下顎骨復發性角質化囊腫－病例報告

Recurrent Keratocyst of Mandible - A Case Report

張再財(Tsai-Tsai Chang) ； 邢憶春(Yih-Chuen Shyng) ； 高文斌(Wen-Bin Kao) ； 趙樵崗(Chiao-Kang Chao)

《中華民國口腔顎面外科學會雜誌》 11卷2期 (2000/09) Pp. 92-98

https://doi.org/10.7104/CJOMS.200009.0092

摘要

齒源性角質化囊腫（odontogenix keratocyst）是顎骨囊腫的一種，他的病因尚未被明確建立，然而據大部分學者指出，齒源性角質化囊腫起源於有明顯生長潛力的牙板（dental lamina），具有高復發率（recurence rate）。治療的方法依然有爭議，從摘除術（enucleation）、刮除術（curretage）、造袋術（marsupialization）、到根除（radical）的治療；像切除術（resection）及分離術（disarticulation）有些治療會造成骨頭的缺陷或需骨骼移植來填補組織缺失。這個報告的目的是要描述臨床角質化囊腫特性，及報告一個大範圍復發性的角質化囊腫（範圍從下顎左側第三大臼齒到右側小臼齒）。這些手術處理的優缺點將被討論，選擇適當的手術治療將視病灶的位置、大小、特性及患者年齡而決定。

關鍵字

角質化囊腫 ； 摘除術 ； 刮除術 ； 造袋術

並列摘要

The odontogenic keratocyst is a high recurrence cystic 1esion of the jaw with an uncertain etiology, while most investigators be1ieved that the keratocyst originates from remnants of the dental lamina. Treatment of the lesion is still controversial and ranges from conservative treatment like enucleation, curretage, marsupialization to radical management like resection with or without continuous defect and disarticulation. The aim of the paper was to briefly review the clinical characteristics of Keratocyst and to present a case of huge recurrent Keratocyst (range from left mandibular third molar to right mandibular premolar). The advantage and disadvantage of different surgica1 management were discussed. The choice of suitable surgical management should depend on the location, size, and nature of the cyst as well as the age of the patient.