口腔颌面部急性炎症期病变的手术处理

摘要

目的:探讨口腔颌面部急性炎症期病变的手术治疗原则和方法.方法:2009年1月～2010年12月武汉总医院口腔颌面外科收治颌面颈部急性化脓性炎症125例,其中淋巴结脓肿45例、囊肿伴感染35例、间隙感染24例、化脓性颌下腺炎10例、良性肿瘤伴感染5例、淋巴瘤病变6例.94例行脓肿及包块整体切除术、严密关闭手术创,部分伤口置负压引流;31例行脓肿切开引流术,伤口内置半管或橡皮片引流.术后均进行常规抗炎治疗.结果:94例急性期包块整体切除后,患者全身发热、不适等症状明显好转,局部炎症反应在1～3天内控制,伤口大部分一期愈合.脓肿切开引流者,伤口持续渗出和反复换药,愈合延迟10天以上.结论:口腔颌面部急性炎症期包块大部分可以同期整体切除并严密关闭创口,少数病例只能行脓肿切开引流术.%Objective:To evaluate the effect of combined surgical and orthodontic treatment in osteal bimaxillary protrusion.Method:Twenty-two patients with osteal bimaxillary protrusion were corrected by combined surgical and orthodontic treatment.Result: None of the twenty-two patients had complications such as tooth discoloration or odontonecrosis after the treatment.According to the X-rays analysis and clinical manifestation, the coordination of tooth,jgw bone and lineament was proved successful.After clinical and follow up observation,the occlusion was well and the effect was stable.Conclusion: Combined surgical and orthodontic treatment can not only guarantee soft tissues like muscles be conditioned to the new position of jaw bone, but also help construct the stable occlusion in patients with osteal bimaxillary protrusion.