颌骨囊性病变开窗减压术疗效评价方法的研究进展
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摘要
开窗减压术通过在囊性病变表面开窗,释放囊内压力,以达到促进病变恢复的目的,目前已被广泛应用于一期治疗各类大型颌骨囊性病变。这种方法能有效促进病变缩小及骨质沉积,保护邻近组织,并能潜在地降低牙源性角化囊性瘤和单囊型成釉细胞瘤的复发风险,其安全性及有效性已受公认。如何评价开窗减压的效果备受关注,目前已有众多研究采用了各种方法评估开窗减压效果和探索最佳的二期刮治时机,但仍未有共识。笔者就近年来开窗减压疗效评价方法的研究进展进行综述。
Decompression has been applied in the primary treatment of large jaw cystic lesions, as the intracystic pressure is released after opening windows in the surface of lesions. Such process has been extensively applied to ensure safety and effectiveness, as it can promote shrinkage, protect adjacent tissues, and possibly reduce the risk of recurrence in the treatment of keratocystic odontogenic tumor and unicystic ameloblastoma. Studies that aimed to assess the effectiveness of decompression on large jaw cystic lesions and to determine the time of secondary curettage surgery have been conducted recently. However, no consensus has been made. The paper presents recent studies on evaluation methods on the effectiveness of decompression on large jaw cystic lesions. The literature on the time of secondary curettage surgery is also reviewed.
Decompression has been applied in the primary treatment of large jaw cystic lesions, as the intracystic pressure is released after opening windows in the surface of lesions. Such process has been extensively applied to ensure safety and effectiveness, as it can promote shrinkage, protect adjacent tissues, and possibly reduce the risk of recurrence in the treatment of keratocystic odontogenic tumor and unicystic ameloblastoma. Studies that aimed to assess the effectiveness of decompression on large jaw cystic lesions and to determine the time of secondary curettage surgery have been conducted recently. However, no consensus has been made. The paper presents recent studies on evaluation methods on the effectiveness of decompression on large jaw cystic lesions. The literature on the time of secondary curettage surgery is also reviewed.
引文
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[10]Park HS,Song IS,Seo BM,et al.The effectiveness of decompression for patients with dentigerous cysts,keratocystic odontogenic tumors,and unicystic ameloblastoma[J].J Korean Assoc Oral Maxillofac Surg,2014,40(6):260-265.
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[12]Lizio G,Sterrantino AF,Ragazzini S,et al.Volume reduction of cystic lesions after surgical decompression:a computerised three-dimensional computed tomographic evaluation[J].Clin Oral Investig,2013,17(7):1701-1708.
[13]Shudou H,Sasaki M,Yamashiro T,et al.Marsupialisation for keratocystic odontogenic tumours in the mandible:longitudinal image analysis of tumour size using 3D visualised CT scans[J].Int J Oral Maxillofac Surg,2012,41(3):290-296.
[14]Bodner L,Bar-Ziv J.Characteristics of bone formation following marsupialization of jaw cysts[J].Dentomaxillofac Radiol,1998,27(3):166-171.
[15]Liang YJ,He WJ,Zheng PB,et al.Inferior alveolar nerve function recovers after decompression of large mandibular cystic lesions[J].Oral Dis,2015,21(5):674-678.
[16]Telles DC,Castro WH,Gomez RS,et al.Morphometric evaluation of keratocystic odontogenic tumor before and after marsupialization[J].Braz Oral Res,2013,27(6):496-502.
[17]Schlieve T,Miloro M,Kolokythas A.Does decompression of odontogenic cysts and cystlike lesions change the histologic diagnosis[J].J Oral Maxillofac Surg,2014,72(6):1094-1105.
[18]Ninomiya T,Kubota Y,Koji T,et al.Marsupialization inhibits interleukin-1alpha expression and epithelial cell proliferation in odontogenic keratocysts[J].J Oral Pathol Med,2002,31(9):526-533.
[19]Pogrel MA,Jordan RC.Marsupialization as a definitive treatment for the odontogenic keratocyst[J].J Oral Maxillofac Surg,2004,62(6):651-655.
