New Technique for Prevention of the Wound Dehiscence after Jaw Bone Surgery-A Case Report

顎骨手術後預防傷口裂開新方法－病例報告

陳可望(Ke-Wang Chen) ； 張維晉(Wei-Chin Chang) ； 吳契璁(Chi-Tsung Wu) ； 許博智(Po-Chih Hsu) ； 高鴻偉(Hong-Wei Gao) ； 陳元武(Yuan-Wu Chen)

《臺灣口腔顎面外科學會雜誌》 26卷1期 (2015/03) Pp. 84-92

摘要

囊腫為口腔顎面外科常見疾病，可由傳統X光檢查輔以電腦斷層發現侵犯範圍。治療方式常在相對顎骨區作骨開窗術，再移除病灶。術後傷口裂開為常見之併發症。本文借由鈣化性齒源性囊腫，病例報告－改良術式：術式是用骨鋸或超音波骨刀在囊腫對應處製作骨窗，該骨蓋完整保留於囊腫摘除後，予以放回，並用可吸收線固定，提供軟組織品術後支撐以避免術後傷口裂開。這個類似引導骨再生術的術式可以預防傷口裂開，追蹤這個病人四年無發現任何併發症。本篇報告回顧文獻，分別在術式器械的選擇、手術區域骨頭的保留及軟組織照護作描述討論。

關鍵字

鈣化齒源性囊腫 ； 傷口裂開 ； 骨蓋。

並列摘要

Jaw bone cyst is a common disease at OMS department The treatment is usually enucleated the lesion by dental curette via opening a large window on jaw bone, One of the most common complications following these surgical procedures is wound dehiscence, Here present a calcifying odontogenic cyst treated with modified technique which could offer good wound healing, The technique is to preserve the bone lateral to the lesion during making bone window, after tumor removed from bone, put the bony cap back to jaw and fixation with restorable suture, This cap offers support for flap and wound would not collapse or dehiscence, This cap also prevents soft tissue ingrowth into bone cavity, guided new bone formation, The GBR-like surgery is to prevent the wound dehiscence, Instrument choice, bone preservation and soft tissue care also reviewed and discussed.

並列關鍵字

Calcifying odontogenic cyst ； Wound dehiscence ； Bony cap