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患者,女,33岁,以“右颊部肿胀20日”入院。检查见:右颊部肿胀、压痛伴同侧鼻塞,无脓血性分泌物溢出,右上颌牙列完整,未见明显异常。CBCT:右上颌窦内增加一椭圆投射区,边界清楚,腔内含一牙冠(图1)。图1牙源性角化囊性瘤影像学表现全麻下沿牙龈缘切开、翻瓣,见上颌窦前外侧骨壁完整,骨质变薄。去除疑似破坏的骨壁后,将囊性病变连同埋伏牙一同刮除。术中见囊壁厚,包绕牙颈部(图2),囊内含大量灰黄色豆腐渣样液体。
Patient, female, 33 years old, with “right cheek swelling on the 20th” admitted. Check see: right cheek swelling, tenderness with ipsilateral nasal congestion, no overflow of secrete bloody discharge, right maxillary dentition complete, no obvious abnormalities. CBCT: The right maxillary sinus increased an elliptical projection area, the boundary is clear, the cavity contains a crown (Figure 1). Figure 1 odontogenic keratocystic tumor imaging showed gingival margin under general anesthesia incision, flap, see the anterolateral maxillary sinus wall, bone thinning. After removal of the suspected destruction of the bone wall, cystic lesions together with the ambush together with curettage. Surgery, see the wall thickness of the capsule, around the neck (Figure 2), the capsule contains a large number of gray-yellow tofu-like liquid.