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題名 | 全顏面骨骨折合併口腔癌治療--病例報告=Management of Panfacial Fractures Combined with Oral Cancer--A Case Report |
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作者 | 姜厚任; 陳俊嘉; 林哲毅; Jiang, Ho-ren; Chen, Jiun-jia; Lin, Che-yi; |
期刊 | 臺灣口腔顎面外科學會雜誌 |
出版日期 | 20141200 |
卷期 | 25:4 2014.12[民103.12] |
頁次 | 頁294-303 |
分類號 | 416.956 |
語文 | chi |
關鍵詞 | 全顏面骨骨折; 口腔鱗狀細胞癌; Panfacial fractures; Oral squamous cell carcinoma; |
中文摘要 | 全顏面骨骨折是包含上、中、下顏面骨之骨折,在台灣可能造成之原因大多是交通意外。在強調配戴安全帽重要性的今天,此類患者也逐漸減少。本文報告一位41歲男性患者,經急診入院,診斷為全顏面骨骨折。術前檢查發現其右頰黏膜有一約2x1公分之疣狀突起之病灶。第一次手術切除病變及完成全顏面骨骨折復位及固定手術。術後病理診斷為右側頰黏膜鱗狀細胞癌。患者於第一次手術後9天內完成癌症和關檢查,第二次手術為其進行切片手術位置周圍組織廣泛性切除,及右頸頸部淋巴廓清術,並以左大腿自由游離皮辮重建口腔環境。患者術後恢復良好,迄今咬合、外觀正常,並無腫瘤復發之跡象。由於全顏面骨骨折合併口腔癌同時被診斷之病例罕見,故提出此病例報告,並針對全顏面骨骨折及腫瘤治療計畫之選擇做討論。 |
英文摘要 | Panfacial fractures are defined as those involving the upper, middle, and lower thirds of the face. Complex facial injuries such as these are generally the result of traffic accident. With the focus of the importance of wearing helmets, these severe injuries subsided in last few years. We report a case of 41-year-old male patient who was admitted to our ward per ER with the diagnosis of panfacial fractures. An about 2x1 cm verrucous-exophytic lesion was noted over his right buccal mucosa at the preoperative physical examination. The excisional biopsy was done followed with the open reduction and internal fixation of the panfacial fractures at the first operation The postoperative pathologic report of the lesion revealed squamous cell carcinoma. The tumor whole body surveys were scheduled and the second operation of right selective neck dissection, wide excision of the previous biopsy site over right buccal mucosa and the anterolateral thigh free flap transplantation were performed after 9 days from the first operation. After the surgery, this patient is keeping regnlar follow-up in our clinic and there was no evidence of tumor recurrence. The wound healing, occlusion and appearance are stable. We shared this rare case and discussed about the selection of treatment course between the panfacial fracture and oral cancer. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。