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題名 | 上頜齒源性粘液瘤併迷生齒--病例報告=Odontogenic Myxoma of the Maxilla with Aberrant Tooth-- Case Report |
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作者 | 張國麟; 趙應麟; 曾冠欽; 郭明得; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:4 1998.08[民87.08] |
頁次 | 頁110-114 |
分類號 | 416.94 |
關鍵詞 | 齒源性粘液瘤; 迷生齒; 部份上頜切除術; Odontogenic myxoma; Aberrant tooth; Partial maxillectomy; |
語文 | 中文(Chinese) |
中文摘要 | 齒源性粘液瘤是由齒芽的間葉部分衍生而來的罕見良性腫瘤,特別常見於 頜骨的臼齒和前臼齒區,並具有局部侵犯性。臨床上主要症狀為受侵犯區牙齦腫長,單側顏 面腫脹及單側漸進性鼻塞。本院於民國 85 年 9 月間經歷 1 例,患者為 42 歲女性,主訴 左側漸進性鼻塞,牙齦區腫脹及顏面腫脹。理學檢查發現左鼻腔側壁向內膨出、左上大臼齒 牙齦腫脹及左側顏面腫脹。切片檢查結果為一粘液瘤。於是施以部份上頜切除術將腫瘤摘除 。術中可見腫瘤外圍被覆一層骨質薄膜,且上頜骨部份已被侵蝕破壞,而於上頜竇近開口處 有一迷生齒。術後患者於門診追蹤至今一年多,尚未有復發跡象。 |
英文摘要 | Odontogenic myxoma is a rare tumor in the head and neck. Odontogenic myxoma, arising from the mesenchymal portion of the tooth germ, is a locally invasive benign tumor and is generally asociated with unerupted or missing tooth. The molar and bicuspid regions of jaw are frequently involved. The chief symptons include swelling of the involved gum, unilateral facial swelling and unilateral progressive nasal obstruction. Surgical removal is the main modality of treatment. Due to the high incidence of tumor recurrence, regular long-term follow-up is necessary. A case of odontogenic myxoma of the maxilla with symptoms of left progressive nasal obstruction, swelling of the left superoposterior gum area and left facial swelling is reported. The tumor was completely removed via partial maxillectomy. The tumor was completely removed via partial maxillectomy. The tumor was covered by a layer of thin bone and an aberrant tooth was found near nature orifice of maxillary sinus. The bony erosion of maxillary bone was also noted. After more than one year follow up, there has been no recurrence. |
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