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用于彻底切除口腔瘤的临床指示:一个系统的审查

Fidele N Bushabu¹, Fadi Titinchi², Liu Bing³

¹Department of Oral and Maxilla-Facial Surgery, Oral Maxillofacial Head and Neck Oncology Service, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, The Democratic Republic of the Congo, Head and Director of the National Center Laboratory of Oral Biomedicine, Ministry of Research Innovation and Technology, Democratic Republic of the Congo.

National journal of maxillofacial surgery

|September 4, 2023

概括

在具有侵略性特征的情况下,彻底切除是一种有效的治疗方法,用于牙生皮囊 (OKC). 为管理OKC提出了指导方针,重点关注侵略性外科干预的征兆.

科学领域:

口腔和牙面部外科手术
在瘤学瘤学.
病理学病理学病理学

背景情况:

牙生囊 (OKCs) 是具有高复发率的发育性囊.
对OKC的管理策略各不相同,在侵袭性病例中考虑进行彻底切除.

研究的目的:

为了确定OKCs的彻底切除的临床病理指示.
根据文献发现,制定OKC管理的临床指南.

主要方法:

在PubMed/Medline,Scopus,Web of Science,Google Scholar和Cochrane数据库的系统文献综述中 (2021年9月).
包括经过彻底切除的组织学证实OKC的临床研究.
对10项研究进行了定性分析,报告了221个OKC.

主要成果:

对于原发性,复发性和不清楚的OKC病例进行了彻底切除.
进行激光切除的指示包括多部位外观,大尺寸 (>5厘米),皮质穿孔和恶性转变.
外科手术包括细分下切除术,边缘下切除术和部分切除术.

结论:

对于具有骨孔穿孔,状肌肉或骨底部参与以及恶性转变的侵袭性OKC病变,指示进行根基切除.
识别这些攻击性特征对于适当的OKC管理和复发预防至关重要.
基于这些发现,提出了OKC管理的临床指南.

关键词:

角质囊 (keratocysts) 是一种状囊.臭性囊是一种臭性囊.系统性审查系统性审查治疗方案治疗方案治疗方案

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