肿瘤预防与治疗2025，Vol.38Issue(5)：403-409,7.DOI:10.3969/j.issn.1674-0904.2025.05.007
髁突骨软骨瘤及其继发畸形的外科矫治
Surgical Treatment of Condylar Osteochondroma and Secondary Deformities
摘要
Abstract
Objective:To summarize and analyze the surgical treatment approaches for different types of mandibular con-dylar osteochondroma and secondary deformities,evaluating their effects on occlusion and facial morphology.Methods:A total of 120 patients with condylar osteochondroma and secondary complex dentofacial deformities treated at our hospital from January 2015 to June 2024 were included.Surgical strategies were tailored based on imaging and clinical manifestations:①Solely perform condylar osteochondroma resection;② Perform condylar osteochondroma resection combined with condylar re-construction;③ Perform condylar osteochondroma resection combined with condylar reconstruction and mandibular orthog-nathic surgery;④ Perform condylar osteochondroma resection combined with condylar reconstruction and bimaxillary orthog-nathic surgery.Postoperative outcomes,including malocclu-sion,chin point deviation,and mandibular midline deviation,were evaluated using CT,facial photography,and intraoral re-cords.Results:All lesions were definitively resected according to tumor size and clinical severity,achieving complete cor-rection of malocclusion.The mandibular deviation distance significantly decreased from 3.00(1.67,4.97)mm preopera-tively to 0.44(0,1.38)mm postoperatively.Similarly,the mental point deviation distance showed marked improvement,decreasing from 3.59(2.62,4.96)mm preoperatively to 1.02(0.56,1.62)mm postoperatively.Conclusion:The treat-ment protocol for condylar osteochondroma and its secondary deformities should be determined based on disease progression:from simple osteochondroma resection to condylar reconstruction surgery.For patients with severe facial deformities,this should be combined with orthognathic surgery to ultimately restore both occlusion and facial morphology.关键词
髁突/骨软骨瘤/髁突重建/正颌手术Key words
Condyle/Osteochondroma/Condylar reconstruction/Orthognathic surgery分类
医药卫生引用本文复制引用
宋宁,姜楠,祝颂松,曹品银..髁突骨软骨瘤及其继发畸形的外科矫治[J].肿瘤预防与治疗,2025,38(5):403-409,7.基金项目
This study was supported by National Key Research and Development Program of China(No.2023YFC2509200),and by grants from Science and Technology Department of Sichuan Province(No.2025YFHZ0191)and West China Hospital of Stomatology,Sichuan University(No.LCYJ-ZD-202302). 中国国家重点研发计划项目(编号:2023YFC2509200) （No.2023YFC2509200）
四川省国际科技创新合作项目(编号:2025YFHZ0191) （编号:2025YFHZ0191）
四川大学华西口腔医院探索与研发项目(编号:LCYJ-ZD-202302) （编号:LCYJ-ZD-202302）
