开窗减压术联合二期刮治术及自体牙骨粉植入在治疗颌骨较大囊肿中的应用

doi:10.7518/hxkq.2020.04.020

华西口腔医学杂志 ›› 2020, Vol. 38 ›› Issue (4): 464-469.doi: 10.7518/hxkq.2020.04.020

开窗减压术联合二期刮治术及自体牙骨粉植入在治疗颌骨较大囊肿中的应用

刘一秀¹(), 瞿杨², 李真华¹, 王洪鹏¹()

1.重庆大学附属肿瘤医院头颈外科,肿瘤转移与个体化诊治转化研究重庆市重点实验室,重庆 400030
2.重庆市沙坪坝区人民医院口腔科,重庆 400030

收稿日期:2019-10-05 修回日期:2020-03-12 出版日期:2020-08-01 发布日期:2020-08-03
通讯作者: 王洪鹏 E-mail:21794764@qq.com
作者简介:刘一秀,主治医师,硕士,E-mail： 380887688@qq.com
基金资助:
重庆市沙坪坝区决策咨询与管理创新项目指令性计划项目(Jcd201964)

Effect of decompression combined with curettage and autogenous bone cement implantation on large cysts of the jaw

Liu Yixiu¹(), Qu Yang², Li Zhenhua¹, Wang Hongpeng¹()

1. Dept. of Head and Neck Surgery, Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing 400030, China
2. Dept. of Stomatology, People’s Hospital of Shapingba District, Chongqing 400030, China

Received:2019-10-05 Revised:2020-03-12 Online:2020-08-01 Published:2020-08-03
Contact: Wang Hongpeng E-mail:21794764@qq.com
Supported by:
Instructional Planning Project of Decision-Making Consulting and Management Innovation Project in Shapingba District of Chongqing(Jcd201964)

摘要/Abstract

摘要：

颌骨较大囊肿是临床中常见的疾病,通过开窗减压及二次刮治可以取得良好的效果。本文在前期治疗的基础上,提出了一种“三步法”,即通过开窗减压、二次刮治及自体牙骨粉植入临床治愈颌骨较大囊肿并修复骨缺损,现就该方法的手术过程、操作要点进行介绍。

关键词: 颌骨囊肿, 开窗减压术, 二期刮治术, 自体牙骨粉

Abstract:

Decompression and curettage can result are effective as treatments for large jaw cysts, which are common diseases in the clinic. Based on a treatment used in a previous study, this paper proposes a “three-step method” to treat large jaw cyst and repair the bone defect by decompression, curettage, and autologous dental bone powder implantation. This paper introduces the processes and key points of the operation involved in the abovementioned method.

Key words: jaw cyst, decompression, curettage, autogenous tooth bone graft material

中图分类号:

R782.05

刘一秀, 瞿杨, 李真华, 王洪鹏. 开窗减压术联合二期刮治术及自体牙骨粉植入在治疗颌骨较大囊肿中的应用[J]. 华西口腔医学杂志, 2020, 38(4): 464-469.

Liu Yixiu, Qu Yang, Li Zhenhua, Wang Hongpeng. Effect of decompression combined with curettage and autogenous bone cement implantation on large cysts of the jaw[J]. West China Journal of Stomatology, 2020, 38(4): 464-469.

