下顎髁突骨軟骨瘤－病例報告

Osteochondroma of Mandibular Condyle-Case Report

顏欽堉(Chin-Yui Yen) ； 周大雄(Ta-Hsiung Chuo) ； 李今海(Chin-Hai Lee) ； 劉巡宇(Shyun-Yen Lin) ； 初昌傑(Chang-Chie Chu)

《中華民國口腔顎面外科學會雜誌》 5卷2期 (1994/09) Pp. 35-41

https://doi.org/10.7104/CJOMS.199409.0035

摘要

骨軟骨瘤由骨與軟骨組成，此腫瘤鮮少侵犯顏面骨，在所有的顏面骨中最常出現在下顎髁突。下顎髁突骨軟骨瘤主要會產生顏面不對稱，咬合異變，咀嚼疼痛與聽覺障礙。此病症須與單側下顎髁突骨質增生做鑑別診斷。本文病例為一巨大下顎髁突骨軟骨瘤之47歲女性病患，出現顏面不對稱，咬合變異及咀嚼困難，經由病理組織切片診斷確定為骨軟骨瘤。病患接受患側髁突切除術以切除腫瘤，並以頦成形術矯正顏面不對稱。術後並以咬合重建恢復咬合狀況。

關鍵字

骨軟骨瘤 ； 髁突骨切除術 ； 頦成形術

並列摘要

Oral Maxillofacial Srgery, Taiwan Osteochondroma consists bone and cartilage components and it rarely affects the facial skeleton. In the facial skeleton, the mandibular condylar process is the most frequently affected site. The main symptoms of osteochondroma of the mandibular condyle are facial asymmetry, disturbed occlusion, painful mastication and impaired hearing on the affected side. A case massive osteochondroma of the mandibular condyle is presented who showed facial asmmetry malocclogical and impairment of mastication. The diagnosis was confirmed by radiological and histologic examinartion. The pafiut received condylectomy for resection of the enlarged condylar head, genioplasty for correction of the facial asymmetry and postoperative occlusal reconturtion for correction of the malocclusion. In addition, the patient refused to undergo any surgery on the maxilla. The results obatined was well accepted by the patient.

並列關鍵字

osteochondroma ； condylectomy ； genioplasty