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使用定制钛板预防含牙囊肿手术切除过程中的医源性下颌骨骨折：两例病例系列

Use of Patient-Specific Titanium Plates to Prevent Iatrogenic Mandibular Fracture During the Surgical Removal of Dentigerous Cysts: A Two-Case Series.

作者信息

Bazin Hugo, Felizardo Rufino, Lescaille Geraldine, Rochefort Juliette, Boussouni Soufiane

机构信息

UFR Odontology, Faculté de Santé, Université Paris Cité, Paris, FRA.

Oral Medicine Service, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris, Paris, FRA.

出版信息

Cureus. 2024 Jul 14;16(7):e64520. doi: 10.7759/cureus.64520. eCollection 2024 Jul.

DOI:10.7759/cureus.64520
PMID:39139352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321448/
Abstract

Dentigerous cysts, if left untreated, can grow significantly and weaken the mandible, posing risks of pathological or iatrogenic fracture. Treatment options may include decompression, marsupialization, and enucleation, which are available, with the choice being multifactorial and tailored to each case. This article describes the management of two complex dentigerous cysts at risk of fracture, one about an 84-year-old woman and the second about a 41-year-old man. The cysts and associated teeth were surgically removed, and simultaneously custom-made titanium osteosynthesis plates were placed to prevent per- and postoperative fracture risks. This approach appears to be indicated in cases where marsupialization or decompression is impossible and when there is a high risk of iatrogenic fracture.

摘要

含牙囊肿若不治疗，可能会显著生长并削弱下颌骨，引发病理性或医源性骨折风险。治疗方案可能包括减压、袋形缝合术和摘除术，这些方法都可行，选择是多因素的且需根据具体病例量身定制。本文描述了两例有骨折风险的复杂含牙囊肿的处理，一例是关于一名84岁女性，另一例是关于一名41岁男性。囊肿及相关牙齿被手术切除，同时放置定制的钛接骨板以预防围手术期和术后骨折风险。这种方法似乎适用于无法进行袋形缝合术或减压术以及医源性骨折风险高的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/ddff0b80e2f8/cureus-0016-00000064520-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/eb691631c1cf/cureus-0016-00000064520-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/c3d6907116e8/cureus-0016-00000064520-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/540ab3b8506e/cureus-0016-00000064520-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/ddff0b80e2f8/cureus-0016-00000064520-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/eb691631c1cf/cureus-0016-00000064520-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/c3d6907116e8/cureus-0016-00000064520-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/540ab3b8506e/cureus-0016-00000064520-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad40/11321448/ddff0b80e2f8/cureus-0016-00000064520-i04.jpg

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Comparative study between patient specific titanium plates versus conventional miniplates for treatment of mandibular fractures: Randomized clinical trial.患者特异性钛板与传统微型板治疗下颌骨骨折的对比研究：随机临床试验。
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Int J Environ Res Public Health. 2021 Jun 3;18(11):6016. doi: 10.3390/ijerph18116016.
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Odontogenic Cysts.牙源性囊肿
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[The dentigerous cyst: two different treatment options illustrated by two cases].[含牙囊肿：两例展示的两种不同治疗方案]
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Does an Association Exist Between the Presence of Lower Third Molar and Mandibular Angle Fractures?: A Meta-Analysis.下颌第三磨牙的存在与下颌角骨折之间存在关联吗？一项荟萃分析。
J Oral Maxillofac Surg. 2018 Jan;76(1):34-45. doi: 10.1016/j.joms.2017.06.008. Epub 2017 Jun 13.
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Influence of third molars in mandibular fractures. Part 1: mandibular angle-a meta-analysis.下颌第三磨牙在下颌骨骨折中的影响。第1部分：下颌角——一项荟萃分析。
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Mandibular Fracture Associated with a Dentigerous Cyst: Report of a Case and Literature Review.下颌骨骨折合并含牙囊肿：一例报告及文献复习
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Theoretical efficacy of preventive measures for pathologic fracture after surgical removal of mandibular lesions based on a three-dimensional finite element analysis.基于三维有限元分析的下颌骨病变手术切除后病理性骨折预防措施的理论疗效
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