Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (12): 848-853.DOI: 10.12016/j.issn.2096-1456.2021.12.008

• Clinical Study • Previous Articles     Next Articles

Clinical analysis of multi-disciplinary team management in the treatment of giant neurofibroma in maxillofacial and neck region

LIU Yue1(),ZHANG Yi1,2(),ZHANG Jianguo2,ZHANG Long3,YAO Lan4   

  1. 1. Department of Oral and Maxillofacial Surgery, Peking University International Hospital, Beijing 102206, China
    2. Department of Oral and Maxillofacial Surgery, Peking University School And Hospital Of Stomatology, Beijing 100081, China
    3. Department of Interventional Vascular Surgery, Peking University Third Hospital, Beijing 100191, China
    4. Department of Anesthesiology, Peking University International Hospital, Beijing 102206, China
  • Received:2021-03-29 Revised:2021-06-01 Online:2021-12-20 Published:2021-08-17
  • Contact: Yi ZHANG

多学科诊疗模式治疗颌面颈部巨大神经纤维瘤的临床分析

刘玥1(),张益1,2(),张建国2,张龙3,姚兰4   

  1. 1.北京大学国际医院口腔颌面外科,北京(102206)
    2.北京大学口腔医学院口腔颌面外科,北京(100081)
    3.北京大学第三医院介入血管外科,北京(100191)
    4.北京大学国际医院麻醉科,北京(102206)
  • 通讯作者: 张益
  • 作者简介:刘玥,医师,博士,Email: liuyue@pkuih.edu.cn

Abstract:

Objective To investigate the multi-disciplinary team (MDT) management in the treatment of giant neurofibroma in maxillofacial and neck region, to provide reference for clinical practice. Methods Retrospective analysis was conducted on the perioperative whole-process management process of 2 cases of giant neurofibroma in maxillofacial and neck region jointly formulated treatment plan by oral and maxillofacial surgery department with the assistance of the department of anesthesiology, ICU, vascular surgery, thoracic surgery, etc. Results MDT treatment process (anesthesia-embolization-collaborative surgery-ICU-post-operative management) of the two patients was smoothly conducted according to the pre-operative plan. There were no adverse events or accidents that were not predicted by the risk assessment from multiple teams during the operation, and no serious complications occurred after the operation. The post-operative pathological report of both cases was "neurofibroma". Wounds in both patients healed in stage I. The course of treatment was smooth, and the surgical treatment was completed without serious complications. Conclusion MDT management can play a positive role in the diagnosis and treatment of giant maxillofacial and neck neurofibroma so that patients can obtain safer and more effective diagnosis and treatment.

Key words: maxillofacial and neck region, neurofibroma, multi-disciplinary team, anesthesia, arterial monitoring, venous monitoring, digital subtraction angiography

摘要:

目的 探讨颌面颈部巨大神经纤维瘤的多学科诊疗模式,为临床提供参考。方法 由口腔颌面外科主诊,麻醉科、ICU、血管外科、胸外科等多学科参与、共同制定治疗方案的2例颌面颈部巨大神经纤维瘤患者实施围术期全程管理的流程进行回顾性分析。结果 2例患者的多学科治疗过程(麻醉-栓塞-协同手术-ICU复苏-术后管理)均按术前计划顺利实施,术中未出现多学科风险评估未预测到的不良事件或意外,均完成手术治疗,且未发生严重并发症。2例术后病理报告均为神经纤维瘤,患者伤口均I期愈合。结论 多学科诊疗模式可在颌面颈部巨大神经纤维瘤的诊治中发挥积极作用,患者可以得到安全、有效的诊治。

关键词: 面颈部, 神经纤维瘤, 多学科诊疗模式, 麻醉, 动脉监测, 静脉监测, 数字减影血管造影

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