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口腔肿瘤患者下颌骨保存性外科方法的探讨
引用本文:陈传俊,陈晓阳,王军民,丁常春,冯大军,韩冬,葛婷,魏莉,赵应楼,卢伟.口腔肿瘤患者下颌骨保存性外科方法的探讨[J].中国口腔颌面外科杂志,2010,8(2):139-143.
作者姓名:陈传俊  陈晓阳  王军民  丁常春  冯大军  韩冬  葛婷  魏莉  赵应楼  卢伟
作者单位:安徽医科大学第三附属医院,口腔颌面头颈外科,安徽,合肥,230061
摘    要:目的:探讨与口腔肿瘤有关的下颌骨切除过程中保存下颌骨连续性的技术、方法和价值。方法:对20例口腔癌和下颌骨成釉细胞瘤患者实施下颌骨上边缘切除、下边缘切除、下颌支前边缘切除、内侧骨板板层切除、外侧骨板板层切除,使下颌骨的连续性不中断。结果:所有患者的健侧牙列和残存牙关系得以维持,咀嚼功能基本正常,面部基本对称。随访2年无病理性骨折发生。结论:除下颌骨肿瘤外,口腔肿瘤相关性下颌骨切除都可以实行连续性不中断的保存性下颌骨切除,从而获得更好的术后功能。

关 键 词:口腔肿瘤  下颌骨切除  术式  保存性外科

Mandibular conservative surgical types and the clinical significance
CHEN Chuan-jun,CHEN Xiao-yang,WANG Jun-min,DING Chang-chun,FENG Da-jun,HAN Dong,GE Ting,WEI Li,ZHAO Ying-lou,LU Wei.Mandibular conservative surgical types and the clinical significance[J].China Journal of Oral and Maxillofacial Surgery,2010,8(2):139-143.
Authors:CHEN Chuan-jun  CHEN Xiao-yang  WANG Jun-min  DING Chang-chun  FENG Da-jun  HAN Dong  GE Ting  WEI Li  ZHAO Ying-lou  LU Wei
Affiliation:CHEN Chuan-jun,CHEN Xiao-yang,WANG Jun-min,DING Chang-chun,FENG Da-jun,HAN Dong,GE Ting,WEI Li,ZHAO Ying-lou,LU Wei.(Department of Oral , Maxillofacial Head-Neck Surgery,The Third Affiliated Hospital of Anhui Medical University.Hefei 230061,Anhui Province,China)
Abstract:PURPOSE:To present the methods and techniques maintaining the mandibular continuity while mandibulectomy is performed in patients with oral cancer.METHODS:The marginal mandibulectomy(horizontal upper rim resection,lower rim resection,anterior or posterior rim resection of ascending ramus) and inner /outer plate excision were performed in stead of segmental mandibulectomy in 20 patients with oral cancer and ameloblastoma.RESULTS:The mandibular conservative surgery resulted in good occlusion relationship of t...
Keywords:Oral cancer  Mandibulectomy  Surgical type  Conservative surgery  
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