Zhao Yi-fang, Liu Bing, Jiang Zi-qiang
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, Hubei Province, China.
Shanghai Kou Qiang Yi Xue. 2005 Aug;14(4):325-9.
Marsupialization or decompression of the cystic lesions of the jaws is the technique that relieves the pressure within the cyst and causes some decrease in size of the lesion, so that subsequent enucleation or curettage could be performed more simply and with less risk to adjacent vital structures. A permanent tooth in the dentigerous cyst in preadolescents often erupts successfully after marsupialization and resolution of the cyst. Large odontogenic keratocyst or unicystic ameloblastoma is marsupialized initially and then enucleated at a later stage, reducing the possibility of pathological fracture of the mandible or the need for jaw resection. However, it should be kept in mind that a few of odontogenic keratocysts or unicystic ameloblastomas still may recur after this two-stage procedure and multi-cystic amelobalstoma has a high recurrence rate and a potential to infiltrate into the surrounding tissues.
颌骨囊性病变的袋形术或减压术是一种能减轻囊肿内压力并使病变大小有所减小的技术，这样后续的摘除术或刮除术就能更简单地进行，且对相邻重要结构造成的风险更小。青春期前含牙囊肿中的恒牙在袋形术及囊肿消退后常能成功萌出。大型牙源性角化囊肿或单囊性成釉细胞瘤最初先进行袋形术，随后在后期进行摘除，从而降低下颌骨病理性骨折的可能性或减少颌骨切除的必要性。然而，应当记住，一些牙源性角化囊肿或单囊性成釉细胞瘤在这种两阶段手术后仍可能复发，而多囊性成釉细胞瘤的复发率很高且有浸润周围组织的可能性。
