《Journal of Oral and Maxillofacial Surgery》

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Submandibular Incision with Longitudinal Mandibular Osteotomy Approach for the Treatment of Tumors in Infratemporal Fossa

ZHANG Sen-lin, WEI Bin, CHEN Han, CHEN Bi-xin   

  • Online:2018-10-01 Published:2019-11-28

下颌升支纵形离断入路切除颞下窝肿瘤临床体会

张森林, 魏 斌, 陈 汉, 陈必新   

  1. 南京医科大学附属江宁医院口腔科,南京 江苏 211100
  • 通讯作者: 陈必新,主任医师 E-mail:1345226970@qq.com
  • 作者简介:张森林(1965—)男,安徽庐江人,主任医师,博士. E-mail: doczhangsl@126.com

Abstract: Objective: To analyze the effect of the tumor resection in infratemporal fossa by submandibular incision with longitudinal mandibular osteotomy approach. Methods: Between January 2015 and February 2018, 7 patients with tumors in infratemporal fossa were treated by submandibular incision with longitudinal mandibular osteotomy approach. The patients were followed up to evaluate the complications and tumor recurrence. Results: All 7 patients had complete tumor resection with functional preservation of the inferior alveolar nerve. Postoperatively, there were no evidence of tumor recurrence and technique-related morbidities at 6 months to 3 years follow-up. Conclusion: This novel technique is useful for providing excellent access to tumors in infratemporal fossa.

Key words: infratemporal fossa, tumor, mandibulotomy approach

摘要: 目的:探讨下颌下切口结合下颌升支纵形离断入路切除颞下窝肿瘤的疗效。方法:回顾性分析2015-01—2018-02期间,我科收治的7例颞下窝肿瘤患者的临床资料。所有患者均采用下颌下切口结合下颌升支纵形离断入路切除肿瘤,随访术后并发症和肿瘤复发情况。结果:术野显露良好,肿瘤完整切除,无下牙槽神经损伤。随访6~36个月,1例迷走神经副神经节瘤患者出现声音嘶哑和饮水呛咳,余6例未出现相关并发症,无肿瘤复发。结论:下颌下切口结合下颌升支纵形离断入路切除颞下窝肿瘤,具有创伤小、创口暴露充分、术后并发症少等优点,值得临床推广应用。

关键词: 颞下窝, 肿瘤, 下颌骨离断入路

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