Abstract：Objective To evaluate the effect of fenestration decompression on Ⅰ stage and curettage technique on Ⅱ stage treated large mandibular cyst.Methods Twenty-eight patients with large mandibular cyst treated in the First Affiliated Hospital of Bengbu Medical College from June 2011 to June 2013, of which 18 males and 10 females, aged from 9 to 84 years old, including 12 patients for keratinous cyst and 16 patients for dentigerous cyst. To observe the changes of cystic cavity and evaluate the clinical curative effect dependent on the radiographic postoperative imaging.Results After fenestration decompression, cystic space reduction was noticed in all cases. And it was clear that there was bone-formation in cysts cavity. After 12 to 22 months of Ⅰstage operation, the change of cystic space was stable. Then these cases were treated by curettage technique on Ⅱstage. BeforeⅡ stage resection, it was displayed in orthopantomography that the long axis of cystic space reduced as much as 76% on average. Jaw and teeth could be retained. Twenty-eight patients were followed up for 1-3 years(averaged 14 months),during which no recurrence was noted.Conclusions Using fenestration decompressing and curettage to treat large mandibular cyst can shorten the treatment time and retain jaw, which is an optimizing therapy.
杨东昆,张凯,高廷益,路晓淼. Ⅰ期开窗减压、Ⅱ期刮治术在下颌骨大型囊肿治疗中的应用[J]. 中华解剖与临床杂志, 2016, 21(5): 465-468.
Yang Dongkun, Zhang Kai, Gao Tingyi, Lu Xiaomiao.. The application of fenestration decompression and curettage techniques for treatment of large mandibular cyst. Chinese Journal of Anatomy and Clinics, 2016, 21(5): 465-468.
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