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一种用于外科切除下颌阻生第三磨牙的新方法：萨塔维技术。

A Noval Method for Surgical Removal of the Impacted Mandibular Third Molar: Sartawi Technique.

作者信息

Sartawi Hassan

机构信息

Department of Dentistry, Al-Haramain Medical Complex, Riyadh, Ahad Rufaidah, Saudi Arabia.

出版信息

Case Rep Dent. 2020 Sep 25;2020:8876086. doi: 10.1155/2020/8876086. eCollection 2020.

DOI:10.1155/2020/8876086
PMID:33062345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7533025/
Abstract

BACKGROUND

The goal of this article is to present and evaluate the clinical effectiveness of a new surgical approach using a triangular flap with slight modification and a 3-0 black braided silk surgical suture as flap retractor which is later used after the surgical procedure as a normal suture, aiming to decrease procedure time, soft tissue retraction, and tools for removal of impacted mandibular third molar.

METHODS

Patients requiring removal of fully impacted or semi-impacted lower third molars are treated with a new approach using minimal steps and tools, a simple triangular flap, slight mucoperiosteum elevation, as the flap sides are secured and reflected with a silk suture by an assistant holding both sides of the suture from behind the patient.

RESULTS

The surgical area at the procedure was efficiently exposed, and the separation of the crown from the roots was easily done using a surgical handpiece, separation and removal of the crown, removal of the roots with a straight elevator, without the need of flap retractor or overexposure of the surgical side with a conventional triangular flap or others. After the treatment, the two sides of suture are tied together with double overhand knots, and the surgical site was fully repositioned and closed without any complications. 5- and 7-day follow-up was done on the patients, and no complications were reported.

CONCLUSIONS

This preliminary study presents a new surgical approach (Sartawi technique) which can be used during extraction of impacted and semi-impacted lower third molars, the results showed that the operation time was noticeably reduced, the size of exposed mucoperiosteum tissue was minimized compared to the conventional method, the use of the mucoperiosteum elevator was eliminated, and number of suture knots and suture used to close the surgical site reduced to a single stitch.

摘要

背景

本文的目的是介绍并评估一种新的手术方法的临床效果，该方法采用稍加改良的三角形皮瓣，并使用3-0黑色编织丝线手术缝线作为皮瓣牵开器，此缝线在手术后还可作为普通缝线使用，旨在减少手术时间、软组织牵拉以及拔除下颌阻生第三磨牙所需的工具。

方法

需要拔除完全阻生或部分阻生下颌第三磨牙的患者采用一种新方法进行治疗，该方法步骤和工具最少，采用简单的三角形皮瓣，轻微掀起黏骨膜，助手在患者身后握住缝线两端，用丝线将皮瓣边缘固定并翻开。

结果

手术过程中手术区域暴露充分，使用手术机头可轻松将牙冠与牙根分离，分离并拔除牙冠，用直挺子拔除牙根，无需使用皮瓣牵开器，也不会像传统三角形皮瓣或其他皮瓣那样过度暴露手术侧。治疗后，将缝线两端用双平结系在一起，手术部位完全复位并闭合，无任何并发症。对患者进行了5天和7天的随访，未报告任何并发症。

结论

这项初步研究提出了一种新的手术方法（萨塔维技术），可用于拔除阻生和部分阻生下颌第三磨牙，结果显示手术时间明显缩短，与传统方法相比，暴露的黏骨膜组织面积最小化，无需使用黏骨膜剥离器，用于闭合手术部位的缝线结和缝线数量减少至一针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6234/7533025/2a7636c12acc/CRID2020-8876086.011.jpg
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