surgical purpose of condyle tumor was to restore beauty and reconstruct occlusal relationship. It is the key to improve the therapeutic effectiveness of condyle tumor by comprehensive treatments.
Keywords:mandibular condyle  tumor  plaster model surgery  orthonathic surgery
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