Simple decompression of odontogenic cyst
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초록
Marsupialization or decompression can be performed, especially to decrease complications when the cyst size is too large or there is risk of injury to the adjacent structures. In this study, we attempt to evaluate the change in the cystic lesion after decompression with a silicone tube through dental panoramic radiographs at regular time intervals. All 7 patients, who had been diagnosed and treated for an odontogenic cyst in the jaws with decompression from January 2007 to January 2014, were included in the study. Differences between pre-operative panoramic radiographs and post-operative panoramic radiographs were analyzed for evaluating the size of each cyst, and the calculation of reduction rate was used. The average period was 426.6 days between decompression and secondary enucleation. The average reduction rate of the cyst was 67.68%. During the treatment, the average reduction rate per day was 0.178 %. Histologic examination after final enucleation showed no signs of cystic remnants. No recurrence occurred during the 2-year follow-up period. Decompression with a silicone tube causes less bone defects since it is necessary to remove only the upper bone as wide as the tube diameter. It can be considered as an effective treatment method because it causes no significant changes after healing and it can be applied easily.
Abstract
Marsupialization or decompression can be performed, especially to decrease complications when the cyst size is too large or there is risk of injury to the adjacent structures. In this study, we attempt to evaluate the change in the cystic lesion after decompression with a silicone tube through dental panoramic radiographs at regular time intervals. All 7 patients, who had been diagnosed and treated for an odontogenic cyst in the jaws with decompression from January 2007 to January 2014, were included in the study. Differences between pre-operative panoramic radiographs and post-operative panoramic radiographs were analyzed for evaluating the size of each cyst, and the calculation of reduction rate was used. The average period was 426.6 days between decompression and secondary enucleation. The average reduction rate of the cyst was 67.68%. During the treatment, the average reduction rate per day was 0.178 %. Histologic examination after final enucleation showed no signs of cystic remnants. No recurrence occurred during the 2-year follow-up period. Decompression with a silicone tube causes less bone defects since it is necessary to remove only the upper bone as wide as the tube diameter. It can be considered as an effective treatment method because it causes no significant changes after healing and it can be applied easily.
참고문헌 (12)
- VINCENT B. ZICCARDI, "USING FENESTRATION TECHNIQUE TO TREAT A LARGE DENTIGEROUS CYST", The Journal of the American Dental Association, 128(2), pp.201~205 (1997), Elsevier BV[DOI]
- 정영수, "악골내 낭종성 병소의 감압술과 적출술에 관한 임상적 연구", 대한구강악안면외과학회지, 30(1), pp.43~48 (2004), 대한구강악안면외과학회
- Norifumi Nakamura, "Marsupialization for odontogenic keratocysts: Long-term follow-up analysis of the effects and changes in growth characteristics", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 94(5), pp.543~553 (2002), Elsevier BV[DOI]
- Richard Jacobi, "Spontaneous Repositioning of Displaced Molars after Marsupialization of a Dentigerous Cyst", The Journal of the American Dental Association, 102(5), pp.655~656 (1981), Elsevier BV[DOI]
- S. Taicher, "Acrylic resin stents for marsupialization", The Journal of Prosthetic Dentistry, 54(6), pp.818~819 (1985), Elsevier BV[DOI]
- Bodner L, "Characteristics of bone formation following marsupialization of jaw cysts", Dentomaxillofac Radiol, 27, pp.166~171 (1998)[DOI]
- Partsch C, "Ueber zwei Fälle Yon Odontomen, Dtsch", Mschr Zahnheilk, 10, pp.223~233 (1892)
- THOMAS EH, "Cysts of the jaws; saving involved vital teeth by tube drainage", J Oral Surg(Chic), 5, pp.1~9 (1947)
- Tucker WM, "Decompression and secondary enucleation of a mandibular cyst : report of case", J Oral Surg, 30, pp.669~673 (1972)
- Roy E. Olson, "Odontogenic keratocyst treated by the Partsch operation and delayed enucleation: report of case", The Journal of the American Dental Association, 94(2), pp.321~325 (1977), Elsevier BV[DOI]
- Peter Marker, "Treatment of large odontogenic keratocysts by decompression and later cystectomy", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 82(2), pp.122~131 (1996), Elsevier BV[DOI]
- Brøndum N, "Recurrence of keratocysts and decompression treatment. A long-term follow-up of forty-four cases", Oral Surg Oral Med Oral Pathol, 72, pp.265~269 (1991)