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下颌骨动脉瘤样骨囊肿的保守手术治疗:一例报告。

Aneurysmal bone cyst of the mandible with conservative surgical management: A case report.

作者信息

Álvarez-Martínez Efraín-Del Cristo, Posso-Zapata Mónica-Vanessa, Flórez-Arango Vanessa-Andrea, Lopera-Valle Johan-Sebastián, Ardila Carlos-Martín

机构信息

Oral and maxillofacial surgeon. University of Antioquia. Medellín, Colombia.

Postgraduate student of Oral and Maxillofacial Surgery. University of Antioquia. Medellín, Colombia.

出版信息

J Clin Exp Dent. 2019 Jun 1;11(6):e561-e564. doi: 10.4317/jced.55771. eCollection 2019 Jun.

Abstract

The aneurysmal bone cyst is a nonneoplastic, osteolytic and locally destructive lesion that mainly affects the metaphyseal area of long bones and only 2% of it is diagnosed in the maxillofacial skeleton. Although surgical treatment is the most common option, it is associated to high morbidity rates. The case of an aneurysmal bone cyst of a considerable size in a 27-year-old male patient illustrating a conservative surgical approach with preservation of the dental structures in the mandible to limit aesthetic and functional side effects is presented. Two-year clinical follow-up was performed with no evidence of recurrence. Aneurysmal bone cyst; curettage, conservative treatment, mandibular osteotomy.

摘要

动脉瘤样骨囊肿是一种非肿瘤性、溶骨性且具有局部破坏性的病变,主要累及长骨的干骺端区域,仅2%的病例发生于颌面骨骼。虽然手术治疗是最常见的选择,但其相关的发病率较高。本文报告了一名27岁男性患者患有相当大尺寸的动脉瘤样骨囊肿的病例,展示了一种保守的手术方法,即保留下颌骨的牙齿结构,以限制美学和功能方面的副作用。进行了两年的临床随访,没有复发的迹象。动脉瘤样骨囊肿;刮除术、保守治疗、下颌骨截骨术

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5774/6645265/4a8bb383fd30/jced-11-e561-g001.jpg

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