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女性患者,29岁,病历号7808。1982年3月患者右下颌磨牙区因修复体刺激引起牙槽嵴的纤维组织增生而入院。患者出生后即发现左面颊部长一个血管瘤,似黄豆大小,于生后12天,行放射治疗(其电压为120KVp,每次的照射量为50至100伦琴,总量为800伦琴左右的深部X线治疗)。放射治疗后,随着年龄的增长,身体其它部位发育均基本正常。但上下颌骨发育处于停滞状态。检查及治疗情况:患者的头颅接近正常,面部下三分之一明显缩小,似儿童脸形,上下颌骨短小畸形(封三图1、2)。下颌牙齿全部缺失,上颌残留六颗牙齿,且均为过小畸形。全身四肢、躯干、其它各部发育均接近正常。右下颌磨牙牙槽嵴处,有一个约1.5×1.0×0.5立方厘米大小的纤维性增生物,中等硬度,较韧,压之不疼,但影响义齿戴入。在局麻下,将右下颌牙槽嵴处的纤维增生物切除,缝合数针。术后7天伤
Female patient, 29 years old, medical record number 7808. March 1982 patients with right mandibular molar area due to prosthesis stimulation caused alveolar ridge fibrous tissue hyperplasia and admission. The patient was found to have a hemangioma on the left cheek, akin to the size of a soybean. Radiotherapy was performed 12 days after birth at a voltage of 120 KVp with a dose of 50 to 100 roentgen per shot and a total volume of about 800 roentgen deep X-ray treatment). After radiotherapy, with the growth of age, other parts of the body are basically normal development. However, the development of the mandible is in a state of stagnation. Examination and treatment: The patient's head close to normal, one-third of the face was significantly reduced, like a child face shape, short mandibular deformity (cover three Figure 1, 2). Mandibular teeth all missing, six teeth left maxillary, and are too small deformity. Whole body limbs, trunk, other ministries are close to normal development. The right mandibular molars alveolar ridge, there is a size of about 1.5 × 1.0 × 0.5 cubic centimeter fibrous fibroids, moderate hardness, more tough, the pressure of the pain, but affect the denture worn. Under local anesthesia, the right mandibular alveolar crest fibroin resection, sutured several needles. 7 days after injury