본문 바로가기
KERD
논문KCI 등재

Comparison of surgical approach and outcome for the treatment of cystic lesion on lower jaw

홍종락|Chang-Soo Kim|Jun-Young Paeng|Suseok Oh|Joon-Hyung Park
대한구강악안면외과학회 (Korean Association Of Oral And Maxillofacial Surgeons)|2012.10|대한구강악안면외과학회지 (Journal of the Korean Association of Oral and Maxillofacial Surgeons)|제38권 제5호|pp. 276-283

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

RepositioningMandibleCystsBuccal cortical plate
주제분류치의학

초록

Objectives: Curettage and enucleation are two of the most common procedures performed in oral and maxillofacial surgery units. To access a cystic lesion, the buccal cortical plate is removed. The no reposition (NR) group underwent surgery without repositioning the buccal cortical plate. The reposition (R) group underwent surgery with a repositioning of the buccal cortical plate. This study compared the two surgical procedures in terms of bone healing and complications. Materials and Methods: Patients who underwent curettage and enucleation surgery were enrolled in this study. Panoramic radiographs of the patients in both the NR group (n=26) and R group (n=34) were taken at the baseline and at 6, 12 and 24 months after surgery. The radiolucent area was calculated to evaluate bony healing in each radiograph. The complications were analyzed through a review of the medical records. Results: The correlation between bony healing and surgical approach was not significant in the 6th, 12th, and 24th month (P <0.05). The complication rate was not associated with gender, graft material, bone graft and drain insertion (P <0.05). On the other hand, the R group had a higher complication rate (35.3%) than the NR group (0%). The difference in the mean lesion size between the NR group (37,024±3,617 pixel) and R group (92,863±15,931pixel) was significant (independent t test, P=0.004). Conclusion: Although the reposition method is chosen when the lesion size is large, it is associated with more complications. Indeed, infection,discomfort and recurrence of the lesion were the most common complications in the R group. Furthermore, the R method does not have a strong point in terms of bone healing compared to the NR method. Therefore, the R method cannot be considered an ideal approach and should be used in limited cases.

Abstract

Objectives: Curettage and enucleation are two of the most common procedures performed in oral and maxillofacial surgery units. To access a cystic lesion, the buccal cortical plate is removed. The no reposition (NR) group underwent surgery without repositioning the buccal cortical plate. The reposition (R) group underwent surgery with a repositioning of the buccal cortical plate. This study compared the two surgical procedures in terms of bone healing and complications. Materials and Methods: Patients who underwent curettage and enucleation surgery were enrolled in this study. Panoramic radiographs of the patients in both the NR group (n=26) and R group (n=34) were taken at the baseline and at 6, 12 and 24 months after surgery. The radiolucent area was calculated to evaluate bony healing in each radiograph. The complications were analyzed through a review of the medical records. Results: The correlation between bony healing and surgical approach was not significant in the 6th, 12th, and 24th month (P <0.05). The complication rate was not associated with gender, graft material, bone graft and drain insertion (P <0.05). On the other hand, the R group had a higher complication rate (35.3%) than the NR group (0%). The difference in the mean lesion size between the NR group (37,024±3,617 pixel) and R group (92,863±15,931pixel) was significant (independent t test, P=0.004). Conclusion: Although the reposition method is chosen when the lesion size is large, it is associated with more complications. Indeed, infection,discomfort and recurrence of the lesion were the most common complications in the R group. Furthermore, the R method does not have a strong point in terms of bone healing compared to the NR method. Therefore, the R method cannot be considered an ideal approach and should be used in limited cases.

참고문헌 (32)

