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題名 | 腸骨移植失敗後下顎骨再生--追蹤8年之病例回顧= |
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作者 | 郭英雄; 郭生興; 王拯宗; 林長春; 章浩宏; |
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43-50 |
分類號 | 416.95 |
語文 | chi |
關鍵詞 | 造釉細胞瘤; 骨再生; Ameloblastoma; Bone regeneration; |
中文摘要 | 31歲男性患者,右側下顎骨有一復發性造釉細胞瘤,為濾胞型及棘細胞瘤型,由第一小臼齒至上行枝間施行下顎骨切除術,立即以右側腸骨移植,並用不銹鋼板固定,術後一個月困惑染而遭受移植骨壞死,取出移植骨及不銹鋼板後,新生骨在缺損處逐漸鈣化,並連接兩端,口腔內右下大、小臼齒區以鈷鉻合金為支架之義齒贗復,追蹤至今8年餘,無造釉細胞瘤再發之現象,再生之新生骨亦逐漸粗大,宛如一根肋骨。 |
英文摘要 | A 31-year-old male patient suffered from recurrent ameloblastoma ín the right mandible. The ameloblastoma was of the follicular and acanthomatous type. Segmental mandibulectomy from the first prernolar to the ascending ramus of the same side was performed and the rnandible was immediately reconstructed with an iliac bone graft taken from the right side. The graft was fixed with stainless steel plates. One month after the operation, infection caused graft necrosis and the necrotic bone and stainless steel plates were removed. After then, new bone appeared in the mandibular defect and the calcification gradually connected the two bone ends. The missing lower right premolars and molars were restored with a Co-Cr frameworked denture. After a follow-up period of more than 8 years, no evidence of recurrence of the ameloblastoma was found. The regenerated bone gained in bulk and resembled a rib on the radiograph. |
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