鼻内镜引导下摘除替牙期儿童上颌低位倒置埋伏牙伴囊肿1例  

A case of endoscopic-assisted removal of an maxillary low inverted impacted tooth with cyst in a child in the mixed dentition stage

作　　者：周兴安 白云飞[2] 周艳艳 尚多[1] 申铁兵[1] 德乐黑巴特尔 ZHOU Xing-an;BAI Yun-fei;ZHOU Yan-yan;SHANG Duo;SHEN Tie-bing;DELEHEI Bateer(Department of Stomatology,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,Inner Mongolia Autonomous Region,China;Department of Otolaryngology,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古医科大学附属医院口腔科,内蒙古呼和浩特010050 [2]内蒙古医科大学附属医院耳鼻咽喉科,内蒙古呼和浩特010050

出　　处：《中国口腔颌面外科杂志》2024年第3期309-312,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：内蒙古自治区高等学校科学研究项目(NJZY21634);内蒙古医科大学联合项目(YKD2023LH032);内蒙古医科大学附属医院青年探索项目(2022NYFYTS012)。

摘　　要：临床上拔除替牙列期儿童的上颌低位埋伏牙时,传统翻瓣去骨的拔牙方式易损伤上颌骨内的恒牙牙胚,导致恒牙萌出困难或继发囊肿;同时,因儿童依从性差,传统切口对于术后口腔及创口护理难度大,易伴发术后感染等并发症。经鼻内镜引导下摘除替牙列期儿童上颌骨低位埋伏牙相比传统拔牙方式不仅更加安全、高效,而且术后护理便捷,能够有效降低术后感染风险。本文报告1例鼻内镜引导下摘除替牙期儿童上颌低位倒置埋伏牙伴囊肿病例,并基于现有文献资料,总结其相关优势、操作要点及鼻内镜在其他口腔外科手术中的应用。In clinical practice,when extracting maxillary low impacted tooth in children in the mixed dentition stage,the traditional approach of flap elevation and bone removal can lead to potential damage to the permanent tooth germs within the maxillary bone.This damage may result in difficulties with permanent tooth eruption or secondary cyst formation.Additionally,due to the limited compliance of children,traditional surgical incisions pose challenges for postoperative oral and wound care,increasing the risk of postoperative infections and complications.Compared to the traditional tooth extraction method,endoscopic-assisted removal of maxillary low impacted tooth in children in the mixed dentition stage offers enhanced safety and efficiency.Moreover,it facilitates easier postoperative care,effectively reducing the risk of postoperative infections.In this paper,we reported a case of endoscopic-assisted removal of an maxillary low inverted impacted tooth with a cyst in a child in the mixed dentition stage,which was jointly performed by the Department of Stomatology,and the Department of Otolaryngology in our hospital.Based on existing literature,the related advantages,operation points and application of nasal endoscope in other oral surgery were summarized.

关 键 词：鼻内镜 替牙期 上颌低位埋伏牙 囊肿 

分 类 号：R782[医药卫生—口腔医学]