髁突骨软骨瘤的诊治及影像学分析

doi:10.13701/j.cnki.kqyxyj.2018.03.022

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (3): 302-306.DOI: 10.13701/j.cnki.kqyxyj.2018.03.022

髁突骨软骨瘤的诊治及影像学分析

凌彬, 王冰, 邵博, 龚忠诚^*,

新疆医科大学第一附属医院颌面肿瘤外科,新疆医科大学口腔医学院新疆乌鲁木齐 830054

收稿日期:2018-01-26 出版日期:2018-03-30 发布日期:2018-03-27
通讯作者: *龚忠诚,E-mail:gump0904@aliyun.com
作者简介:凌彬(1981~ ),男,新疆人,副主任医师,博士,主要从事口腔颌面部肿瘤的临床及基础研究。

Diagnosis, Treatment, and Image Analysis of Condylar Osteochondroma.

LING Bin, WANG Bin, SHAO Bo, GONG Zhong-cheng^*

The First Affiliated Hospital of Xinjiang Medical University, Oncology Department of Maxillofacial Surgery, Stomatology College of Xinjiang Medical University,Urumqi 830054, China

Received:2018-01-26 Online:2018-03-30 Published:2018-03-27

摘要/Abstract

摘要： 目的: 自2010~2017年回顾性研究6例下颌骨髁突骨软骨瘤病例,涉及患者年龄、性别、病理学表现、治疗方式和复发情况。方法: 研究选取X线、螺旋CT或核磁共振扫描符合下颌骨髁突骨软骨瘤病例。对收集的数据进行记录和分析。结果: 研究中包含1名男性患者和5名女性患者,病变累及左右侧比例为5∶1。年龄34~68岁(平均年龄54.6岁)。6例患者中有4例病变位于髁突上内侧。5名患者选择髁突高位切除术,1例选择髁突全切除术。所有病例采用耳前及耳颞联合入路。随访周期为1~7年,没有发现复发病例。结论: 渐进性面部不对称是髁突骨软骨瘤的显著特征。髁突高位切除术和髁突全切除术都可作为治疗选择。当肿瘤发生于髁突上方或上内侧,下颌骨偏斜不明显,仅需要髁突高位切除即可,患者面部不对称可在术后逐步恢复;如果下颌骨偏斜显著,导致面型偏斜或咬合错乱,则需要实施髁突全切除术及正颌手术。

关键词: 髁突骨软骨瘤, 治疗方法, 影像学表现

Abstract: Objective: To present a retrospective analysis of 6 cases of osteochondroma of the mandibular condyle (operated between 2010 and 2017) with respect to age, gender, site of the pathology, treatment modality, and recurrence. Methods: Medical records of X-ray, computed tomography, or MRI scans of all histologically proven osteochondroma of mandibular condyle cases operated between 2010 and 2017 were retrieved and examined. The data were tabulated and analyzed. Results: There were 1 males and 5 females, with a right:left ratio of 2.3:1. Age range was 34 to 68 years with a mean of 54.6 years. Four of 6 were superomedial in location. Five patients were treated by conservative condylectomy, whereas 1 required total condylectomy. In all cases, a preauricular with extended temporal approach was used. In the follow-up period ranging from 1 year to 7 years, there was no recurrence. Conclusion: Gradual facial asymmetry over the years is the most striking feature. Both the conservative condylectomy and the total condylectomy are curative. If the tumors grow superior or superomedial to condyle without causing much deflection of mandible, only excision and automatic swing back of condyle to correct asymmetry is required. But if causing much deflection of mandible, gnathic correction after excision of tumor is required.

Key words: Osteochondroma of mandibular condyle, Therapeutic method, Imaging manifestations

凌彬, 王冰, 邵博, 龚忠诚,. 髁突骨软骨瘤的诊治及影像学分析[J]. 口腔医学研究, 2018, 34(3): 302-306.

LING Bin, WANG Bin, SHAO Bo, GONG Zhong-cheng. Diagnosis, Treatment, and Image Analysis of Condylar Osteochondroma.[J]. Journal of Oral Science Research, 2018, 34(3): 302-306.

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髁突骨软骨瘤的诊治及影像学分析

Diagnosis, Treatment, and Image Analysis of Condylar Osteochondroma.

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