口腔医学研究 ›› 2025, Vol. 41 ›› Issue (7): 622-624.DOI: 10.13701/j.cnki.kqyxyj.2025.07.013

• 病例报告 • 上一篇    下一篇

下颌第三磨牙意外移位至咽旁间隙1例

李世勇1, 黎明1#, 吴勇1, 马文1, 张馨2, 王思航1, 付帅1*   

  1. 1.昆明医科大学附属口腔医院口腔颌面外科, 云南省口腔医学重点实验室 云南 昆明 650106;
    2.云南师范大学校医院口腔科 云南 昆明 650500
  • 收稿日期:2024-10-25 出版日期:2025-07-28 发布日期:2025-07-24
  • 通讯作者: *付帅,E-mail:314849100@qq.com
  • 作者简介:李世勇(1998~ ),男,云南人,住院医师,硕士在读,主要从事口腔颌面外科的临床及研究工作。 黎明(1966~ ),男,云南人,主任医师,博导,主要从事口腔颌面外科的临床及研究工作。#为共同第一作者
  • 基金资助:
    云南省科技厅-昆医联合专项(编号:202201AY070001-176)

Accidental Displacement of Mandibular Third Molar to Parapharyngeal Space: A Case Report

LI Shiyong1, LI Ming1#, WU Yong1, MA Wen1, ZHANG Xin2, WANG Sihang1, FU Shuai1*   

  1. 1. Department of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology; Yunnan Key Laboratory of Stomatology, Kunming 650106, China;
    2. Department of Stomatology, School Hospital of Yunnan Normal University, Kunming 650500, China
  • Received:2024-10-25 Online:2025-07-28 Published:2025-07-24

摘要: 医源性下颌第三磨牙移位是一种罕见的术中并发症,移位的牙齿或牙根可能会引起异物反应和感染,导致疼痛、张口受限,以及吞咽困难等症状。本文就1例下颌第三磨牙意外移位至咽旁间隙病例进行报道,并通过文献复习,介绍如何避免第三磨牙拔除过程中牙及牙根移位,以及移位后的相应治疗措施。

关键词: 下颌第三磨牙, 拔牙术, 异物, 咽旁间隙

Abstract: Iatrogenic mandibular third molar displacement is a rare but recognized intraoperative complication, where the displaced tooth or root may cause symptoms such as foreign body reactions, infections, pain, limited mouth opening, and dysphagia. This article reports a case of accidental displacement of a mandibular third molar to the pharyngeal space. Through literature review, the paper introduces how to avoid tooth and root displacement during the extraction of the third molar, as well as the corresponding treatment measures after displacement.

Key words: mandibular third molar, exodontia, foreign body, pharyngeal space