摘要
目的:探讨保守治疗法对颌骨大型牙源性囊性病变的颌面美容效果的影响及其临床应用价值。方法:回顾2001年4月～2006年9月的28例用囊壁部分或彻底刮除术,对可疑角化囊肿和造釉细胞瘤刮除术后再用石炭酸烧灼骨腔创面,囊腔碘仿纱条填塞,术后每日按压原骨质膨隆区,定期更换碘仿纱条和X线检查,随访0.5～3.5年。结果:术后3月面部膨隆畸形消退,经随访X线检查,26例患者囊腔都有不同程度缩小,术后2年,有22例囊腔完全消失,其余4例,骨腔体积仅剩原体积的20%～30%,新骨与正常骨结构一致。结论:保守治疗颌骨大型牙源性囊性病变,手术方法简单,既可以修复面部的膨隆畸形,又可以最大限度地保存颌骨的连续性,防止手术继发畸形,改善咬合关系,是一种有效可行的治疗方法。
Objective To carry out researches into cosmetic surgery effect and clinic application value by performing conservative treatment upon large jaw cystic lesions. Methods Review 28 cases of thorough curettage performed from Apr. 2001 to Sep. 2006. After performing curettage upon dubious keratocyst and ameloblastoma, cauterize bone cavum cut by using carbolic acid and tamp gauze ribbon iodoform in cyst cavum. Press expansion position p.d., replace gauze ribbon iodoform periodically, carry out X-ray check, visit patients Regularly for 0.5～3.5 years. Results Facial position of expansible deformity fades away after surgery for 3 months. By the way of X-ray check performed on 26 patients, cyst cavum shrank to varying degrees. After surgery for 2 years, the cyst cavum of 22 cases faded away entirely. Bone cavum of the 4 rests were 20%～30% of original volume, and regenerating bone is the same as the natural. Conclusion Conservative treatment upon large jaw cystic lesions is an effective and feasible treatment method with many advantages, such as simple operating, resuming facial expansion and deformity, protecting the continuity of jaws to the maximum limit, avoid the secondary deformity as a result of surgery, improving occluding relation.
出处
《中国美容医学》
CAS
2007年第8期1114-1116,共3页
Chinese Journal of Aesthetic Medicine
关键词
颌骨囊性病变
保守治疗
刮除术
开窗术
mandibular cystic lesions
conservative treatment
curettage
marsupialization
