口腔颌面部异常相关的治疗建议
治疗原则:治疗退变的翼钩。
一般治疗:可行翼钩折断术、翼钩切除术和封闭治疗。
治疗方法如下:
1.翼钩折断术
患者取仰卧或仰坐位,常规消毒和局麻后,沿翼钩顶部切开黏膜,切口长约1.5~2 cm,然后分离附着在翼钩的三块肌肉,外露翼钩,用骨凿或止血钳将翼钩折断,加压止血后缝合。
2.翼钩切除术
手术步骤同上,只是在外露翼钩后,用剪刀把附着于翼钩周围的肌肉剪断,将翼钩切除。
3.翼钩周围封闭术(https://www.daowen.com)
用0.5%~1%普鲁卡因(procaine)1 ml加醋酸可的松2.5 mg注射到翼钩周围,每月一次,3~4次为一疗程。
参考文献
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[4]Cho J Y,Cheon K Y,Shin D W,et al.Pterygoid hamulus bursitis as a cause of craniofacial pain:A case report[J].Journal of the Korean Association of Oral and Maxillofacial Surgeons,2013,39(3):134-138.
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(贺智凤 杨旭东)