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本文介绍在治疗下颌骨中央性血管瘤时,在正常的颌骨外侧皮质骨开窗,在手术显微镜下用显微手术器械,将下牙槽血管和神经束分开,仅结扎血管,将下牙槽血管神经完整地加以保存。术后患侧牙髓活力存在,不发生永久性患侧唇感觉功能丧失,且可保持面颌部外形和正常咀嚼功能,临床应用3例,疗效满意。并就手术方法,主要优点加以介绍,对保存下牙槽神经有关问题加以讨论。
This article describes the treatment of mandibular central hemangioma, the normal outside of the cortical bone of the jaw in the operating microscope with microsurgical instruments, the lower alveolar vessels and nerve bundles separated only ligation of blood vessels, the lower teeth Grooved vessel nerves are completely preserved. Postoperative ipsilateral pulp vitality exists, there is no permanent ipsilateral lip sensory loss, and can maintain the shape of facial jaw and normal masticatory function, clinical application of 3 cases, the effect is satisfactory. And the surgical methods, the main advantages are introduced, the preservation of the alveolar nerve-related issues to be discussed.