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目的探讨开窗减压术治疗下颌骨巨大牙源性角化囊性瘤的临床效果及应用价值。方法对2010年至2014年收治的l5例下颌骨巨大牙源性角化囊性瘤患者行经口内开窗减压术,术后定期复诊,锥形束CT检查,观察术后囊腔缩小情况。术后12~18个月行二期刮治手术,彻底根除肿瘤。结果 15例患者术后12~18个月囊腔均显著缩小,二期刮治术后均未见复发,患者均获得满意的外形和功能。结论开窗减压术能显著提高患者术后外形和功能,同时又能保证其治疗效果,应作为治疗巨大下颌骨牙源性角化囊性瘤的首选治疗方法。
Objective To investigate the clinical effect and application value of fenestration decompression in the treatment of huge odontogenic keratocystic tumors of the mandible. Methods From 2010 to 2014, 15 patients with maxillary odontogenic keratocystic tumors of the mandible underwent oral intra-fenestration and decompression. Postoperative follow-up and cone beam computed tomography were performed to observe the reduction of postoperative cystic cavity. Twelve to eighteen months after surgery, two stage curettage, complete eradication of the tumor. Results The cysts of all 15 patients were significantly reduced after operation for 12-18 months. No recurrence was found after the second stage of curettage. All patients achieved satisfactory appearance and function. Conclusion Opened window decompression can significantly improve the postoperative shape and function of patients, while ensuring its therapeutic effect, should be used as the treatment of huge mandibular odontogenic keratocyst tumors preferred treatment.