小儿上颌骨前部巨大神经根囊肿：一例罕见病例
Giant Radicular Cyst of the Pediatric Anterior Maxilla: A Rare Case.
摘要(中文译文)
根端囊肿是炎症性牙源性囊肿，由失去活力的牙齿引起，源于马拉塞上皮剩余（epithelial rests of Malassez）的增殖。虽然此类囊肿常见于成人，但在年轻个体中较为罕见。本病例描述了一名13岁男性，因左上颌区域疼痛、肿胀及脓性分泌物就诊，伴有外伤导致的失活牙。影像学评估显示一处边界清晰的透射性病变，延伸至上颌窦并推移邻近结构。对受累牙齿进行了牙髓治疗，随后行病变手术摘除术，并使用5-氟尿嘧啶进行化学烧灼。术后愈合顺利，周围解剖结构得以保留。本病例凸显了延迟干预的后果，即导致大型囊肿形成及继发感染。它强调了在年轻患者中对根端囊肿进行及时有效管理以预防广泛结构损伤的重要性。
Abstract
Radicular cysts are inflammatory odontogenic cysts that arise from nonvital teeth due to proliferation of the epithelial rests of Malassez. Although they are commonly seen in adults, their occurrence in younger individuals is rare. This case describes a 13-year-old male who presented with pain, swelling, and pus discharge in the left maxillary region, associated with trauma-induced nonvital teeth. Radiographic evaluation revealed a well-defined radiolucent lesion extending into the maxillary sinus with displacement of adjacent structures. The involved teeth were managed with endodontic treatment, followed by surgical enucleation of the lesion and chemical cauterization using 5-fluorouracil. Postoperative healing was uneventful, with preservation of surrounding anatomical structures. This case highlights the consequences of delayed intervention, which led to the formation of a large cyst and subsequent infection. It underscores the importance of timely and effective management of radicular cysts in young patients to prevent extensive structural damage.
如何引用
AMA
Supraja Vemuganti, Aishwarya Ravikumar, Ajmera Prem Sagar, Gundlapally Anusha Reddy, Arshiya Sanober, Srimounica Kocherlakota. Giant Radicular Cyst of the Pediatric Anterior Maxilla: A Rare Case.. Cureus. 2026; doi:10.7759/cureus.107941.
APA
Supraja Vemuganti, Aishwarya Ravikumar, Ajmera Prem Sagar, Gundlapally Anusha Reddy, Arshiya Sanober, Srimounica Kocherlakota (2026). Giant Radicular Cyst of the Pediatric Anterior Maxilla: A Rare Case.. Cureus. https://doi.org/10.7759/cureus.107941
GB/T 7714
Supraja Vemuganti, Aishwarya Ravikumar, Ajmera Prem Sagar, Gundlapally Anusha Reddy, Arshiya Sanober, Srimounica Kocherlakota. Giant Radicular Cyst of the Pediatric Anterior Maxilla: A Rare Case.[J]. Cureus, 2026 doi:10.7759/cureus.107941.
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