摘要
目的:分析异位脑膜瘤在口腔颌面部发病的临床特点及治疗原则。方法:回顾分析1990—2008年口腔颌面外科收治的23例异位脑膜瘤患者的临床资料,总结其临床表现、影像学特点、手术方法及随访情况。结果:①本组病例中位年龄37岁,总体性别差异不明显,但40岁以后女性多于男性。②好发部位依次为咽旁间隙(13例),颞下窝/翼腭窝(5例),颞部(3例);眶部、颊部各1例。③影像学表现与颅内脑膜瘤相同。④23例均行手术治疗,彻底切除17例,部分残留6例。⑤随访12例,复发3例;出现相应神经损伤症状8例。结论:口腔颌面部异位脑膜瘤多见于中青年患者及老年女性;好发于颌面深部间隙,多与颈鞘及后组颅神经关系密切;术前影像学检查有助于诊断;彻底手术是主要的治疗方法,术后并发症主要是相邻的神经损伤。
PURPOSE： To analyse the clinical features and treatment of ectopic meningioma （EM） in oral and maxillofacial region. METHODS： Twenty-three cases of EM in the oral and maxillofacial region from 1990 to 2008 were reviewed. The clinical features, image findings, surgical treatment and follow-up results were analyzed. RESULTS： The median age of these patients was 37 years old and there was no gender predilection, but there were more female patients in the group of over 40 years old. The primary sites of the tumor were parapharyngeal space （13）, infratemporal space/ pterygopalatine space（5）, temporal region（3）,orbital area （1） and buccal mucosa（1）. The CT image of EM in the oral and maxillofacial region was similar to that in the brain. All 23 cases underwent surgical treatment, seventeen cases underwent the tumor totally resected and 6 cases underwent partially resected. Twelve cases were followed up, in which 3 cases recurred and 8 cases had a long-term nerve injury. CONCLUSIONS： EM in the oral and maxillofacial region mainly occurs in adolescent, middle-aged patients and females over 40 years old. The predilection site of the tumor is the deep space of oral and maxillofacial region with adherence to the cervical sheath and lower cranial nerves. Preoperative CT scan is helpful for diagnosis. The main choice of treatment is total resection. The main complication is nerve injury.
出处
《上海口腔医学》
CAS
CSCD
2010年第1期23-27,共5页
Shanghai Journal of Stomatology
基金
上海市科学技术委员会资助项目(08DZ2271100)~~
关键词
脑膜瘤
口腔颌面部
临床特点
诊断
手术
并发症
Meningioma
Oral and maxillofacial
Clinical characteristics
Diagnosis
Surgical treatment
Complication
