累及颞下颌关节整体结构的软骨黏液样纤维瘤：手术切除及关节重建1例报告

doi:10.19438/j.cjoms.2024.04.016

中国口腔颌面外科杂志 ›› 2024, Vol. 22 ›› Issue (4): 409-412.doi: 10.19438/j.cjoms.2024.04.016

累及颞下颌关节整体结构的软骨黏液样纤维瘤：手术切除及关节重建1例报告

李晨曦^1,2,3, 方昌^1,2, 龚忠诚^1,2, 邵博^1,2

1.新疆医科大学第一附属医院（附属口腔医院）口腔颌面肿瘤外科,新疆乌鲁木齐 830054;
2.新疆维吾尔自治区口腔医学研究所,新疆乌鲁木齐 830054;
3.华中科技大学同济医学院附属协和医院口腔医学中心, 口腔颌面发育与再生湖北省重点实验室,湖北武汉 430022

收稿日期:2023-06-28 修回日期:2023-11-10 出版日期:2024-07-20 发布日期:2024-08-07
通讯作者: 邵博,E-mail: 16785820@qq.com
作者简介:李晨曦（1989-）,男,博士,E-mail: lichenximed@163.com
基金资助:
国家自然科学基金（82160189,82360481）; 口腔颌面发育与再生湖北省重点实验室开放课题基金（2022kqhm008）; 新疆维吾尔自治区自然科学基金（2022D01C480,2023D01D14）; 新疆维吾尔自治区科研创新项目（XJ2023G174）

Case report of chondromyxofibroma involving the overall structure of the temporomandibular joint: surgical resection and reconstruction

LI Chen-xi^1,2,3, FANG Chang^1,2, GONG Zhong-cheng^1,2, SHAO Bo^1,2

1. Department of Oral and Maxillofacial Oncology & Surgery, School/Hospital of Stomatology, the First Affiliated Hospital of Xinjiang Medical University. Urumqi 830054, Xinjiang Uygur Autonomous Region;
2. Stomatological Research Institute of Xinjiang Uygur Autonomous Region. Urumqi 830054, Xinjiang Uygur Autonomous Region;
3. Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, School of Stomatology, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology. Wuhan 430022, Hubei Province, China

Received:2023-06-28 Revised:2023-11-10 Online:2024-07-20 Published:2024-08-07

摘要/Abstract

摘要： 软骨黏液样纤维瘤（chondromyxoid fibroma, CMF）是一种罕见的良性骨肿瘤,目前为止仅1例报道原发于颞下颌关节（temporomandibular joint, TMJ）的病例。本文报告1例罕见的累及翼腭窝且侵犯颅底的TMJ-CMF。利用数字化技术确定肿瘤边界并重建正常关节窝,完整切除肿瘤后,将颞肌筋膜瓣转入钛网与髁突之间固定,代替关节盘。术后随访1年,患者面型对称,开口度45 mm,局部无复发,未出现脑脊液瘘、脑疝等术后并发症。

关键词: 颞下颌关节, 软骨黏液样纤维瘤, 数字化重建, 颞肌筋膜瓣

Abstract: Chondromyxoid fibroma (CMF) is an exceedingly rare benign bone tumor, to the authors' knowledge, only one case primarily occurred in temporomandibular joint(TMJ) has been reported in the literature. This paper presented a patient with TMJ-CMF involving pterygopalatine space, and the skull base thereof. Digital technique was used to determine the boundary of the lesion and reconstruct the normal glenoid fossa, the temporalis myofascial flap was transplanted between titanium mesh and condyle so as to reconstruct the disk after complete resection of the tumor. The patient's facial profile is symmetrical, with a mouth opening of 45 mm. There was no local recurrence, no complications such as cerebrospinal fluid fistula and cerebral hernia during 1-year follow-up period.

Key words: Temporomandibular joint, Chondromyxoid fibroma, Digital reconstruction, Temporalis myofascial flap

中图分类号:

R739.8

李晨曦, 方昌, 龚忠诚, 邵博. 累及颞下颌关节整体结构的软骨黏液样纤维瘤：手术切除及关节重建1例报告[J]. 中国口腔颌面外科杂志, 2024, 22(4): 409-412.

LI Chen-xi, FANG Chang, GONG Zhong-cheng, SHAO Bo. Case report of chondromyxofibroma involving the overall structure of the temporomandibular joint: surgical resection and reconstruction[J]. China J Oral Maxillofac Surg, 2024, 22(4): 409-412.

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累及颞下颌关节整体结构的软骨黏液样纤维瘤：手术切除及关节重建1例报告

Case report of chondromyxofibroma involving the overall structure of the temporomandibular joint: surgical resection and reconstruction

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