Objective To evaluate the feasibility and predictive ability of the sentinel node localization technique for patients with oral squamous cell carcinoma and determine whether the pathology of the SLN reflected the status of all the neck lymph nudes. Methods Perioperative use of a gamma probe identified radioactive SLNs. The pathology of the SLN was compared with that of the remaining neck dissection. Results Sentinel lymph node biopsy was performed on 20 cases. SLNs were found in 16 necks, among them 6 were found to be subclinical metastases. The SLN was the only lymph node containing tumor in 5 of 6. Conclusions Our preliminary investigation shows that sentinel node localization is technically feasible and predictive of cervical metastasis. SLN biopsy may aid in identifying the clinically N0 patient with occult lymph node metastasis and has the potential to decrease the number of neck dissections performed in clinically negative necks.

Objective To evaluate the sentinel lymph node biopsy (SLNB) in clinical lymph node negative oral squamous cell carcinoma. Methods Sentinel lymph node biopsy (SLNB) by using methylene blue staining were employed to 20 patients with clinical cervical lymph node negative in oral squamous cell carcinoma. Results SLNB was successful identified in 14 of 20(70%). A 100%(6/6) accuracy of SLNB to predict cervical lymph node status was reached. Conclusion SLNB could accurately predict the cervical status of clinical negative node and decrease the extent of surgery and postoperative complication

砄bjective:To investigate the expression of plasminogen activator inhibitor 1(PAI 1) in oral and maxillofacial tumors and the relationship between PAI 1 and pathological parameters.Methods:Chromogenic substrate assay was used to determine PAI 1 level in tumor tissues and ELISA was used to detect the concentration of PAI 1 in tissue extracts in 30 cases of malignant tumors and 10 of benign tumors in oral and maxillofacial area.Results:Higher level and concentration of PAI 1 were found in malignant tumors than in tumor adjacent tissues or benign tumors ( P

0.05). In elderly group the proportion of patients with multiple organ disorder is higher than that in control group(P

0.05). It suggested that the 3 D quantitative measurement is a useful technique for the diagnosis of diseases in the base of the middle cranial fossa region,so that it is useful for surgical planning.

ObjectiveTo investigate the feasibility of construction transplantable tissue engineered bone in nude mouse as in vivo bioreactor. MethodsSelected the 4th passage of rabbit bone mesenchymal stem cells, which were cultured, expanded and induced in vitro. Cells were seeded into porous natural coral. The complexes were implanted subcutaneous in nude mice. Regenerated bone was taken out 8 weeks after implantation and implanted into muscle tissue interspace in the back of rabbit itself.The rabbit-anti-mouse antibody titer was measured at 14,28,56 days and the level of IL-2 was detected the at 2, 7, 14, 28 and 56 days after implantation.Immunohistochemistry staining was carried on in the 8th week. ResultsDuring the whole experimental process, IL-2 activity couldn't be measured.The rabbit-anti-mouse antibody titer was positive.A specific antibody reaction was detected from 2ed week to 8th week after transplantation and touches the peak value four weeks later.Immunohistochemistry staining result was negative.ConclusionThe tissue engineered bone growth in nude mouse is seemed to be the reliable transplantable bone source.

Objective To discuss the way of open reduction and internal fixation for fractured condylar neck and mandible ramus via intraoral approach aiming to avoid the facial incision. Methods Fifteen cases (17 sides) with mandibular condyle fractures underwent open reduction and osteosynthesis with plates and screws. After the mandibular ramus was under vertical osteotomy with an oscillating saw, the posterior border bone block of mandibular ramus as well as the free condyle neck were taken out. The fractured condyle neck and the posterior border bone block of mandibular ramus were fixated with a titanium miniplate in vitro. The reunion bone was implanted and reposited in the mouth incision. Of all, two cases suffered fracture of the condyle neck in the other hospital when they received esthetic surgery and resection of prominent mandible angle (PMA). Results Anatomic reduction was achieved in all cases, without damage to facial nerve and major auricular nerve or salivary fistula. There were slight bony resorption and good temporomandibular joint function one year after surgery, with range of mouth opening for 25-40 mm (mean 35.8 mm). Two cases regained their occlusion before their PMA operation. One case had premature contact of the buccal teeth,with 1 mm diverging to medline of the incisor teeth. Intraoral approach not only could avoid large facial scars and facial nerve injury, but also allow visualization of the occlusion during the procedure. Conclusions As more and more consideration is taken to cosmetology, the transoral approach is a reliable surgical alternative for fractures of the condyle neck, without leaving extensive visible scars or damaging facial nerve. The disadvantage is vertical osteotomy of the posterior border of the mandibular ramus.

OBJECTIVE To study multiple factors on bone graft healing of mandibular reconstruction. METHODS Patients were divided into two groups: healing group(31 cases) and healing delayed group(10 cases).By comparison between two groups,the factors on wound healing after bone grafting were studied. RESULTS In patient′s age and sex,bone graft type and size,and history of operation on bone graft done,there were no differences between two groups.Extraoral and intraoral passage was the important factor to two groups,P=0.000. CONCLUSIONS It is important for us to treat wound carefully while bone graft is carried with extraoral and intraoral passage.

OBJECTIVE To describe the clinical features of the parapharyngeal space tumors and assess the postoperative complications and outcomes in our hospital.METHODS The clinical data of 135 cases with parapharyngeal space tumor treated from Jan.1995 to Dec.2005 in our hospital were retrospectively studied.RESULTS It included 24 heterogeneous histologies in this group.Neurogenic tumors(72.6 %) were the most common tumors,next were salivary gland tumors(15.6 %),and others 11.8 % tumors were miscellaneous tumors.There were 121(89.6 %) patients with benign lesions and 14(10.4 %) with malignant tumors.Transcervical approach was the most commonly applied route.Only 4 cases recurred in 113 operated benign patients.At end of the follow-up,of 14 patients with malignant tumors,4(28.6 %) were alive with no evidence of disease,5(35.7 %) were alive with disease,5(35.7 %) died of the diseases.CONCLUSION Primary parapharyngeal space neoplasms are rare and the majority of these tumors are benign.Surgery is the mainstay of treatment for parapharyngeal space tumors.Most benign cases with a low rate of complication and recurrence after operation,but malignant neoplasms have a poor prognosis.