数字化导板引导髁突巨大骨软骨瘤手术切除1例报告

中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (4): 378-382.

数字化导板引导髁突巨大骨软骨瘤手术切除1例报告

白果, 何冬梅^*, 杨驰^*, 陆川, 黄栋, 陈敏洁

上海交通大学医学院附属第九人民医院·
口腔医学院口腔外科,上海市口腔医学重点实验室,上海 200011

收稿日期:2013-11-20 出版日期:2014-07-10 发布日期:2014-08-20
通讯作者: 何冬梅,E-mail:lucyhe119@163.com;
作者简介:白果（1989-）,男,住院医师,E-mail：surgeonb@163.com
基金资助:
上海市科学技术委员会资助项目(08DZ2271100,13XD1402300); 上海高校创新团队发展计划; 教育部留学回国人员科研启动基金; 卫生行业公益基金（201002017）

Application of digital osteotomy template in the surgical treatment of a giant condylar osteochondroma: report of a case

BAI Guo, HE Dong-mei, YANG Chi, LU Chuan, HUANG Dong, CHEN Min-jie

Department of Oral Surgery, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2013-11-20 Online:2014-07-10 Published:2014-08-20
Supported by:
Supported by Research Fund of Science and Technology Committee of Shanghai Municipality (08DZ227100,13XD1402300), Program for Innovative Research Team of Shanghai Colleges, and Charitable Fund of Health Professions (201002017)

摘要/Abstract

关键词: 数字化导板, 骨软骨瘤, 手术治疗

Abstract: Summary The condylar osteochondroma of exogenous type is usually treated by surgical resection, but the scope of resection is usually based on surgeon's experience, which leads to a certain risk of recurrence and injuries of important vessels and nerves. We reported a case of a giant condylar osteochondroma of exogenous type, preoperative planning was conducted using computer-aided design (CAD) technique (Proplan 1.3) for determining the boundary between the tumor and the articular surface of condyle, and designing the virtual tumor resection plane, surgical approach and remove-out path of the tumor. Rapid prototyping (RP) technique was used to make osteotomy template based on the preoperative planning. The application of digital template could improve the accuracy of the giant condylar tumor resection and help to preserve the uninvolved condyle. The use of digital template could reduce injuries to the nerves and vessels, as well as save the operation time.

Key words: Digital osteotomy template, Osteochondroma, Surgical treatment

中图分类号:

R782.6

白果, 何冬梅, 杨驰, 陆川, 黄栋, 陈敏洁. 数字化导板引导髁突巨大骨软骨瘤手术切除1例报告[J]. 中国口腔颌面外科杂志, 2014, 12(4): 378-382.

BAI Guo, HE Dong-mei, YANG Chi, LU Chuan, HUANG Dong, CHEN Min-jie. Application of digital osteotomy template in the surgical treatment of a giant condylar osteochondroma: report of a case[J]. China J Oral Maxillofac Surg, 2014, 12(4): 378-382.

参考文献

[1] Ribas Mde O, Martins WD, de Sousa MH, et al. Osteochondroma of the mandibular condyle: literature review and report of a case [J]. J Contempt Dent Pract, 2007, 8(4): 52-59.
[2] Peroz I, Scholman HJ, Hell B. Osteochondroma of the mandibular condyle: a case report [J]. Int J Oral Maxillofac Surg, 2002, 31(4): 455-456.
[3] Roychoudhury A, Bhatt K, Yadav R, et al. Review of osteochondroma of mandibular condyle and report of a case series[J]. J Oral Maxillofac Surg, 2011, 69(11): 2815-2823.
[4] Chen MJ, Yang C, Tuerdi M, et al. Local resection of the mass to treat the osteochondroma of the mandibular condyle: indications and different methods with 38-case series [J]. Head Neck, 2013, 36(2): 273-279.
[5] Huang D, He DM, Yang C, et al. Computer-assisted local resection for exostosis osteochondroma of the mandibular condyle [J]. J Craniofac Surg, 2013, 24(4): e446-449.
[6] Vezeau PJ, Fridrich KL, Vincent SD. Osteochondroma of the mandibular condyle: literature review and report of two atypical cases [J]. J Oral Maxillofac Surg, 1995, 53(8): 954-963.
[7] Ord RA, Warburton G, Caccamese JF. Osteochondroma of the condyle: review of 8 cases [J]. Int J Oral Maxillofac Surg, 2010, 39(6): 523-528.
[8] Sun H, Li B, Shen S, et al. Image-guided endoscopic navigation for the precise resection of a mandibular condylar osteochondroma [J]. J Craniofac Surg, 2013, 24(6): e573-579.
[9] Sanders B, McKelvy B. Osteochondromatous exostosis of the condyle [J]. J Am Dent Assoc, 1977, 95(6): 1151-1153.
[10] Yang X, Hu J, Zhu S, et al. Computer-assisted surgical planning and simulation for condylar reconstruction in patients with osteochondroma[J]. Br J Oral Maxillofac Surg,2011,49(3):203-208.
[11] Wolford LM, Mehra P, Franco P. Use of conservative condylectomy for treatment of osteochondroma of the mandibular condyle [J]. J Oral Maxillofac Surg, 2002, 60(3): 262-268.
[12] Cottrell DA. Discussion: use of conservative condylectomy for treatment of osterchondroma of the mandible condyle [J]. J Oral Maxillofac Surg, 2002, 60(3): 268.
[13] He D, Yang C, Chen M, et al. Modified preauricular approach and rigid internal fixation for intracapsular condyle fracture of the mandible [J]. J Oral Maxillofac Surg, 2010, 68(7): 1578-1584.

