Delaire J, Billet J
Rev Stomatol Chir Maxillofac. 1980;81(1):18-28.
Excision of keratocysts of basal cell nevomatosis using the principle of conservative surgical treatment of maxillary cysts is usually followed by good secondary bone reconstruction without recurrence. Certain precautions are however necessary, the most important being the resection of the parts of the gums adherent to the cyst wall (where perhaps the cyst developed and where recurrences are most likely to occur). Any tooth germ which may be attached to the cyst must also be removed. Postoperative follow-up must include supervision of the bone reconstruction and tooth germ which have not yet developed (even in the absence of an image of a cyst) until the end of adolescence. In adult age, however, there is very little risk of new keratocysts cysts developing.
采用上颌囊肿保守性手术治疗原则切除基底细胞痣综合征的角化囊肿,术后通常能实现良好的二期骨重建且无复发。然而,某些预防措施是必要的,其中最重要的是切除附着于囊肿壁的牙龈部分(囊肿可能在此处发生,也是复发最可能出现的部位)。任何可能附着于囊肿的牙胚也必须切除。术后随访必须包括对骨重建情况以及尚未发育的牙胚的监测(即使没有囊肿影像),直至青春期结束。然而,在成年期,新的角化囊肿形成的风险非常低。