外周局限性小儿骨化纤维瘤的成功手术治疗:罕见病例报告

Nur Setyo N. O. V., Yonanda Adi Pratama, I. K. Praba, C. Herdini, S. R. Indrasari, Danu Yudistira
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引用次数: 0

摘要

骨化纤维瘤(Ossifying fibroma,OF)是一种罕见的颅面部非恶性纤维骨病变,具有生长缓慢和局部侵袭性的特点。儿科患者的发病率尚不明确。治疗方法多种多样,从观察和连续放射成像到肿瘤根治性切除术。旨在提供有关诊断和处理一例罕见颅面骨化性纤维瘤的知识和信息。一名5岁男孩被诊断为眶内骨化性纤维瘤,他接受了鼻外侧-韦伯-弗格森法肿块切除术,眼科医生进行了前眶切开术,口腔修复科医生进行了钝器置入术。OF仍然是一种罕见的疾病,尤其是在儿童患者中,虽然具有良性特征,但在局部具有侵袭性。确定性切除是治疗 OF 的首选方法。手术的成功归功于多学科团队和手术切口技术。我们发现,鼻外侧切口韦伯-弗格森(Weber Ferguson)切口显示了良好的暴露效果。视力和面部神经功能得以保留,面部对称性和美观性良好,并可预防复发。对于年轻的 OF 患者,有必要进行定期随访。
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A successful surgical management of pediatric ossifying fibroma in peripheral limited setting: a rare case report
Ossifying fibroma (OF) is a rare non-malignant fibro-osseous lesion of the craniofacial area with the characteristic of slow-growing and locally aggressive. The incidence rate in paediatric patients is still not clear. The management is varied from observation and serial radiologic imaging to radical resection of the tumour. To provide knowledge and information about diagnosing and managing a rare case of craniofacial ossifying fibroma. A-5-year-old boy diagnosed with orbito-inferonasal region ossifying fibroma underwent extirpation of the mass with the lateral rhinotomy- Webber Ferguson approach, anterior orbitotomy by the ophthalmologist, and obturator placement by the prosthodontist. OF remains a rare disease, particularly in paediatric patients, which is locally aggressive although it’s benign characteristic. Definitive excision is the treatment of choice for OF. Successful surgical outcome was due to a multidisciplinary team and surgical incision technique. We found that lateral rhinotomy Weber Ferguson incision showed excellent exposure. Vision and facial nerve function were preserved as well as good facial symmetry and aesthetics and recurrence prevention. Regular follow-up is necessary for young OF patients.
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