摘要
目的探索颅颌面骨纤维异常增殖症及其造成的颅颌面骨骼畸形的有效安全的手术矫正方法。方法根据患者的具体情况设计不同手术切除和重建的方案,经头皮冠状切口或口内切口及下睑缘切口入路,对病灶进行完全或部分切除,采用自体颅骨外板或内板、下颌骨外板、Medpor、钛网、个性化钛修复体及人工骨重建颅颌面骨骼支架。结果19例中,完全切除4例,不完全切除15例。自体颅骨内板修复1例,下颌骨外板修复2例,Medpor修复3例,钛网2例,个性化钛修复体修复2例,人工骨修复1例。随访9个月～5年,效果满意。结论在充分做好术前设计和严防并发症的情况下,加以现代麻醉和颅颌面外科技术的保证,利用现代计算机模拟手术,可安全进行病变骨广泛切除、重建颅颌面骨骼支架,远期疗效尚需进一步观察。
Objective To explore the method to obtain good aesthetic and functional results in surgical management of eraniomaxillofaeial fibrous dysplasia and correct the grostesque deformity , Methods According to the type of the lesions, different excision and reconstruction methods were used. Results 19 cases（4 monostotie eases and 15 pulyostotie cases） were surgieally treated. The period of follow-up range from 9 months to 5 years, all patients obtained satisfaetory aesthetic and functional results. No relapse happened during follow up. Conclusions Based on modern craniomaxillofaeial techniques and computer aided design, extensive radical excision and eraniomaxillofacial skeleton reconstruction could be safely accomplished, and the better results were obtained, both aestheticly and functionally.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2005年第5期338-341,共4页
Chinese Journal of Plastic Surgery
