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上颌骨大型残余囊肿摘除术后无移植材料情况下的自发性骨愈合评估:病例报告

Evaluation of Spontaneous Bone Healing After Enucleation of Large Residual Cyst in Maxilla without Graft Material Utilization: Case Report.

作者信息

Perjuci Ferial, Ademi-Abdyli Resmije, Abdyli Yll, Morina Enesë, Gashi Ali, Agani Zana, Ahmedi Jehona

机构信息

Department of Oral Surgery, Medical Faculty, University of Prishtina, Dental Branch, 10000 Prishtina, Kosovo.

Postgraduate student, University of Prishtina, Dental Branch, 10000 Prishtina, Kosovo.

出版信息

Acta Stomatol Croat. 2018 Mar;52(1):53-60. doi: 10.15644/asc52/1/8.

DOI:10.15644/asc52/1/8
PMID:30034005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6050746/
Abstract

Cystic lesions of the jaws such as keratocysts (scientific community still continues to use the term 'odontogenic keratocyst' more favourably than 'keratocystic odontogenic tumour' although both terms remain acceptable synonyms), follicular cysts, radicular cysts, and residual cysts may reach large proportions, causing considerable bone destruction. Enucleation of cystic lesions in the jaw produces bone defects, which may recover spontaneously or with assisted healing with the use of autogenous bone graft or other bone substitute materials. This clinical study presents a spontaneous bone regeneration after residual cyst enucleation in the distal part of the maxilla. The progress of recovery is followed by clinical and radiographic examination and subjective data obtained from the patient. Bone regeneration and cystic cavity reduction was observed in the panoramic image after six months and after one year. The physiological process of coagulation provides the basic process for the spontaneous bone formation even if an osseous defect is considerably large, provided that the defect is surrounded by adequate bony walls.

摘要

颌骨的囊性病变,如角化囊肿(尽管“牙源性角化囊肿”和“角化囊性牙源性肿瘤”这两个术语仍是可接受的同义词,但科学界仍更倾向于使用“牙源性角化囊肿”这一术语)、滤泡囊肿、根尖囊肿和残余囊肿,可能会发展到很大规模,导致相当程度的骨质破坏。颌骨囊性病变的摘除会产生骨缺损,这些缺损可能会自发恢复,或通过使用自体骨移植或其他骨替代材料辅助愈合。本临床研究展示了上颌骨远端残余囊肿摘除术后的自发性骨再生情况。通过临床和影像学检查以及从患者处获得的主观数据来跟踪恢复进程。六个月和一年后在全景图像中观察到了骨再生和囊性腔隙缩小。即使骨缺损相当大,但只要缺损被足够的骨壁包围,凝血的生理过程就为自发性骨形成提供了基本过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/052485e4b988/ASC_52(1)_53-60-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/b4801684f1d4/ASC_52(1)_53-60-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/063ab5f0a78b/ASC_52(1)_53-60-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/f4613f606161/ASC_52(1)_53-60-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/190e2a6eee4e/ASC_52(1)_53-60-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/aaf3c42d4772/ASC_52(1)_53-60-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/052485e4b988/ASC_52(1)_53-60-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/b4801684f1d4/ASC_52(1)_53-60-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/063ab5f0a78b/ASC_52(1)_53-60-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/f4613f606161/ASC_52(1)_53-60-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/190e2a6eee4e/ASC_52(1)_53-60-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/aaf3c42d4772/ASC_52(1)_53-60-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/6050746/052485e4b988/ASC_52(1)_53-60-f6.jpg

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