Maxillary Sinus Cyst Drug Combination in the Treatment of Maxillary Bone Cyst

Li Ruiyu, Li Yve, Man Xueyu, L. Meng, Hou Jinjie, Bi Xinhua, Guo Yunling
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引用次数: 1

Abstract

Objective: To observe the curative effect of maxillary bone cyst by maxillary sinus cyst drug combination, it provide innovative approach for non-surgical treatment of maxillary bone cyst. Methods: 12 patients with maxillary sinus cyst were selected, all cases were confirmed by the jaw of surface fault CT or MRI examination, disinfection of double flank cheek skin and oral vestibular mucosa, after local anesthesia or surface anesthesia all patients with nasal endoscopic examination of the nasal passages, were punctured into maxillary sinus cyst from inferior nasal meatus, the needle core was removed, the cyst fluid was taken out by cannula, then through cannula place the right amount of maxillary sinus cyst drug composition were injected. The bases were iodine and dexamethasone solution with 2:1 injection (i.e., take out 2 ml cyst fluid, inject of 1 ml drugs, and so on). As routine is not easy to puncture biopsy in place of the cyst, image guided puncture was choosen. Results: 12 patients with maxillary sinus cyst came back to the hospital for a check of sinus CT after treatment of 1 to 3 months, the results are excellent, and 1 to 2 years follow-up were carried on, the follow-up of 11 cases, 1 case was lost of follow-up. During follow-up of patients, before treatment with clinical symptoms caused by maxillary sinus cyst, symptoms disappeared after treatment, the sinus CT showed cyst disappear significantly. Conclusion: The curative effect of maxillary bone cyst by maxillary sinus cyst drug combination is definite, it is landmark in the non-surgical treatment for maxillary bone cyst.
上颌窦囊肿药物联合治疗上颌骨囊肿
目的:观察上颌窦囊肿药物联合治疗上颌骨囊肿的疗效,为上颌骨囊肿的非手术治疗提供创新途径。方法:选取12例上颌窦囊肿患者,所有病例均经颌骨表面断层CT或MRI检查确认,消毒双侧颊皮肤及口腔前庭黏膜,局部麻醉或表面麻醉后,所有患者经鼻内镜检查鼻腔通道,从下鼻道穿刺入上颌窦囊肿,取出针芯,插管取出囊肿液。然后通过套管放置上颌窦囊肿,注射适量药物组合物。碱为碘与地塞米松溶液2:1注射(即取出囊肿液2ml,注射药物1ml,依此类推)。由于常规穿刺不容易代替囊肿穿刺,故选择图像引导穿刺。结果:12例上颌窦囊肿患者治疗1 ~ 3个月后再次到医院复查鼻窦CT,效果良好,并进行了1 ~ 2年的随访,随访11例,1例失访。患者随访期间,治疗前出现上颌窦囊肿引起的临床症状,治疗后症状消失,上颌窦CT显示囊肿明显消失。结论:上颌窦囊肿药物联合治疗上颌骨囊肿疗效确切,在上颌骨囊肿非手术治疗中具有里程碑意义。
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