内镜辅助手术治疗牙源性边缘性下颌骨骨髓炎5例报道  

Endoscope-assisted surgery in the treatment of odontogenic peripheral osteomyelitis of posterior mandible

作　　者：李世豪[1] 黄子贤[1] 黄志权[1] 张大明[1] 梁启祥[1] 陈伟良[1] 

机构地区：[1]中山大学孙逸仙纪念医院口腔科,广东广州510120

出　　处：《中国口腔颌面外科杂志》2016年第6期553-556,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：广东省自然科学基金(2016A030313348)

摘　　要：目的:探索在牙源性边缘性颌骨骨髓炎手术中应用内镜技术的可能性。方法:选择2012年3月—2014年5月间诊断为牙源性边缘性颌骨骨髓炎的5例患者,进行内镜辅助下治疗,包括死骨刮除术和骨刮治术。记录患者的手术时间、并发症发生率和患者满意度等资料。结果:通过口内切口进行的手术平均时间为45.8 min。术后1周、3个月和6个月评价手术疗效。1例患者出现术后下颌角肿胀。所有病例切口最小化且未遗留术后瘢痕。患者痊愈,无严重并发症,对手术结果感到满意。结论:内镜辅助手术口内微小切口隐蔽,用于牙源性边缘性颌骨骨髓的治疗,可保存患者颌面部的完整性,并且不留瘢痕,值得临床推广应用。PURPOSE： To evaluate the possibility of using an endoscope in the treatment of patients with odontogenic peripheral osteomyelitis of the posterior mandible （OPOPM）. METHODS： Between March 2012 and September 2014, 5 consecutive patients who had been diagnosed with OPOPM were included in the study. After receiving imaging examinations and general preoperative examinations, the patients underwent endoscope-assisted surgical treatment, e.g., bone curettage and sequestrum excochleation. The data collected included the duration of the operation, complications, and patients＂ degree of satisfaction. RESULTS： The average duration of the operation, performed through an intraoral incision, was 45.8 min. Postoperative curative effects were retrospectively observed at 1 week, 3 months, and half a year. One patient reported postoperative swelling in the mandibular angle. The incision was minimal and did not leave any postoperative scar on the face. In total, all patients recovered free of severe complications and were satisfied with the results of the operation. CONCLUSIONS： Owing to its minimally invasive intraoral incision, endoscope-assisted surgery for the treatment of OPOPM can maintain external facial integrity without surgical scars.

关 键 词：内镜辅助手术 下颌骨边缘性骨髓炎 微创手术 

分 类 号：R782.32[医药卫生—口腔医学]