Shah Naseem, Logani Ajay, Kumar Vijay
Gen Dent. 2014 Jan-Feb;62(1):e1-5.
Various conservative approaches have been utilized to manage large periapical lesions. This article presents a relatively new, very conservative technique known as surgical fenestration which is both diagnostic and curative. The technique involves partially excising the cystic lining, gently curetting the cystic cavity, performing copious irrigation, and closing the surgical site. This technique allows for decompression and allows the clinician the freedom to take a biopsy of the lesion, as well as perform other procedures such as root resection and retrograde sealing, if required. As the procedure does not perform a complete excision of the cystic lining, it is both minimally invasive and cost-effective. The technique and the concepts involved are reviewed in 4 cases treated with this novel surgical approach.
已经采用了各种保守方法来处理大型根尖周病变。本文介绍了一种相对较新的、非常保守的技术，即手术开窗术，它兼具诊断和治疗作用。该技术包括部分切除囊肿内衬、轻柔刮除囊肿腔、进行大量冲洗以及关闭手术部位。这种技术能够实现减压，并且如果需要的话，还能让临床医生自由地对病变进行活检，以及进行其他操作，如牙根切除术和逆行封闭术。由于该手术并不完全切除囊肿内衬，所以它既微创又具有成本效益。本文通过4例采用这种新型手术方法治疗的病例对该技术及其相关概念进行了综述。
