下頜骨脂肪囊瘤－病例報告

Steatocystoma Simplex in Mandible – Case Report

吳坤縉(Kun-Jin Wu) ； 江豐裕(Feng-Yu Chiang) ； 阮愷輝(Kai-Hui Juan) ； 蔡坤寶(Kun-Bow Tsai)

《中華民國耳鼻喉科醫學會雜誌》 33卷4期 (1998/08) Pp. 394-397

https://doi.org/10.6286/1998.33.4.394

摘要

脂肪囊瘤（steatocystoma）為良性囊腫。脂肪囊瘤好發於顏面、頭皮、頸部等部位的皮膚組織內，發生於下頜骨則為罕見。本科經歷1例下頜骨巨大囊腫的病例，經病理檢查結果為單一性脂肪囊瘤。手術治療採經口切開口腔黏膜，打開下頜骨前緣將囊腫完全取出後，以gefoam混合自體血液填塞原病灶處，再縫合口腔黏膜。術後結果良好，原病追蹤1年半後已完骨質化。與骨頭移植或骨泥填補等方法比較，此法簡單且成本便宜，只要確實將囊腫完全取出並處理好傷口，此種方式不失為治療下頜骨囊腫的好選擇。

關鍵字

脂肪囊瘤 ； 下頜骨 ； 囊腫

並列摘要

Steatocystoma is a benign cyst. It usually occurs in the skin of face, scalp, and neck. We presented a case with a huge cyst in the mandible and the pathological diagnosis was steatocystoma. The surgical treatment of the cyst was done transorally. Aftere removing the cyst by drilling the anterior border of the mandible, we filled the open cavity with gelfoam mixed with antibiotics and then sutured the oral mucosa. The cavity was ossified completely after one and half year. This method is simple andcosts less in comparsion with bone graft and bone dust. The result is good if the oral wound is carefully treated. It is a god option for the treatment of mandibular cyst.

並列關鍵字

steatocystoma ； mandible ； cyst