Which Patients With Ossifying Fibroma of the Jaws Would Be Suitable for Radical Ablative Surgery?
Which Patients With Ossifying Fibroma of the Jaws Would Be Suitable for Radical Ablative Surgery?
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DOI：
10.1097/scs.0000000000002653
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发表时间：
2016-06-01
影响因子：
0.9
通讯作者：
Sun, Jian
中科院分区：
文献类型：
--
作者：
Lv, Mingming;Shen, Yi;Sun, Jian
目的：介绍10年来治疗巨大骨化纤维瘤（GOF）的经验，并证明GOF是否可以完全切除以预防复发。作者的第二个目标是研究根治GOF后立即重建的美学和功能结果。方法：回顾性分析2003年5月至2013年5月间行根治性骨缺损消融术后立即行带血管腓骨瓣或髂骨瓣重建的18例患者。统计观察复发率，并评估术后2年的美观和功能结果。结果：平均随访时间为4.5年。在平均4.5年的随访中，所有患者均无残留肿瘤或肿瘤复发，GOF消融手术后计算机辅助重建的外观和功能预后良好。结论：对于巨大OF，如果其主要位于颌骨，未侵犯颅底和/或翼状突，则应进行根治性手术治疗，以防止肿瘤复发。计算机辅助重建和口腔修复可获得良好的美观和功能效果。
Objective: The aim of authors' study was to present their 10-year experience in the treatment of giant ossifying fibroma (GOF), and to prove if GOF can be totally excised preventing recurrence. The authors' secondary goal was to study the aesthetic and functional outcomes after radical resection of GOF followed by immediate reconstruction.Methods: Eighteen patients who underwent radical ablative surgery of GOF of the jaw followed by immediate reconstruction with vascularized fibula flap or ilium flap between May 2003 and May 2013 were taken. Recurrence rate was statistically observed and 2-year postoperative aesthetic and functional outcomes were evaluated.Results: The average length of follow-up was 4.5 years. There was no residual tumor or tumor recurrence observed in any patient during the mean follow-up of 4.5 years, and good cosmesis and functional outcome was noted after ablative surgery of GOF followed by computer-assisted reconstruction.Conclusions: For giant OF, if it is mainly located in the jaws without invasion of the skull base and/or pterygoid process, radical surgical treatment should be performed for prevention of tumor recurrence. And good aesthetic and functional results can be achieved by immediate computer-assisted reconstruction and dental rehabilitation.