经髁突及盘前附着进路摘除颞下间隙巨大黏液瘤1例报告

doi:10.19438/j.cjoms.2017.01.021

中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (1): 94-96.doi: 10.19438/j.cjoms.2017.01.021

• 病例报告 • 上一篇

经髁突及盘前附着进路摘除颞下间隙巨大黏液瘤1例报告

叶周熹, 杨驰, 陈敏洁, 邱亚汀

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 200125

出版日期:2017-01-20 发布日期:2017-02-27
通讯作者: 杨驰,E-mail：yangchi63@hotmail.com
作者简介:叶周熹（1990-）,女,硕士,E-mail：450219713@qq.com
基金资助:
上海市科学技术委员会科研计划项目（14DZ2294300）

Transcondylar approach assisted with anterior release of the disc for a huge myxoma in infratemporal space: a case report

YE Zhou-xi, YANG Chi, CHEN Min-jie

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

Online:2017-01-20 Published:2017-02-27

摘要/Abstract

摘要： 关节旁黏液瘤是一种来源于腱鞘、韧带等关节旁组织的良性软组织肿瘤,目前未见发生于颞下颌关节（temporomandibular joint,TMJ）旁的报道。本文报告1例罕见的TMJ旁黏液瘤,其体积巨大并累及髁突前内侧的颞下间隙。采用经髁突及盘前附着进路摘除肿瘤。术后随访2.5 a,患者无不适主诉,无颌面部畸形和开口受限,影像学检查显示肿瘤未复发。经髁突及盘前附着进路不仅保存了正常TMJ的结构和功能,还利于完整摘除肿瘤,防止复发。

关键词: 关节旁黏液瘤, 颞下颌关节, 颞下间隙, 经髁突进路, 关节盘前附着

Abstract: Juxta-articular myxoma is a benign tumor originating from the soft tissue related to the joints, such as the tendon sheath and ligament. According to our knowledge, there was no report on juxta-articular myxoma located in the temporomandibular joint (TMJ) before. In this paper, a rare juxta-articular myxoma occurring in the TMJ, anteromedially extending to the infratemporal fossa (ITF) was reported. A novel surgical method using transcondylar approach assisted with the anterior release of the disc for this unique case was used for excision of the tumor. At 30-month of follow-up, the patient recovered with neither cosmetic problems nor limitation of mouth opening. No sign of local recurrence was found on imaging examinations. The results suggested that the novel approach could not only preserve the structure and function of the TMJ, but also help complete exposure and excision of the tumor.

Key words: Juxta-articular myxoma, Temporomandibular joint, Infratemporal space, Transcondylar approach, Anterior release of the disc

中图分类号:

R782.1

叶周熹, 杨驰, 陈敏洁, 邱亚汀. 经髁突及盘前附着进路摘除颞下间隙巨大黏液瘤1例报告[J]. 中国口腔颌面外科杂志, 2017, 15(1): 94-96.

YE Zhou-xi, YANG Chi, CHEN Min-jie. Transcondylar approach assisted with anterior release of the disc for a huge myxoma in infratemporal space: a case report[J]. China J Oral Maxillofac Surg, 2017, 15(1): 94-96.

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经髁突及盘前附着进路摘除颞下间隙巨大黏液瘤1例报告

Transcondylar approach assisted with anterior release of the disc for a huge myxoma in infratemporal space: a case report

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