Vlock Maria, Singh Annu, Farmer Anthony J, Kronstadt Kenneth, Randazzo Joseph D, Halpern Jerry, Tunick Steven, Huryn Joseph M
Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Head Neck. 2025 Apr;47(4):1269-1276. doi: 10.1002/hed.28040. Epub 2024 Dec 20.
To spare important anatomical structures from damage during treatment of cystic odontogenic lesions, decompression has become a conservative alternative to enucleation. Marsupialization, in combination with the use of a custom-made decompression prosthesis, is an effective method of inducing reduction and bony infill of cystic lesions of the jaw.
In this case series and review of the literature, we describe three patients with odontogenic cysts of the mandible who were treated with custom-made decompression obturator prostheses (DOP) at the Memorial Sloan Kettering Cancer Center Dental Service.
At the conclusion of treatment, all patients demonstrated complete resolution of their respective bony defects.
DOP provide effective means of keeping the cyst opening patent following marsupialization, which allows for adequate, if not complete, resolution of defects, often without need for subsequent enucleation.
为了在治疗囊性牙源性病变时避免重要解剖结构受损，减压已成为摘除术的一种保守替代方法。袋形缝合术结合使用定制的减压修复体，是诱导下颌骨囊性病变缩小和骨填充的有效方法。
在这个病例系列和文献综述中，我们描述了三名在下颌骨患有牙源性囊肿的患者，他们在纪念斯隆凯特琳癌症中心牙科服务部接受了定制的减压阻塞器修复体（DOP）治疗。
治疗结束时，所有患者各自的骨缺损均完全愈合。
DOP为袋形缝合术后保持囊肿开口通畅提供了有效手段，这使得缺损即使不能完全愈合也能得到充分愈合，通常无需后续摘除术。
