상악동을 침범한 함치성 낭종의 내시경을 이용한 치험례

ENDOSCOPIC APPROACH FOR TREATMENT OF DENTIGEROUS CYST IN MAXILLARY SINUS

  • 박용희 (가톨릭대학교 성모병원 치과 구강악안면외과) ;
  • 윤현중 (가톨릭대학교 성모병원 치과 구강악안면외과) ;
  • 김성원 (가톨릭대학교 성모병원 이비인후과) ;
  • 이상화 (가톨릭대학교 성모병원 치과 구강악안면외과)
  • Park, Yong-Hee (Division of Oral & Maxillofacial Surgery, Department of Dentistry, St. Mary's Hospital, The Catholic University of Korea) ;
  • Yoon, Hyun-Joong (Division of Oral & Maxillofacial Surgery, Department of Dentistry, St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Sung-Won (Dept. of Otolaryngology/Head and Neck Surgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Division of Oral & Maxillofacial Surgery, Department of Dentistry, St. Mary's Hospital, The Catholic University of Korea)
  • 발행 : 2007.05.31

초록

Dentigerous cysts are the most common type of developmental odontogenic cysts. They form as a result of a separation of the follicle from around the crown of an unerupted tooth. Usually this lesion can be asymptomatic. Such cysts are often discovered accidently on inspection of x-rays. In other advanced cases, cortical bone expansion, displacement of teeth, secondary infection can be observed. The treatment of dentigerous cyst is enucleation. And according to size, location of lesion and environmental structure marsupialization can be considered. However, Marsupialization takes long treatment time and, cystic tissues are remained so secondary surgery may be needed for total removal., Risks of oroantral fistula, damage on maxillary sinus wall and infraorbital nerve can be considered as complications of conventional surgical treatment of cysts located in maxillary sinus. We treated third molar origin dentogerous cyst located in maxillary sinus removing endoscopically both the tooth and an associated dentigerous cyst. We report our clinical experience with literature review.

키워드

참고문헌

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