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复杂牙源性病变管理中的保守方法：病例报告与文献综述

Conservative Approach in Managing Complex Odontogenic Lesions: A Case Report and Literature Review.

作者信息

Vijayashree R J, Megarasu Deepanjali, Ramasamy Jeyaseelan, Aramanai Shubhra C

机构信息

Oral and Maxillofacial Pathology, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research, Chennai, IND.

Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research, Chennai, IND.

出版信息

Cureus. 2024 Aug 3;16(8):e66056. doi: 10.7759/cureus.66056. eCollection 2024 Aug.

DOI:10.7759/cureus.66056
PMID:39229436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11368585/
Abstract

Radicular cysts are among the most common odontogenic cystic lesions in the maxillofacial region. This case report details the management of a large radicular cyst in the anterior maxillary region of a 32-year-old female patient and includes a literature review on such cysts. The patient underwent cyst decompression, surgical enucleation, tooth extractions, root canal treatments, periapical curettage, and prosthetic rehabilitation. This study underscores the effectiveness of conservative approaches, such as decompression, in reducing cyst size and highlights the importance of individualized treatment plans for achieving optimal outcomes and preventing recurrence. Collaborative efforts between clinicians and multidisciplinary teams are crucial for managing radicular cysts and ensuring long-term oral health for patients.

摘要

根端囊肿是颌面部最常见的牙源性囊性病变之一。本病例报告详细介绍了一名32岁女性患者上颌前部区域大型根端囊肿的治疗情况，并包括对此类囊肿的文献综述。该患者接受了囊肿减压、手术摘除、拔牙、根管治疗、根尖刮治和修复性康复治疗。本研究强调了减压等保守方法在减小囊肿大小方面的有效性，并突出了个体化治疗方案对于实现最佳治疗效果和预防复发的重要性。临床医生与多学科团队之间的协作努力对于管理根端囊肿和确保患者长期口腔健康至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/847476041f41/cureus-0016-00000066056-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/75412c0a4b23/cureus-0016-00000066056-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/6fdab578219e/cureus-0016-00000066056-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/6a8c19844cd2/cureus-0016-00000066056-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/2e8011f524d8/cureus-0016-00000066056-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/0e3df903c5fe/cureus-0016-00000066056-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/847476041f41/cureus-0016-00000066056-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/75412c0a4b23/cureus-0016-00000066056-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/6fdab578219e/cureus-0016-00000066056-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/6a8c19844cd2/cureus-0016-00000066056-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/2e8011f524d8/cureus-0016-00000066056-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/0e3df903c5fe/cureus-0016-00000066056-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3a/11368585/847476041f41/cureus-0016-00000066056-i06.jpg

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本文引用的文献

1
Management of radicular cyst associated with primary teeth using decompression: a retrospective study.采用减压术治疗与乳恒牙有关的根侧囊肿的管理：一项回顾性研究。
BMC Oral Health. 2022 Dec 1;22(1):560. doi: 10.1186/s12903-022-02572-w.
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Epidemiology, treatment, and recurrence of odontogenic and non-odontogenic cysts in South Sulawesi, Indonesia: A 6-year retrospective study.印度尼西亚南苏拉威西牙源性和非牙源性囊肿的流行病学、治疗及复发情况：一项6年回顾性研究
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Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis.
基于三维容积分析的减压对颌骨囊性病变的影响。
Medicina (Kaunas). 2020 Nov 10;56(11):602. doi: 10.3390/medicina56110602.
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Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Odontogenic and Maxillofacial Bone Tumors.世界卫生组织头颈部肿瘤分类第4版更新：牙源性和颌面骨肿瘤
Head Neck Pathol. 2017 Mar;11(1):68-77. doi: 10.1007/s12105-017-0794-1. Epub 2017 Feb 28.
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Long-term results after treatment of extensive odontogenic cysts of the jaws: a review.颌骨广泛性牙源性囊肿治疗后的长期结果：综述
Clin Oral Investig. 2016 Jan;20(1):15-22. doi: 10.1007/s00784-015-1552-y. Epub 2015 Aug 8.
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Decompression as a treatment of odontogenic cystic lesions in children.减压术作为儿童牙源性囊性病变的一种治疗方法。
J Oral Maxillofac Surg. 2015 Apr;73(4):649-54. doi: 10.1016/j.joms.2014.10.024. Epub 2014 Oct 31.
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Conservative approach in the management of radicular cyst in a child: case report.儿童根尖囊肿治疗中的保守方法：病例报告
Case Rep Dent. 2013;2013:123148. doi: 10.1155/2013/123148. Epub 2013 Feb 17.
8
Effects of the patient's age and the size of the primary lesion on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts.角化囊性牙源性肿瘤、含牙囊肿和根端囊肿袋形术后患者年龄及原发病变大小对囊肿缩小速度的影响。
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