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
周兴安 1白云飞 2周艳艳 1尚多 1申铁兵 1德乐黑巴特尔1
作者信息
- 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
- 折叠
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.
Abstract
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.Ad-ditionally,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 en-hanced 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 ap-plication 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Key words
Nasal endoscopy/Dental replacement period/Maxillary low inverted impacted tooth/Cyst引用本文复制引用
基金项目
内蒙古自治区高等学校科研项目(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)
出版年
2024
NETL
NSTL
万方数据