[2]Wakolbinger R,Beck-Mannagetta J.Long-term results after treatment of extensive odontogenic cysts of the jaws:a review[J].Clin Oral Investig,2016,20(1):15-22.
[3]Wushou A,Zhao YJ,Shao ZM.Marsupialization is the optimal treatment approach for keratocystic odontogenic tumour[J].J Craniomaxillofac Surg,2014,42(7):1540-1544.
[4]Gao L,Wang XL,Li SM,et al.Decompression as a treatment for odontogenic cystic lesions of the jaw[J].J Oral Maxillofac Surg,2014,72(2):327-333.
[5]Allon DM,Allon I,Anavi Y,et al.Decompression as a treatment of odontogenic cystic lesions in children[J].J Oral Maxillofac Surg,2015,73(4):649-654.
[6]Jeong HG,Hwang JJ,Lee SH,et al.Effect of decompression for patients with various jaw cysts based on a three-dimensional computed tomography analysis[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2017,123(4):445-452.
[7]Swantek JJ,Reyes MI,Grannum RI,et al.A technique for long term decompression of large mandibular cysts[J].J Oral Maxillofac Surg,2012,70(4):856-859.
[8]杜佼,格根塔娜,金武龙.开窗、负压吸引、刮治术治疗牙源性颌骨囊性病变的对比研究[J].中国口腔颌面外科杂志,2013,11(1):66-70.Du J,Ge GTN,Jin WL.Comparison of fenestration,suction drainage and curettage for odontogenic cystic lesions of the jaw bones[J].Chin J Oral Maxillofac Surg,2013,11(1):66-70.
[9]Qian WT,Ma ZG,Xie QY,et al.Marsupialization facilitates eruption of dentigerous cyst-associated mandibular premolars in preadolescent patients[J].J Oral Maxillofac Surg,2013,71(11):1825-1832.
[10]Park HS,Song IS,Seo BM,et al.The effectiveness of decompression for patients with dentigerous cysts,keratocystic odontogenic tumors,and unicystic ameloblastoma[J].J Korean Assoc Oral Maxillofac Surg,2014,40(6):260-265.
[11]康宁,宫苹.颌骨骨密度的研究进展[J].国际口腔医学杂志,2009,36(3):370-373.Kang N,Gong P.Research advance of the jaw bone density[J].Int J Stomatol,2009,36(3):370-373.
[12]Lizio G,Sterrantino AF,Ragazzini S,et al.Volume reduction of cystic lesions after surgical decompression:a computerised three-dimensional computed tomographic evaluation[J].Clin Oral Investig,2013,17(7):1701-1708.
[13]Shudou H,Sasaki M,Yamashiro T,et al.Marsupialisation for keratocystic odontogenic tumours in the mandible:longitudinal image analysis of tumour size using 3D visualised CT scans[J].Int J Oral Maxillofac Surg,2012,41(3):290-296.
[14]Bodner L,Bar-Ziv J.Characteristics of bone formation following marsupialization of jaw cysts[J].Dentomaxillofac Radiol,1998,27(3):166-171.
[15]Liang YJ,He WJ,Zheng PB,et al.Inferior alveolar nerve function recovers after decompression of large mandibular cystic lesions[J].Oral Dis,2015,21(5):674-678.
[16]Telles DC,Castro WH,Gomez RS,et al.Morphometric evaluation of keratocystic odontogenic tumor before and after marsupialization[J].Braz Oral Res,2013,27(6):496-502.
[17]Schlieve T,Miloro M,Kolokythas A.Does decompression of odontogenic cysts and cystlike lesions change the histologic diagnosis[J].J Oral Maxillofac Surg,2014,72(6):1094-1105.
[18]Ninomiya T,Kubota Y,Koji T,et al.Marsupialization inhibits interleukin-1alpha expression and epithelial cell proliferation in odontogenic keratocysts[J].J Oral Pathol Med,2002,31(9):526-533.
[19]Pogrel MA,Jordan RC.Marsupialization as a definitive treatment for the odontogenic keratocyst[J].J Oral Maxillofac Surg,2004,62(6):651-655.