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上颌癌切除后,一般延期修复骨质缺损。结果,术后有不同程度的咀嚼、吞咽、言语、呼吸等功能障碍,并难避免面部的凹陷畸形。为了截除癌瘤,早日恢复劳动,保持生理功能及容貌,我院对两例上颌癌患者采用了预制托牙并手术中印像一期修复法,且根据肿瘤的位置,当场制作镭容器,以便为术后进行放射治疗,取得了良好效果。例一王××,男,71岁,工人,1960年2月入院,入院前两月发现左侧上腭隆起,检查:左上腭隆起约5×2.5厘米(图一)。内至上腭中线,外至腭侧牙龈(?),表面破溃、质硬、无压痛(?)牙松动,(?)缺失,咬(牙合)关系正常,颈部无淋巴结转移。X 线所见上颌及肺无异常。活检为鳞状上皮癌。手术中发现肿瘤侵入上颌窦下角,随将左侧上腭并其牙龈和一部分上颌前壁整块切除(图二、图三)。止血后
After maxillary cancer resection, the general extension of the repair of bone defects. The results, after varying degrees of chewing, swallowing, speech, breathing and other dysfunctions, and difficult to avoid facial deformity. In order to cut off the cancer, to resume work as soon as possible, maintain the physiological function and appearance, our hospital on two cases of maxillary cancer patients preoperative denture and surgery in India a repair method, and according to the location of the tumor, on the spot production radium container, In order to postoperative radiotherapy, and achieved good results. Example Wang × ×, male, aged 71, worker, admitted to hospital in February 1960, found on the left palate uplift in two months prior to admission. Examination: Left upper palate uplift about 5 × 2.5 cm (Figure 1). Internal to the upper palate midline, outside to the palatal gingiva (?), Surface rupture, hard, no tenderness (?) Dental loosening, (?) Defective, bite (occlusion) relationship is normal, no neck lymph node metastasis. X-ray findings in the upper jaw and lung no abnormalities. Biopsy is squamous cell carcinoma. Surgery was found invade the lower corner of the maxillary sinus, with the left palate and its gums and part of the maxillary anterior resection block (Figure II, Figure III). After bleeding