Minimally Invasive Marsupialization for Treating Odontogenic Cysts: Case Reports
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Marsupialization and decompression constitute a well-established procedure for treating cavitary bone lesions of the jaw. The technique can be a primary treatment option, especially for pediatric patients with large cysts or lesions involving vital anatomical structures, such as a developing tooth germ. In this procedure, a decompression stent, such as a customized acrylic obturator or space-maintaining appliance, silicone tube, or nasal cannula, is inserted to maintain the patency of the cyst. However, this may cause clinical problems, such as irritation or trauma to the adjacent tissues, as well as discomfort to the patient, or failure of the stent due to cyst shrinkage. It can also be a reason for patient noncompliance. In the cases described here, a minimally invasive marsupialization technique using a metal tube made from a 16-gauge needle was used for odontogenic cysts in pediatric patients associated with unerupted teeth. Through this method, the lesions were removed, with patient cooperation, and the cyst-associated teeth erupted spontaneously.
Abstract
Marsupialization and decompression constitute a well-established procedure for treating cavitary bone lesions of the jaw. The technique can be a primary treatment option, especially for pediatric patients with large cysts or lesions involving vital anatomical structures, such as a developing tooth germ. In this procedure, a decompression stent, such as a customized acrylic obturator or space-maintaining appliance, silicone tube, or nasal cannula, is inserted to maintain the patency of the cyst. However, this may cause clinical problems, such as irritation or trauma to the adjacent tissues, as well as discomfort to the patient, or failure of the stent due to cyst shrinkage. It can also be a reason for patient noncompliance. In the cases described here, a minimally invasive marsupialization technique using a metal tube made from a 16-gauge needle was used for odontogenic cysts in pediatric patients associated with unerupted teeth. Through this method, the lesions were removed, with patient cooperation, and the cyst-associated teeth erupted spontaneously.
참고문헌 (19)
- Enislidis G, "Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression", Br J Oral Maxillofac Surg, 42, pp.546~550 (2004)
- Berti Sde A, "Spontaneous eruption of a canine after marsupialization of an infected dentigerous cyst", Am J Orthod Dentofacial Orthop, 137, pp.690~693 (2010)
- Wiemer SJ, "Use of a modified removable partial denture as a marsupialization stent in a pediatric patient", J Oral Maxillofac Surg, 71, pp.1382~1386 (2013)
- de Paulo LFB, "Giant facial dermoid cyst: A case treated by marsupialization. Revista Portuguesa de Estomatologia", Medicina Dentária e Cirurgia Maxilofacial, 55, pp.167~170 (2014)
- Browne RM, "The pathogenesis of odontogenic cysts a review", J Oral Pathol, 4, pp.31~46 (1975)
- Daley TD, "The small dentigerous cyst", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 79, pp.77~81 (1995)
- 박찬영, "영구치 보존을 고려한 함치성 낭종의 외과적 처치", 대한소아치과학회지, 41(1), pp.85~92 (2014), 대한소아치과학회[DOI]
- Benn A, "Dentigerous cysts of inflammatory origin A clinicopathologic study", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 81, pp.203~209 (1996)
- Pogrel MA, "Treatment of keratocysts: the case for decompression and marsupialization", J Oral Maxillofac Surg, 63, pp.1667~1673 (2005)
- Gutmann JL, "Historical Perspectives on the Evolution of Surgical Procedures in Endodontics", J Hist Dent, 58, pp.1~42 (2010)
- August M, "Dedifferentiation of odontogenic keratocyst epithelium after cyst decompression", J Oral Maxillofac Surg, 61, pp.678~683 (2003)
- Carter LM, "Customised stents for marsupialisation of jaw cysts", Br J Oral Maxillofac Surg, 45, pp.429~431 (2007)
- Uloopi KS, "Conservative management of large radicular cysts associated with non-vital primary teeth: a case series and literature review", J Indian Soc Pedod Prev Dent, 33, pp.53~56 (2015)
- Akay MC, "Treatment of nonsyndromic dentigerous cysts in primary dentition", Clin Cosmet Investig Dent, 3, pp.17~23 (2011)
- Nakamura N, "Marsupialization for odontogenic keratocysts: Long-term follow-up analysis of the effects and changes in growth characteristics", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 94, pp.543~553 (2002)
- 지명관, "Orthodontic Traction and Decompression Method in Treating Impacted Permanent Mandibular First Molars : Case Reports", 대한소아치과학회지, 42(3), pp.257~263 (2015), 대한소아치과학회[DOI]
- Kolokythas A, "Simple method for securing a decompression tube for odontogenic cysts and tumors: a technical note", J Oral Maxillofac Surg, 69, pp.2392~2395 (2011)
- Tolstunov L, "Marsupialization catheter", J Oral Maxillofac Surg, 66, pp.1077~1079 (2008)
- Martinez-Perez D, "Conservative treatment of dentigerous cysts in children: a report of 4 cases", J Oral Maxillofac Surg, 59, pp.331~333 (2001)