دورية أكاديمية

骨板翻盖术联合可吸收板固定治疗下颌骨 大型囊肿的效果观察.

التفاصيل البيبلوغرافية
العنوان: 骨板翻盖术联合可吸收板固定治疗下颌骨 大型囊肿的效果观察. (Chinese)
Alternate Title: Effectiveness of bone plate reduction combined with resorbable plate fixation in the treatment of large mandibular cysts. (English)
المؤلفون: 胡一帆, 孙清妍, 王晨燚, 翟孝庭, 姜华, 刘华蔚
المصدر: West China Journal of Stomatology; Aug2024, Vol. 42 Issue 4, p470-475, 6p
Abstract (English): Objective This study aims to observe the clinical effect of bone plate reduction in combination with a resorbable plate on large mandibular cysts. Methods Between October 2017 and September 2022, patients with large mandibular cysts in the presence of labial and buccal cortical bone were involved in the study. Intraoral approach was performed for bone plate reduction. Cone beam computed tomography (CBCT) scan was reviewed at 3, 6, and 9 months postoperatively to observe postoperative complications. Osteogenic results were assessed at these times to determine the clinical outcomes of this procedure. Results Eleven cases with large mandibular cysts in the presence of cortical bone were evaluated. The average thickness of the cortical bone on the labial and buccal sides was measured to be about (1.98± 0.37) mm before surgery, with a mean value of (0.73±0.17) mm at the thinnest part of the plate and up to 0.51 mm at the thinnest part of the plate. The cystic cavities were well revealed during the surgeries, which were completed successfully. Postoperatively, the wounds healed in one stage without infection. The percentages of cyst shrinkage were 20.01%, 41.76%, and 73.41% at 3, 6, and 9 months after surgery, respectively. Quantitative measurement of bone mineral density in the jaws by CBCT with MIMICS software. The bone mineral densities of the adult bone were 313.78, 555.85, and 657.45 HU at the 3, 6, and 9 month time intervals, respectively. No significant change in the patient 's maxillofacial appearance were observed from the preoperative period as assessed by the patient's and observer's visual analog scale. Conclusion Bone plate reduction is an effective treatment for large mandibular cysts of the oral and maxillofacial region with the presence of cortical bone. [ABSTRACT FROM AUTHOR]
Abstract (Chinese): 目的 观察骨板翻盖术联合可吸收板治疗口腔颌面部大型下颌骨囊肿的临床效果。方法 选取2017 年 10 月--2022 年9 月在中国人民解放军总医院第一医学中心口腔颌面外科诊治的唇(颊) 侧皮质骨存在的大型下颌 骨囊肿患者为研究对象,口内入路行骨板翻盖术,术后3、6 和9 个月定期随访进行锥形束计算机断层扫描 (CBCT),观察术后患者恢复情况及影像学检查,评估该术式的临床效果。结果 对11 例唇(颊) 侧皮质骨存在 的下颌骨大型囊肿进行了评估。术前测量唇(颊) 侧皮质骨的平均厚度约为(1.98±0.37)mm,骨板最薄处厚度 平均为(0.73±0.17)mm,骨板最薄处约0.51 mm。术中囊腔均显露良好,手术顺利完成。术后创口一期愈合无感 染,术后3、6、9 个月的囊肿缩小率分别约为20.01%、41.76%、73.41%。用CBCT和MIMICS 软件测量颌骨的骨 质密度,术后3、6、9 个月囊肿区成骨密度约为313.78、555.85、657.45 HU。患者 和观察者视觉模拟量表评估患者颌面部外形较术前无明显变化。结论 骨板翻盖术 是治疗唇(颊) 侧皮质骨存在的口腔颌面部大型下颌骨囊肿的有效方法。. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10001182
DOI:10.7518/hxkq.2024.2023438