改良下唇旁正中-颌下入路在上颌骨（次）全切除术中的应用

doi:10.7518/hxkq.2020.04.005

华西口腔医学杂志 ›› 2020, Vol. 38 ›› Issue (4): 380-384.doi: 10.7518/hxkq.2020.04.005

改良下唇旁正中-颌下入路在上颌骨（次）全切除术中的应用

唐梦莹¹^,²(), 罗道文¹, 孙黎波³, 周航宇³, 吴双江³, 付光新¹, 肖金刚¹^,²^,³()

1.西南医科大学附属口腔医院口腔颌面外科,泸州 646000
2.西南医科大学附属口腔医院口腔种植科,泸州 646000
3.西南医科大学附属医院口腔颌面外科,泸州 646000

收稿日期:2019-11-22 修回日期:2020-02-28 出版日期:2020-08-01 发布日期:2020-08-03
通讯作者: 肖金刚 E-mail:drxiaojingang@163.com
作者简介:唐梦莹,硕士,E-mail： octealia@163.com
基金资助:
国家自然科学基金项目(81870746);中华口腔医学会西部临床科研基金资助项目(CSA-W2017-08)

Application of a modified paramedian lower lip-submandibular approach in maxillary (subtotal) total resection

Tang Mengying¹^,²(), Luo Daowen¹, Sun Libo³, Zhou Hangyu³, Wu Shuangjiang³, Fu Guangxin¹, Xiao Jingang¹^,²^,³()

1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou 646000, China
2. Dept. of Oral Implantology, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou 646000, China
3. Dept. of Oral and Maxillofacial Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, China

Received:2019-11-22 Revised:2020-02-28 Online:2020-08-01 Published:2020-08-03
Contact: Xiao Jingang E-mail:drxiaojingang@163.com
Supported by:
The National Natural Science Foundation of China(81870746);Project of The Chinese Stomatological Association West China Clinical Research Fund(CSA-W2017-08)

摘要/Abstract

摘要：

目的探讨一种新的改良下唇旁正中-颌下入路在上颌骨（次）全切除术中的应用价值。方法对11例上颌骨肿瘤患者采用改良下唇旁正中-颌下入路进行上颌骨（次）全切除术。术后对患者面形恢复、面神经及腮腺功能状态、眶区并发症等进行分析。结果随访6~36个月,所有患者面形恢复良好,切口瘢痕隐蔽,均无面神经、腮腺导管损伤症状,也无下睑水肿、睑外翻、溢泪等眶区并发症。结论改良下唇旁正中-颌下入路行上颌骨（次）全切除术可有效降低下睑水肿、睑外翻、溢泪等眶区并发症的发生率,且切口瘢痕隐蔽,未增加其他并发症的发生,值得临床推广。

关键词: 改良下唇旁正中-颌下入路, 上颌骨切除术, 手术路径, 外形

Abstract:

Objective To investigate the clinical efficacy of a modified paramedian lower lip-submandibular approach for maxillary (subtotal) total resection. Methods Eleven patients of maxillary tumors underwent maxillary (subtotal) total resection through the modified paramedian lower lip-submandibular approach. Clinical follow-up visits were conducted to evaluate appearance restoration, facial nerve functional status, parotid gland functional status, and orbital region complication. Results During the follow-up period of 6-36 months, the appearance of all 11 patients recovered well. All cases presented hidden scars. No facial nerve and parotid duct injury, lower eyelid edema, lower eyelid ectropion, or epiphora in all cases was observed. Conclusion Applying modified paramedian lower lip-submandibular approach to maxillary (subtotal) total resection effectively reduces incidence of orbital region complications including lower eyelid edema, lower eyelid ectropion, and epiphora, which often occur to traditional approach. The modified approach produces more subtle scars than other methods and should be applied to treatment of maxillary (subtotal) total resection.

Key words: modified paramedian lower lip-submandibular approach, maxiliectomy, operation approach, contour

中图分类号:

R739.8

唐梦莹, 罗道文, 孙黎波, 周航宇, 吴双江, 付光新, 肖金刚. 改良下唇旁正中-颌下入路在上颌骨（次）全切除术中的应用[J]. 华西口腔医学杂志, 2020, 38(4): 380-384.

Tang Mengying, Luo Daowen, Sun Libo, Zhou Hangyu, Wu Shuangjiang, Fu Guangxin, Xiao Jingang. Application of a modified paramedian lower lip-submandibular approach in maxillary (subtotal) total resection[J]. West China Journal of Stomatology, 2020, 38(4): 380-384.

图/表 5

参考文献 16

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改良下唇旁正中-颌下入路在上颌骨（次）全切除术中的应用

Application of a modified paramedian lower lip-submandibular approach in maxillary (subtotal) total resection

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