Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression

Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression
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DOI:
10.1016/j.bjoms.2004.06.020
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发表时间:
2004-12-01
影响因子:
1.8
通讯作者:
Ewers, R
Ewers, R
中科院分区:
医学4区
文献类型:
--
作者:
Enislidis, G;Fock, N;Ewers, R

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我们的目的是前瞻性地评估减压术作为大型下颌骨囊肿的主要治疗方法的效果,而不考虑其组织学类型。20例下颌骨大囊肿患者顺利完成治疗。在平均446天的减压时间后,囊肿平均缩小了81%。术后平均随访527天。这种方法的优点是操作简单,可立即收集有关囊性病变类型的信息,并同时开始治疗,发病率低,治疗过程中并发症发生率低。尽管治疗时间较长,我们仍建议使用减压支架来治疗巨大的下颌骨囊肿。(C)2004年,由爱思唯尔有限公司代表英国口腔颌面外科医生协会出版。
Our aim was to evaluate prospectively the effects of decompression as the primary treatment of large mandibular cysts, irrespective of their histological type. Twenty patients with large mandibular cysts completed treatment successfully. After a mean duration of decompression of 446 days, cysts had shrunk by a mean of 81%. Mean follow-up was 527 days after removal of the decompression stent and removal of the cyst. There were no recurrences.The advantages of this approach are simplicity, immediate gathering of information on the type of cyst with simultaneous start of treatment, low morbidity and low incidence of complications during treatment. Despite the length of the treatment, we recommend the use of decompression stents in the treatment of large mandibular cysts. (C) 2004 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.