经口进路行上颌骨切除术

The peroral approach maxillectomy

目的:探讨经口进路行上颌骨切除术的可行性和适应证。方法:选择16例上颌骨肿瘤患者(恶性13例、良性3例),采用美国Stryker公司的微型电动力系统行经口进路上颌骨切除术。结果:16例患者中,上颌骨部分切除术15例,上颌骨次全切除术1例。经术后1～8年随访,面部均无疤痕,无下睑水肿及面部畸形。除1例恶性黑色素瘤患者死于术后两年外,其余患者均存活。结论:经口进路行上颌骨切除术疗效满意,其适应证主要为良性及低恶度上颌骨肿瘤,需行上颌骨部分切除或次全切除术者。

Objective： To investigate the practicality and indications of the peroral approach maxillectomy. Methods： Sixteen patients with maxillary tumors in which 13 cases are malignant, 3 cases are benign, received maxillectomy of the peroral surgical approach with microelectric power system （Stryker Co., US）. Results： Of the 16 cases, 15 patients underwent partial resection of maxilla and 1 patient underwent subtotal resection of maxilla. All cases had no scar in face, no edema in lower eyelid and facial dysmorphism in the postoperative 1-8 years follow-up. Except 1 patient with malignant melanoma who died after two years, all other patients survived well. Conclusion： The curative effect of the peroral approach maxillectomy is satisfied. The indications of this surgical approach mainly include benign or hypo malignant maxillary tumors that need undergoing partial resection of maxilla or subtotal resection of maxilla.