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牙骨质化纤维瘤系良性牙源性肿瘤,临床上较少见,常易与其它纤维性病损、含牙囊肿等牙源性肿瘤混淆,一般需经病理确诊。我科曾收治一例:女性、十七岁、五岁时起右颜面部发现无痛性肿块至今约12×12×3cm。致使右鼻腔完全堵塞,颜面部严重畸形(见图)。肿块表面光滑,无结节状,与皮肤无粘连,骨样硬度,中央有2×1.5cm之乒乓球感区,无压痛。牙列无扇形排列,咬(牙合)关系尚好,张口度正常。全身情况尚好。入院后在全麻下切除肿块,肿块呈分房状,部分有骨间隔。囊肿为胶冻状物,近牙槽嵴之囊腔内含尖牙、双尖牙各一枚。病理诊断:牙骨质化纤维瘤并含牙囊肿。(病理号:8700157。)切口愈合正常。行膺复体
Craniofacial fibroma is a benign odontogenic tumor that is rare in clinical practice. It is often confused with other fibrous lesions and odontogenic tumors including dental cysts. It is generally diagnosed by pathology. My department had admitted a case: Female, 17 years old, from the age of five right facial painless mass until now found about 12 × 12 × 3cm. Resulting in a complete blockage of the right nasal cavity, facial deformities (see Figure). The surface of the tumor is smooth, non-nodular, non-adhesion with the skin, bone-like hardness, the central 2 × 1.5cm of ping-pong feeling area, no tenderness. No fan-shaped dentition arrangement, bite (occlusal) relationship is still good, mouth normal. The whole body is still good. After admission, the tumor was removed under general anesthesia. The tumor was subdivided and part of the bone was separated. The cyst is jelly-like, with a canine near the alveolar crest that contains one each. Pathological diagnosis: cementum fibroma and dental cysts. (Pathology: 8700157.) The incision healed normally. Bank complex rehabilitation