Sezer Bahar, Koyuncu Banu, Gomel Murat, Günbay Tayfun
Department of Oral and Maxillofacial Surgery, Ege University Faculty of Dentistry, Izmir, Turkey.
Turk J Pediatr. 2005 Jan-Mar;47(1):75-81.
Central giant cell granuloma (CGCG) is a benign intraosseous lesion of the jaws that is found predominantly in children and young adults. Although benign, it may be locally aggressive, causing extensive bone destruction, tooth displacement and root resorption. The common therapy is aggressive curettage, peripheral ostectomy or resection, which may be associated with loss of teeth and, in younger patients, loss of dental germs. A number of alternative nonsurgical approaches have been advocated in recent years for the management of CGCGs. These include intralesional corticosteroid injections, calcitonin injections and subcutaneous alpha-interferon injections. In this article, an 1-year-old boy with a CGCG is successfully treated with corticosteroid injections and this treatment is discussed within a review of the literature.
中央巨细胞肉芽肿(CGCG)是一种主要发生于儿童和年轻人颌骨的良性骨内病变。尽管它是良性的,但可能具有局部侵袭性,导致广泛的骨质破坏、牙齿移位和牙根吸收。常用的治疗方法是积极的刮除术、周边骨切除术或切除术,这些治疗可能会导致牙齿缺失,对于较年轻的患者,还可能导致牙胚缺失。近年来,人们提倡采用多种替代性非手术方法来治疗CGCG。这些方法包括病灶内注射皮质类固醇、注射降钙素和皮下注射α-干扰素。在本文中,一名患有CGCG的1岁男孩通过注射皮质类固醇成功治愈,本文将在文献综述中讨论这种治疗方法。