[1]	王雪, 张宁. 810 nm波长半导体激光治疗口腔黏液腺囊肿的临床疗效观察[J]. 中国口腔颌面外科杂志, 2024, 22(5): 459-462.
[2]	郭逸飞, 张永红, 任振虎. 头颈部肉瘤的诊断与治疗现状[J]. 中国口腔颌面外科杂志, 2024, 22(4): 404-408.
[3]	王延安, 秦中平, 郑家伟, 李春洁, 刘少华, 杨耀武, 陈刚, 陈伟良, 刘学键, 杜仲, 张雷, 王业飞, 王德明, 苏立新, 谢峰, 董长宪, 郭磊, 李凯, 顾松, 何悦, 张志愿. 头颈部血管瘤及脉管畸形手术治疗专家共识[J]. 中国口腔颌面外科杂志, 2024, 22(2): 105-117.
[4]	孙守福, 张莹, 赵昊明, 王文超, 魏文佳, 郭克. 数字化导板辅助下左上根折中切牙不翻瓣即刻种植即刻自体冠修复1例报告[J]. 中国口腔颌面外科杂志, 2023, 21(2): 197-202.
[5]	戴小锋, 黄昕, 李成, 王辰昕, 施乐, 余优成. 2种CAD/CAM口腔数字化导板精度的比较[J]. 中国口腔颌面外科杂志, 2023, 21(1): 29-35.
[6]	庞超远, 马东洋, 张文凯, 王兵武, 刘东. 54例学龄前儿童颌面部骨折临床分析[J]. 中国口腔颌面外科杂志, 2022, 20(6): 586-589.
[7]	罗丹, 李晨曦, 龚忠诚. 手术治疗颅颌面部骨纤维发育不良对视力影响的系统评价[J]. 中国口腔颌面外科杂志, 2021, 19(1): 64-69.
[8]	任荣，蔡卜磊，支音，司家文，张剑飞，史俊. 38例下颌骨髁突囊内骨折的手术治疗及疗效评价[J]. 中国口腔颌面外科杂志, 2018, 16(3): 242-247.
[9]	任荣, 司家文, 张剑飞, 史俊. 下颌骨髁突囊内骨折治疗研究进展[J]. 中国口腔颌面外科杂志, 2017, 15(6): 559-563.
[10]	韩小东, 林小臻, 邵小钧, 王燕一, 张明. 单侧髁突骨折治疗的meta分析[J]. 中国口腔颌面外科杂志, 2016, 14(5): 455-460.
[11]	黄子贤, 李世豪, 黄志权, 王友元, 张大明, 陈伟良. CO₂激光治疗口腔黏膜浅表病变73例临床分析[J]. 中国口腔颌面外科杂志, 2016, 14(4): 366-368.
[12]	白果, 杨驰, 郑志伟, 方一鸣. 保存10 mm髁突头及关节附件的下颌骨切除重建方法探讨[J]. 中国口腔颌面外科杂志, 2016, 14(2): 144-148.
[13]	周琴，陈敏洁，杨驰. 髁突骨软骨瘤患者EXT基因的突变检测[J]. 中国口腔颌面外科杂志, 2015, 13(6): 521-524.
[14]	白果, 何冬梅, 杨驰, 陆川, 黄栋, 陈敏洁, 张晓虎, 袁建兵. 数字化导板在标准型人工颞下颌关节置换术中的应用[J]. 中国口腔颌面外科杂志, 2015, 13(1): 21-27.
[15]	陆川, 何冬梅, 杨驰, 黄栋, 白果, 袁建兵. 数字化导板在颞下颌关节强直保留髁突手术中的指导作用[J]. 中国口腔颌面外科杂志, 2015, 13(1): 31-37.