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題 名 | 保守性治療下顎骨巨大齒源性角化囊性瘤--病例報告=Conservative Treatment of Huge Keratocystic Odontogenic Tumor--A Case Report |
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作 者 | 何祖銘; 陳中和; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 23:1 2012.03[民101.03] |
頁 次 | 頁55-65 |
分類號 | 416.954 |
關鍵詞 | 齒源性角化囊性瘤; 下顎骨; 保守性治療; Keratocystic odontogenic tumor; Mandible; Conservative treatment; |
語 文 | 中文(Chinese) |
中文摘要 | 齒源性角化囊腫因其腫瘤的特性,高復發率,於2005年被世界衛生組織重新定義為:齒源性角化囊性瘤,好發於下顎骨(比例約為2:1),年齡多為20~40歲,多種治療方法包括:大範圍切除、剜除術、減壓沖洗等一直被討論.本篇提出一位25歲男性,發現下顎骨有腫脹情況一年,X光片顯示一巨大放射線透射性病灶約10x3.5公分大小,考慮病人外觀,因此採取保守性治療,先以減壓沖洗治療半年,再以剜除術合併表面骨切除,並以肋骨作重建,門診追蹤半年,並無復發. |
英文摘要 | As its tumor behavior and high recurrent rate, odontogenic keratocyst was re-defined as keratocystic odontogenic tumor by World Health Organization (WHO) in 2005. Keratocystic odontogenic tumor involved mandible more than maxilla(mandible: maxilla, 2 : 1). Most cases are diagnosed in people between 20 and 40 years of age. Several treatment methods were suggested and debated, including, radical resection, enucleation, decompression and irrigation. This case report presented a huge keratocystic odontogenic tumor over mandible of a 25 year-old male. He found swelling over mandible for 1 year, X-ray showed large radiolucent lesion about 10 x 3.5 cm. Considering the cosmetic appearance of the patient, we decided to perform conservative treatment. He received decompression and irrigation for half year, then received enucleation with peripheral osteotomy. After that we used rib bone graft for reconstruction. We followed this case for half year and no recurrence was noted. |
本系統中英文摘要資訊取自各篇刊載內容。