图/表 6

图 1

图 2

图 3

图 4

图 5

图 6

参考文献 30

[1]	Tarpley TM Jr, Anderson LG, White CL. Minor salivary gland involvement in Sjögren’s syndrome[J]. Oral Surg Oral Med Oral Pathol, 1974,37(1):64-74. doi: 10.1016/0030-4220(74)90160-1 URL
[2]	Stoor P, Apajalahti S, Kontio R. Regeneration of cystic bone cavities and bone defects with bioactive glass S53P4 in the upper and lower jaws[J]. J Craniofac Surg, 2017,28(5):1197-1205. URL pmid: 28538076
[3]	Tolstunov L. Marsupialization catheter[J]. J Oral Maxillofac Surg, 2008,66(5):1077-1079.
[4]	Enislidis G, Fock N, Sulzbacher I, et al. Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression[J]. Br J Oral Maxillofac Surg, 2004,42(6):546-550. doi: 10.1016/j.bjoms.2004.06.020 URL pmid: 15544886
[5]	Asutay F, Atalay Y, Turamanlar O, et al. Three-dimensional volumetric assessment of the effect of decompression on large mandibular odontogenic cystic lesions[J]. J Oral Maxillofac Surg, 2016,74(6):1159-1166. doi: 10.1016/j.joms.2015.12.010 URL pmid: 26828617
[6]	Lee ST, Kim SG, Moon SY, et al. The effect of decompression as treatment of the cysts in the jaws: retrospective analysis[J]. J Korean Assoc Oral Maxillofac Surg, 2017,43(2):83-87. doi: 10.5125/jkaoms.2017.43.2.83 URL pmid: 28462191
[7]	Nakamura N, Higuchi Y, Tashiro H, et al. Marsupialization of cystic ameloblastoma: a clinical and histopathologic study of the growth characteristics before and after marsupialization[J]. J Oral Maxillofac Surg, 1995,53(7):748-756. URL pmid: 7595787
[8]	Gardner AF. A survey of odontogenic cysts and their relationship to squamous cell carcinoma[J]. Dent J, 1975,41(3):161-167. URL pmid: 1054689
[9]	Yokobayashi Y, Yokobayashi T, Nakajima T, et al. Marsupialization as a possible diagnostic aid in cystic ameloblastoma[J]. J Maxillofac Surg, 1983,11:137-141. doi: 10.1016/s0301-0503(83)80033-2 URL pmid: 6576089
[10]	Ettl T, Gosau M, Sader R, et al. Jaw cysts—filling or no filling after enucleation? A review[J]. J Craniomaxillofac Surg, 2012,40(6):485-493. doi: 10.1016/j.jcms.2011.07.023 URL pmid: 21890372
[11]	Slusarenko da Silva Y, Stoelinga PJW, Naclério-Homem MDG. Recurrence of nonsyndromic odontogenic keratocyst after marsupialization and delayed enucleation vs. enucleation alone: a systematic review and Meta-analysis[J]. Oral Maxillofac Surg, 2019,23(1):1-11. doi: 10.1007/s10006-018-0737-3 URL pmid: 30498866
[12]	de Castro MS, Caixeta CA, de Carli ML, et al. Conservative surgical treatments for nonsyndromic odontogenic keratocysts: a systematic review and Meta-analysis[J]. Clin Oral Investig, 2018,22(5):2089-2101. doi: 10.1007/s00784-017-2315-8 URL pmid: 29264656
[13]	Chrcanovic BR, Gomez RS. Recurrence probability for keratocystic odontogenic tumors: an analysis of 6 427 cases[J]. J Craniomaxillofac Surg, 2017,45(2):244-251. doi: 10.1016/j.jcms.2016.11.010 URL pmid: 28011178
[14]	Peñarrocha-Diago M, Sanchis-Bielsa JM, Bonet-Marco J, et al. Surgical treatment and follow-up of solitary bone cyst of the mandible: a report of seven cases[J]. Br J Oral Maxillofac Surg, 2001,39(3):221-223. doi: 10.1054/bjom.2000.0559 URL pmid: 11384121
[15]	Pappalardo S, Coronella M, Lanza ML, et al. Multidetector CT Dentascan evaluation of bone regeneration obtained with deproteinised bovine graft in residual cavity after mandibular cyst enucleation[J]. Radiol Med, 2013,118(4):523-533. doi: 10.1007/s11547-012-0911-x URL pmid: 23358816
