Gáspár L, Szabó G
Semmelweis Orvostudományi Egyetem, Szájsebészeti és Fogászati Klinika, Budapest.
Orv Hetil. 1990 Nov 25;131(47):2589-94.
From analyzing the epulis patient population of 40 years it could be established that from the 1019 lesions 12.8% relapsed, in 40% of surgical interventions, beside the extraction of the tooth involved. For the removal of epulis an own method has been elaborated by the authors. As a first step the tumour is excised by carbon dioxide laser, thereafter excochleation and bone decortication are performed, which is followed, as a third step, by evaporation. In each case attempt is made at preserving the teeth, when necessary radicular treatment and fixation are done. Postoperatively minimal edema and pain occurred, the majority of the patients was able to work on the first postoperative day. Following laser removal of 63 epulis recurrence was seen in 5 cases (7.9%), without intraoperative tooth extraction. The combined method was successfully applied also in a hemophilic patient. Beside the conventional laser surgical handpiece an endoscope of own construction was also used on surfaces untreatable from direct sight.
通过对40年牙龈瘤患者群体的分析可知，在1019例病损中，有12.8%复发，在40%的外科手术干预中，除了拔除患牙外。作者们精心设计了一种自己的牙龈瘤切除方法。第一步，用二氧化碳激光切除肿瘤，然后进行挖除术和骨皮质剥脱术，第三步是进行汽化。在每种情况下，都尽量保留牙齿，必要时进行根管治疗和固定。术后出现的水肿和疼痛轻微，大多数患者在术后第一天就能工作。在63例牙龈瘤经激光切除后，有5例（7.9%）出现复发，术中未拔牙。该联合方法也成功应用于一名血友病患者。除了传统的激光手术机头外，还使用了自行制造的内窥镜来处理直视无法触及的表面。
