异位大第三王冠的内镜检索:一个儿科内的方法
Bastien A Valencia-Sanchez1, Victor B Hsue2, Shelby C Leuin3,4
1Department of Otolaryngology, Head and Neck Surgery, Mayo Clinic in Florida, Jacksonville, FL, USA.
Ear, nose, & throat journal
|October 24, 2025
概括
发生在一个儿童身上,第三个子向大腔发生了阳性移位,导致轨道细胞炎. 最少侵入性内镜手术成功切除了牙,防止了进一步的并发症.
科学领域:
- 口腔和牙面部外科手术
- 儿科牙科 儿科牙科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 第三牙进入大鼻腔的阳性移位是牙提取的罕见并发症.
- 儿科患者在处理此类事件时存在独特的解剖学和发育挑战.
- 大鼻腔位移可以导致严重的并发症,如轨道细胞炎.
研究的目的:
- 报告小儿病人的阴道中发生的阴道上第三位移的病例.
- 描述相关的轨道细胞炎和异物检索的成功管理.
- 强调小儿面外科手术中微创技术和导航的实用性.
主要方法:
- 一名12岁的女性,在抽取后,上第三牙冠移位到上鼻腔.
- 用口服抗生素治疗急性轨道细胞炎的初始治疗.
- 在手术内导航中使用圆束计算断层扫描进行异物体的延迟内镜内索取.
主要成果:
- 成功地通过内镜从大鼻腔中移除移位的第三牙冠.
- 轨道细胞炎的解决和没有复发的鼻感染后的恢复.
- 这项手术没有经手术后并发症,尽量减少辐射暴露.
结论:
- 及时识别和管理对于儿童的阳性第三位移至关重要.
- 内镜内索检索是一种可行的,微创的方法,用于鼻外体.
- 术内导航可提高儿科面病例的手术精度和安全性.
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