[16]	Sivolella S, Perin C, Capecchi M, et al. Guided bone regeneration in the treatment of a lateral periodontal cyst: 2-year clinical and radiologic follow-up[J]. Int J Periodontics Restorative Dent, 2018,38(5):747-754. doi: 10.11607/prd.2767 URL pmid: 29513773
[17]	Rawashdeh MA, Telfah H. Secondary alveolar bone grafting: the dilemma of donor site selection and morbidity[J]. Br J Oral Maxillofac Surg, 2008,46(8):665-670. URL pmid: 18760515
[18]	Pradel W, Eckelt U, Lauer G. Bone regeneration after enucleation of mandibular cysts: comparing autogenous grafts from tissue-engineered bone and iliac bone[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2006,101(3):285-290. doi: 10.1016/j.tripleo.2005.06.001 URL pmid: 16504859
[19]	Stoor P, Apajalahti S, Kontio R. Regeneration of cystic bone cavities and bone defects with bioactive glass S53P4 in the upper and lower jaws[J]. J Craniofac Surg, 2017,28(5):1197-1205. doi: 10.1097/SCS.0000000000003649 URL pmid: 28538076
[20]	von Arx T, Hardt N, Wallkamm B. The TIME technique: a new method for localized alveolar ridge augmentation prior to placement of dental implants[J]. Int J Oral Maxillofac Implants, 1996,11(3):387-394. URL pmid: 8752560
[21]	Zizzari VL, Zara S, Tetè G, et al. Biologic and clinical aspects of integration of different bone substitutes in oral surgery: a literature review[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2016,122(4):392-402. doi: 10.1016/j.oooo.2016.04.010 URL pmid: 27496576
[22]	Stavropoulos F, Nale JC, Ruskin JD. Guided bone regeneration[J]. Oral Maxillofac Surg Clin N Am, 2002,14(1):15-27. doi: 10.1016/S1042-3699(02)00013-4 URL
[23]	Bauer TW, Muschler GF. Bone graft materials. An overview of the basic science[J]. Clin Orthop Relat Res, 2000(371):10-27. URL pmid: 10693546
[24]	Ahmed F. Illustrated dental embryology, histology, and anatomy, 3rd edition[J]. Br Dent J, 2011,211(11):575.
[25]	Yeomans JD, Urist MR. Bone induction by decalcified dentine implanted into oral, osseous and muscle tissues[J]. Arch Oral Biol, 1967,12(8):999-1008. doi: 10.1016/0003-9969(67)90095-7 URL pmid: 4226721
[26]	Lee du H, Yang KY, Lee JK. Porcine study on the efficacy of autogenous tooth bone in the maxillary sinus[J]. J Korean Assoc Oral Maxillofac Surg, 2013,39(3):120-126. doi: 10.5125/jkaoms.2013.39.3.120 URL
[27]	Jeong HR, Hwang JH, Lee JK. Effectiveness of autogenous tooth bone used as a graft material for regeneration of bone in miniature pig[J]. J Korean Assoc Oral Maxillofac Surg, 2011,37(5):375.
[28]	Calvo-Guirado JL, Maté-Sánchez de Val JE, Ramos-Oltra ML, et al. The use of tooth particles as a biomaterial in post-extraction sockets. experimental study in dogs[J]. Dent J (Basel), 2018,6(2):E12.
[29]	Ge J, Yang C, Zheng JW, et al. Autogenous bone grafting for treatment of osseous defect after impacted mandibular third molar extraction: a randomized controlled trial[J]. Clin Implant Dent Relat Res, 2017,19(3):572-580. doi: 10.1111/cid.12466 URL pmid: 27933720
[30]	Murata M. Collagen biology for bone regenerative surgery[J]. J Korean Assoc Oral Maxillofac Surg, 2012,38(6):321-325. doi: 10.5125/jkaoms.2012.38.6.321 URL

开窗减压术联合二期刮治术及自体牙骨粉植入在治疗颌骨较大囊肿中的应用

Effect of decompression combined with curettage and autogenous bone cement implantation on large cysts of the jaw

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 6

参考文献 30

相关文章 3

编辑推荐

Metrics

本文评价

[1]	胡爽, 李春梅, 张帅源, 秦硕, 解晨露, 牛志兴, 孙明磊. 口腔修复膜和β-磷酸三钙治疗颌骨囊肿术后骨缺损的临床价值[J]. 华西口腔医学杂志, 2020, 38(5): 541-545.
[2]	杨力硕, 闫建伟, 郑辉, 倪锐, 韩筱堃, 常新. 自体牙骨粉与异种牛骨粉修复牙槽骨缺损的对比研究[J]. 华西口腔医学杂志, 2018, 36(4): 372-377.
[3]	廖锐孙苗根顾亚军王仁飞刘敏. 锥形束CT在颌骨囊肿诊治中的临床应用[J]. 华西口腔医学杂志, 2012, 30(3): 262-266.