Use of Modified Bone-splitting Technique in Removal of Mandibular Cyst - A Case Report

以改良式骨劈術應用於移除顎骨囊腫－病例報告

江天恩(Tien-En Chiang) ； 黃正一(Zheng-Yi Huang) ； 林志恭(Chi-Kung Lin) ； 謝義興(Yi-Shing Shieh) ； 王宜斌(Yi-Bing Wang) ； 陳元武(Yuan-Wu Chen)

《中華民國家庭牙醫學雜誌》 10卷2期 (2015/09) Pp. 17-22

https://doi.org/10.6566/JFD/2015.10(2).17

摘要

傳統移除顎骨囊腫的術式為在顎骨上去除皮質骨後，施予剜除術，造袋術後刮除。改良式骨劈術移除顎骨囊腫可提供更安全，更方便，更少併發症如傷口裂開。本病例以改良式骨劈術移除下顎骨後區一個靠近下齒槽神經的根尖囊腫，術後重新將皮質骨蓋覆位，以利缺損處骨再生。此皮質骨蓋覆位可以預防術後傷口裂開，患者三年追蹤期間無發現任何併發症。

關鍵字

顎骨囊腫 ； 改良式骨劈術

並列摘要

Mandibular cysts were removed by conventional methods of decortication, enucleation, curettage, or marsupialization. The Modified Bone-splitting technique is recommended as a reliable technique for removal of mandibular cysts regarding exposure, feasibility, and safety. This paper presents a cystic lesion involving the mandibular nerve and this modified technique, which was performed as an approach for exposure and excision of a mandibular cyst. Bone cortices were repositioned after radicular cyst enucleation in order to prevent wound dehiscence. Postoperative panorex revealed good healing, with rapid mineralization of the defect and good stability. Recurrence was not recorded and no complication, such as numbness, occurred during the three-year follow-up period.

並列關鍵字

mandibular cysts ； modified bone-splitting technique