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題名 | Nonossifying Fibroma in the Mandible--A Case Report=發生在下頜骨的非骨化的纖維瘤--病例報告 |
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作 者 | 李俊達; 孫宗伯; 陳培榕; 郭明勳; 鄭立福; 黃介琦; 簡守信; | 書刊名 | 慈濟醫學 |
卷期 | 13:3 2001.09[民90.09] |
頁次 | 頁193-196 |
分類號 | 416.66 |
關鍵詞 | 非骨化的纖維瘤; 下頜骨; 游離帶血管的腓骨移植; Nonossifying fibroma; Mandible; Free vascularized fibular bone graft; |
語文 | 英文(English) |
中文摘要 | 非骨化的纖維瘤通常發生於年青人的長骨,而且很少見於其他的骨骼。 本篇報告描述一例非骨化的纖維瘤發生在一位二十七歲女性的下頜骨。這個病人 在左側的下頜骨角有一個沒有症狀的腫脹,已經五年。五天前她的左臉頰挫傷, 結果這腫脹突然變大且伴隨劇烈疼痛及壓痛。X光片及電腦斷層掃描發現左下頜 骨有一大的,多房且界限分明,可透X光的病灶。這個病灶以切除一段下頜骨 來除去,並且立即以游離的,帶血管的腓骨移植來重建下頜骨。術後十個月,追 蹤的X光片顯示沒有再發,且移植的骨頭癒合良好。(慈濟醫學2001; 13:193-196) |
英文摘要 | Nonossifying fibroma usually occurs in the long bones of young people and is rarely seen in the other areas of the skeleton. A nonossifying fibroma in the mandible of a 27-year-old woman is described in this report. This patient had an asymptomatic swelling at the left mandibular angle for 5 years. The swelling enlarged abruptly with accompanying severe pain and tenderness due to contusion over her left cheek 5 days before this admission. Skull radiographs and computed tomographic scans revealed a large multilocular and well-demarcated radiolucent lesion at the left mandible. The lesion was removed by segmental resection of the mandible with immediate reconstruction using a free vascularized fibular bone graft. The final pathologic diagnosis was nonossifying fibroma. The postoperative course was smooth and the occlusion was good. Follow-up radiographs showed no evidence of recurrence and good union of the graft 10 months after surgery. (Tzu Chi Med J 2001; 13:193-196) |
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