Thyne G M, Hunter K M
Wellington Surgical Clinic.
N Z Dent J. 1994 Jun;90(400):56-9.
An aggressive surgical management of a mandibular odontogenic keratocyst in a young female patient is described. This management stratagem was followed in view of a histological finding of epithelial dysplasia and the possible, although unlikely, chance of squamous cell carcinoma developing in the cyst lining. Primary bone grafting and immediate fixture placement of implants were used to make good the mandibular resection site. This was thought to be the best option for management, minimising the number of surgical interventions and providing a framework for fixed bridgework in an area of the mouth that is difficult to reconstruct adequately. A successful outcome to the treatment has been observed, with graft survival, osseointegration of fixtures, the provision of functional and aesthetically pleasing implant-borne bridgework and, to date, the absence of clinical or radiographic evidence of recurrence of the cyst.
描述了一位年轻女性患者下颌牙源性角化囊肿的积极手术治疗方法。鉴于组织学检查发现上皮发育异常，以及囊肿内衬发生鳞状细胞癌的可能性（尽管可能性不大），采取了这种治疗策略。采用一期骨移植和即刻种植体植入来修复下颌骨切除部位。这被认为是最佳治疗方案，可减少手术干预次数，并为口腔中难以充分重建的区域提供固定桥修复的框架。观察到治疗取得了成功，移植骨存活，种植体实现骨整合，提供了功能良好且美观的种植体支持式桥修复，并且迄今为止，没有临床或影像学证据表明囊肿复发。
