查詢結果分析
相關文獻
- 以顎下途徑切除左下顎骨角之根尖囊腫--病例報告
- 齒中齒引起下顎兩側巨大根尖囊腫--病例報告
- 乳臼齒引起之加勒氏骨髓炎
- Radicular Cyst in a Primary Tooth: A Case Report
- 使用減壓術和根尖手術治療大型根尖病灶--病例報告
- 大型類囊腫狀根尖周圍病變的非手術性根管治療--病例報告
- 左上顎齒中齒伴隨根尖囊腫--病例報告
- Radicular Cyst in Children and Two Case Reports
- 炎性發育性囊腫(Inflammatory Dentigerous Cyst)--乳牙感染可能的後遺症
- 以壓克力腭板輔助治療上顎正中門齒根尖囊腫合併硬腭黏膜巨大瘻管--病例報告
頁籤選單縮合
題名 | 以顎下途徑切除左下顎骨角之根尖囊腫--病例報告=Submandibular Approach for a Radicular Cyst at L't Mandibular Angle Area |
---|---|
作者 | 高主強; 陳遠謙; 柯政全; 陳昭明; 張加明; 張佩穎; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷期 | 17:2 民95.09 |
頁次 | 頁139-149 |
分類號 | 416.954 |
關鍵詞 | 根尖囊腫; 顎下途徑; 下顎骨角前切跡; Radicular cyst; Submandibular approach; Pre-angular notch; |
語文 | 中文(Chinese) |
中文摘要 | 針對顎下區域發生不明腫塊的患者,大部分的臨床醫師會先朝唾液腺腫瘤或是由感染所引起的淋巴病變等方向進行鑑別診斷。而本篇報告所提之病例,是一個23歲男性,於民國91年12月30日至本院口腔顎面外科求診,主素左側臉頰及顎下區域有一微痛、圓形、外皮完整,約3.5×3.0公分的腫塊,存在已經有好幾個月的時間。經由仔細回溯患者的病史,發現患者在腫塊發生的半年前,曾接受左下顎第三大臼齒的蛀洞填補,配合臨床理學檢查及X光片、電腦斷層掃描的發現之後,認為此一腫塊的臨床診斷除了可能為唾液腺腫瘤及淋巴病變之外,亦不能排除它是一個齒源性腫瘤或囊腫的可能性。隨後,患者在全身麻醉下,經顎下途徑切除的過程中,發現該病灶與左側下顎智齒牙根部位緊密連結,根據上述臨床檢查、術中發現及術後病理組織報告,證實為根尖囊腫。 |
英文摘要 | Clinicians dealing with an unknown firm submandibular mass have been taught never to forget situations such as salivary gland tumors, chronic sialoadenitis, chronic lymphadenopathy or metastatic tumor...etc in the differential diagnostic list. However, we would like to present a similar clinical situation end up with an insterestingly different, yet simple result. A 23 years old yound man came to us on 30/12/02' with chief complaint of a mind painful swelling mass at L't cheek for over months. It's a dome shape firm mass with intact overlying skin and mind tenderness on palpation, measured up to 3.5 cm × 3.0 cm in greatest dimension at L't mandibular angle and submandibular area. There's a huge amalgam restoration on occlusal surface of the L't mandibular 3rd molar with obvious secondary decay, but the adjacent oral mucosa was intact. Panoramic radiograph revealed an exaggerated L't mandibular pre-angular notch with focal interruption of the lower cortical bone just located at the root apices of the L't mandibular 3rd molar. Computed tomography showed a homogenous mass at the anterio-superficial aspect of the L't submandibular gland but there's no jaw bone expansion. All these findings suggested that there's posibility of being an odontogenic lesion. Surgical extirpation by submandibular approach was performed under general anesthesia. A band of fibrous tissue cord connecting the firm submandibular mass with the root apices of the L't lower 3rd molar was observed during the operation. Accordingly, and as we anticipated pre-operatively, it was a raducular cyst confirmed by the post-operative histo-pathologic findings. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。