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題名 | 以polysulfone板與鈦網片重建下顎骨--臨床觀察6年多之病例= |
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作者 | 郭英雄; 郭生興; 劉步遠; 林思洸; 林長春; 魏主正; |
期刊 | 中華民國口腔顎面外科學會雜誌 |
出版日期 | 19920900 |
卷期 | 3:2 1992.09[民81.09] |
頁次 | 頁30-37 |
分類號 | 416.95 |
語文 | chi |
關鍵詞 | 濾胞型造釉細胞瘤; 下顎骨重建; Follicular ameloblastoma; Polysulfone; Mandibular reconstruction; |
中文摘要 | 31歲女性患者,右側下顎骨自第一大臼齒、上行枝至喙狀突因濾胞型造釉細胞瘤而切除,立即以多孔性ploysulfone板重建,最初固定兩端之鋼絲力量不足,導致polysulfone植體暴露,再以鈦網片及10支鈦螺絲釘固定,3年後下顎髁頸骨部份被吸收,再用1支鈦迷你板固定,前後追蹤6年半,無造釉細胞瘤再發現象,雖下顎髁向內移位,但咬合良好並能咀嚼,顏面對稱。 |
英文摘要 | A 31-year-old lady underwent partial mandibulectomy because of follicular ameloblastoma. The extent of the resection was from the rught first molar to the subcondylar area of the same side. Immediate reconstruction with a porous polysulfone plate was performed. The initial fixation with wires was not strong enough and that caused the exposure of the polysulfone. The site was reentered and the polysulfone was fixed with a titanium mesh and 10 titanium screws. Three years later, partial resorption of the right condylar neck was found. The fixation was then reinforced with a titanium mini-plate. The follow-up period was more than 6 years and there was no evidence of tumor recurrence. Although the right condyle was medially displaced, the patient could maintain a good occlusion and satisfactory chewing function, and there was no facial asymmetry. |
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