[大骨缺陷的视频内镜研究,涉及大骨通道]
G V Remizov1, A P Vedyaeva1, A V Kuzin1
1Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
概括
在受损牙和囊附近的下道骨缺陷增加了神经损伤的风险. 视频内镜有助于评估缺陷,并减少手术期间的神经系统并发症.
科学领域:
- 口腔和牙面部外科手术
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 与受影响的牙和卵泡囊相关的下沟骨缺陷是下膜神经损伤的危险因素.
- 在这些情况下,手术干预可能导致麻醉,需要优化治疗策略.
研究的目的:
- 为了优化下骨缺陷的手术治疗,包括下通道.
- 为了减少神经系统的并发症,如麻醉,手术后的干预.
主要方法:
- 治疗49名在第三下方附近的卵泡囊患者.
- 纳入标准:囊腔投射到或移动下沟通道.
- 使用CBCT和视频内镜评估骨缺陷和下管道结构.
主要成果:
- 确定了三种类型的下沟骨缺陷,指导了手术方法.
- 在18%的病例中,CBCT显示没有骨壁;视频内镜证实缺陷完整.
- 通过内镜测量实际的骨缺陷大小比CBCT测量小22% (p<0.01).
- 术后麻醉发生在25%的患者中.
结论:
- 视频内镜检查在囊切除术和拔牙过程中是有价值的.
- 它可以准确评估下沟骨缺陷.
- 它有助于评估神经血管束的完整性,有助于减少并发症.
相关概念视频
Bone Structure
Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
Bone Remodeling
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Gross Anatomy of Bone
The two main features of a long bone are the diaphysis and the epiphysis.
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...
Bone Markings
Bones have various surface features that help form joints and attach to other soft tissues. Depending on the function, bone markings are categorized into articulating projections, processes for attachment, depressions, and openings.
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Compact Bone
Most bones contain compact and spongy osseous tissue, but their distribution and concentration vary based on the bone's overall function.
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...


