Ruhin-Poncet B, Picard A, Martin-Duverneuil N, Albertini A-F, Goudot P
Service de stomatologie et chirurgie maxillofaciale, hôpital de la Pitié-Salpêtrière, université Pierre-et-Marie-Curie Paris 6, 47-83, boulevard de l'Hôpital, 75013 Paris cedex 13, France.
Rev Stomatol Chir Maxillofac. 2011 Apr;112(2):87-92. doi: 10.1016/j.stomax.2011.01.010. Epub 2011 Mar 2.
The aim of this study was to describe the management of keratocysts based on our own experience and on a large literature review. Keratocysts are benign odontogenic epithelial tumors. The main aspects of this lesion are described (definition, epidemiology, clinic, radiology, histology, treatment, and prognosis). In small intra-osseous tumors, surgical procedure must be as conservative as possible, most often enucleation. In large tumors with destruction of the cortical bone, or with destruction of coronoid process or notch, extensive resection can be indicated, with sometimes a transfacial approach for an accurate control, especially in soft tissues. Strict follow-up is mandatory because of the high risk of recurrence.
本研究的目的是基于我们自己的经验以及广泛的文献综述来描述角化囊肿的治疗。角化囊肿是良性牙源性上皮肿瘤。本文描述了该病变的主要方面(定义、流行病学、临床、放射学、组织学、治疗和预后)。对于小的骨内肿瘤,手术操作应尽可能保守,大多数情况下采用摘除术。对于伴有皮质骨破坏、冠突或切迹破坏的大肿瘤,可考虑进行广泛切除,有时需采用经面部入路以精确控制,尤其是在软组织方面。由于复发风险高,严格的随访是必需的。