巨舌症伴严重颌骨畸形一次性手术治疗5例报道.pdfVIP

1482 重庆医学 2009 年 6 月第 38 卷第 12 期 ·论著· 巨舌症伴严重领骨畸形一次性手术治疗 5 例报道 柴鉴i泵，杨茂进，陈渝斌，聂 鑫，丁淋淋 (第三军医大学大坪医院野战外科研究所领面外科，重庆 400042) 摘 要:目的 探讨采用一次手术完成舌、唇、下领骨畸形整复治疗的可行性及疗效。方法 5 例巨舌畸形患者，男女比例为 2 I 3. 平均年玲 24 岁。其中淋巳管瘤 4 例，淋巴血管瘾 l 例。治疗方式皆采用手术治疗，斗之前行三维重建 CT 了解骨畸形情况， 手术采用三步法:第一步舌部设计切口切除舌肿瘤，重建舌外形;第二步拔除移位患牙，于额:fL 后设计梯形截骨区域，将下领骨前 部后退并后旋恢复牙列对应关系，解除开口畸形g 第三步根据新形成的固有口腔修整舌外形，下唇行V形切除解除唇外翻畸形。 结果 5 例怠者整复效果良好，舌、唇、下领骨畸形全部修复，面形恢复正常，口裂关闭。结论 一次手术整复严重巨舌畸形是可 行的，且可获得良好治疗效果。 关键词:巨舌症g 整复治疗 F 一次性手术 中国分类号:R739. 86; R730. 56 文献标i只码:A 文章编号:1671-8348(2009) 12-1482-02 Clinic study of one-time operation therapy in macroglo耐a with serious maxillary mandible deformities CHAI }ian-shen. YANG Mao-j仇 .CHEN Yu-bin ,et al. (Departmentof Oral Maxillofacical Surgery ,Daping Hos户ital , Third Military Medical University , Chongqing 400042. China) Ab晦tract:O战jective To evaluate the feasibility and effect of completing surgical treatment of problems of tongue. lip and man- dible in one-time operation by reviewing the clinical data of 5 macroglossia patients in the past 2 years. Methods The patients con- sisted of 2 males and 3 females ,4 in lymphangioma and 1 in lymphangiohemangioma. All cases were treated by surgical procedure. Reconstruction and measurement of maxillary mandible deformities with spiral CT were finished in the preoperative assessment. The operation was divided in three steps :first ,removed the Lymphangioma in tongue and reconstructed the shape of it; second ,ex- tracted valgus lower incisor and made echelon cutting of the mandible after mental foramina ,moved the foreside of mandible back- ward and circled upward to correct anterior openbite ,third.corrected the fig