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[上颌骨术后囊肿:14例报告]

[The post-operative maxillary cyst: report of 14 cases].

作者信息

Shik C K

出版信息

Taehan Chikkwa Uisa Hyophoe Chi. 1989 Nov;27(11):1049-57.

PMID:2489620
Abstract

The author observed 11 patients with buccal symptoms and history of surgical intervention for maxillary sinusitis who had come to KNUH during 3 years (1986. 6-1989. 5). As a result of careful analysis of clinical, radiological and histopathological findings, the author diagnosed them as postoperative maxillary cysts. The obtained results were as follows; 1. On the 11 patients, 6 were male and 5 were female and age distribution was from 35 to 53 years. Average age of patients was 45-year-old. 2. The most frequent chief complaint was buccal symptom type and 5 patients complained in the right side and 6 in the left. 3. The initial surgery was performed by means of the Caldwell-Luc's method for maxillary sinusitis in all cases and the duration between the initial radical operation and the onset of cyst was mainly from 10 to 35 years. The average was 24 years. 4. In radiological observations, bilateral lesions were noticed in the 3 patients. And 7 lesions were found in the right side and 7 in the left among the 14 lesions in 11 patients. Generally these lesions were shown monolocular cystic radiolucency with a well-defined, smooth margin and without marginal sclerosis. 5. Histopathologically, these cysts were basically composed of pseudostratified ciliated columnar epithelium and squamous metaplasia was occasionally founded.

摘要

作者观察了11例有颊部症状且有上颌窦炎手术史的患者,这些患者在3年期间(1986年6月至1989年5月)前来庆北大学医院就诊。通过对临床、放射学和组织病理学检查结果的仔细分析,作者将他们诊断为上颌窦术后囊肿。结果如下:1. 11例患者中,男性6例,女性5例,年龄分布在35岁至53岁之间。患者平均年龄为45岁。2. 最常见的主要症状是颊部症状类型,5例患者右侧有症状,6例左侧有症状。3. 所有病例最初均采用柯-陆氏法治疗上颌窦炎,初次根治性手术与囊肿出现之间的时间主要为10至35年。平均为24年。4. 在放射学观察中,3例患者发现双侧病变。11例患者的14个病变中,右侧发现7个,左侧发现7个。一般来说,这些病变表现为单房性囊性透光区,边界清晰、光滑,无边缘硬化。5. 组织病理学上,这些囊肿基本由假复层纤毛柱状上皮组成,偶尔可见鳞状化生。

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