Decompression as a Treatment of Odontogenic Cystic Lesions in Children
Decompression as a Treatment of Odontogenic Cystic Lesions in Children
复制标题
DOI：
10.1016/j.joms.2014.10.024
复制
发表时间：
2015-04-01
影响因子：
1.9
通讯作者：
Chaushu, Gavriel
中科院分区：
文献类型：
--
作者：
Allon, Dror M.;Allon, Irit;Chaushu, Gavriel
目的：目的：探讨儿童颌骨牙源性囊性病变的减压治疗效果。材料与方法：收集1994 ~ 2009年1家口腔颌面外科治疗中心收治的儿童颌骨牙源性囊性病变的病例。临床资料包括年龄、性别、颌骨、组织病理学诊断和减压时间。影像学资料包括牙齿受累情况、位置、邻近重要解剖结构受累情况和囊肿面积。结果：26名儿童（14名男孩[53.8%]和12名女孩[46.2%]）共32例牙源性囊性病变接受了减压术治疗。就诊时的平均年龄为11.6 ± 3.3岁（范围：7 - 18岁）。下颌骨受累13例（40.6%），上颌骨受累19例（59.4%）。所有囊肿均为单房性。27个囊肿（84.4%）显示牙齿受累。诊断包括含牙囊肿（20例[62.5%]）、角化囊肿（9例[28.1%]）和根尖囊肿（3例[9.4%]）。平均减压时间为7.45 ± 2.6个月（2至14个月）。平均标准病变面积指数从加压前的12.7 ± 0.9 mm（2）（3.6 - 44 mm（2））变为减压后的2.3 ± 4.3 mm（2）（0 - 22.3 mm（2））。平均降低百分比（POR）为82 +/- 16%（49 - 100%）。22处病变（69%）的POR评级为良好，9处病变（28%）为中度，1处病变（3%）为差。结论：减压术对发育中的儿童颅颌面骨具有良好的骨再生能力。儿童可能受益于侵入性较小的手术方案。(C)2015年美国口腔颌面外科医师协会
Purpose: To evaluate the efficiency of decompression in treating odontogenic cystic lesions of the jaws in children.Materials and Methods: All consecutive odontogenic cysts occurring in children and treated by decompression from 1994 to 2009 at 1 maxillofacial center were included in the present study. Clinical data included age, gender, jaw, histopathologic diagnosis, and decompression time. Radiologic data from panoramic radiographs before and after decompression included tooth involvement, locularity, location, involvement of adjacent vital anatomic structures, and cyst area.Results: Thirty-two odontogenic cystic lesions from 26 children (14 boys [53.8%] and 12 girls [46.2%]) treated with decompression were included. The average age at the time of presentation was 11.6 +/- 3.3 years (range, 7 to 18 yr). The mandible was involved in 13 cases (40.6%) and the maxilla in 19 (59.4%). All cysts were unilocular at presentation. Twenty-seven cysts (84.4%) showed tooth involvement. The diagnoses consisted of dentigerous cysts (20 [62.5%]), keratocysts (9 [28.1%]), and radicular cysts (3 [9.4%]). The mean decompression period was 7.45 +/- 2.6 months (2 to 14 months). The mean standard lesion area index changed from 12.7 +/- 0.9 mm(2) (3.6 to 44 mm(2)) before compression to 2.3 +/- 4.3 mm(2) (0 to 22.3 mm(2)) after decompression. The mean percentage of reduction (POR) was 82 +/- 16% (49 to 100%). The POR was ranked as good in 22 lesions (69%), moderate in 9 lesions (28%), and poor in 1 lesion (3%). Surgery was performed for 15 lesions (47%).Conclusion: Decompression results in good regeneration potential of the bone in the developing craniofacial skeleton of children. Children might benefit from a less invasive surgical protocol. (C) 2015 American Association of Oral and Maxillofacial Surgeons