  1. Blanas N, "Systematic review of the treatment and prognosis of the odontogenic keratocyst", Surg Oral Med Oral Pathol Oral Radiol Endod, 90, pp.553~558 (2000)
  2. Ghali GE, "Surgical management of the odontogenic keratocyst", Oral Maxillofac Surg Clin North Am, 15, pp.383~392 (2003)
  3. Sembronio S, "Endoscopically assisted enucleation and curettage of large mandibular odontogenic keratocyst", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107, pp.193~196 (2009)
  4. Meiselman F, "Surgical management of the odontogenic keratocyst: conservative approach", J Oral Maxillofac Surg, 52, pp.960~963 (1994)
  5. Stoelinga PJ, "The treatment of odontogenic keratocysts by excision of the overlying, attached mucosa, enucleation, and treatment of the bony defect with carnoy solution", J Oral Maxillofac Surg, 63, pp.1662~1666 (2005)
  6. Williams TP, "Surgical management of the odontogenic keratocyst: aggressive approach", J Oral Maxillofac Surg, 52, pp.964~966 (1994)
  7. Bramley P, "The odontogenic keratocyst-an approach to treatment", Int J Oral Surg, 3, pp.337~341 (1974)
  8. Kretzschmar DP, "Intraoral endoscopic enucleation of a central mandibular condylar lesion", J Oral Maxillofac Surg, 63, pp.865~869 (2005)
  9. Scolozzi P, "Le Fort I type osteotomy and mandibular sagittal osteotomy as a surgical approach for removal of jaw cysts", J Oral Maxillofac Surg, 65, pp.1419~1426 (2007)
  10. Partsch C, "Uber kieferzysten", Dtsch Mschr Zahnheilkd, 10, pp.271~ (1892)
  11. Partsch C, "Zur behandlung der kieferzysten", Dtsch Mschr Zahnheilkd, 28, pp.252~ (1910)
  12. Gold L, "Standardized surgical terminology for the excision of lesions in bone: an argument for accuracy in reporting", J Oral Maxillofac Surg, 49, pp.1214~1217 (1991)
  13. Marker P, "Treatment of large odontogenic keratocysts by decompression and later cystectomy: a long-term follow-up and a histologic study of 23 cases", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82, pp.122~131 (1996)
  14. Pogrel MA, "Marsupialization as a definitive treatment for the odontogenic keratocyst", J Oral Maxillofac Surg, 62, pp.651~655 (2004)
  15. Brondum 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)
  16. Ninomiya T, "Marsupialization inhibits interleukin-1alpha expression and epithelial cell proliferation in odontogenic keratocysts", J Oral Pathol Med, 31, pp.526~533 (2002)
  17. August M, "Dedifferentiation of odontogenic keratocyst epithelium after cyst decompression", J Oral Maxillofac Surg, 61, pp.678~683 (2003)
  18. Tolstunov L, "Surgical treatment algorithm for odontogenic keratocyst: combined treatment of odontogenic keratocyst and mandibular defect with marsupialization, enucleation, iliac crest bone graft, and dental implants", J Oral Maxillofac Surg, 66, pp.1025~1036 (2008)
  19. Bataineh AB, "Sensory nerve impairment following mandibular third molar surgery", J Oral Maxillofac Surg, 59, pp.1012~1017 (2001)
  20. Chaushu G, "Medicolegal aspects of altered sensation following implant placement in the mandible", Int J Oral Maxillofac Implants, 17, pp.413~415 (2002)
  21. Forssell K, "The primordial cyst. A clinical and radiographic study", Proc Finn Dent Soc, 76, pp.129~174 (1980)
  22. Toller P, "Origin and growth of cysts of the jaws", Ann R Coll Surg Engl, 40, pp.306~336 (1967)
  23. Morgan TA, "A retrospective review of treatment of the odontogenic keratocyst", J Oral Maxillofac Surg, 63, pp.635~639 (2005)
  24. Nakamura N, "Marsupialization for odontogenic keratocysts: longterm 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)
  25. Gerhards F, "Pathological fractures of the mandible. A review of the etiology and treatment", Int J Oral Maxillofac Surg, 27, pp.186~190 (1998)
  26. Vayvada H, "Surgical management of ameloblastoma in the mandible: Segmental mandibulectomy and immediate reconstruction with free fibula or deep circumflex iliac artery flap (evaluation of the long-term esthetic and functional results)", J Oral Maxillofac Surg, 64, pp.1532~1539 (2006)
  27. Kruger GO, "Textbook of oral and maxillofacial surgery", pp.263~264 (1979), The CV Mosby Co
  28. Tay AB, "Buccal corticotomy for removal of deeply impacted mandibular molars", Br J Oral Maxillofac Surg, 45, pp.83~84 (2007)
  29. Caiazzo A, "Buccal plate augmentation: a new alternative to socket preservation", J Oral Maxillofac Surg, 68, pp.2503~2506 (2010)
  30. Rattan V, "Arteriovenous malformation of the mandible: successful management by buccal window approach", Br J Oral Maxillofac Surg, 48, pp.31~33 (2010)
  31. Fujikane M, "Cerebral infarction accompanied by dysgeusia--a clinical study on the gustatory pathway in the CNS", Rinsho Shinkeigaku, 39, pp.771~774 (1999)
  32. Ihan Hren N, "Spontaneous bone healing of the large bone defects in the mandible", Int J Oral Maxillofac Surg, 37, pp.1111~1116 (2008)

관련 논문AI추천

악골에서 발생한 치성 낭종제거 후 골이식 여부에 따른 치유속도와 양상 비교김군종, 김창수, 박준형, 백채환, 팽준영, 홍종락대한구강악안면외과학회 · 대한구강악안면외과학회지2010 · 제36권 제6호The effect of decompression as treatment of the cysts in the jaws: retrospective analysis김수관, 김재성, 문성용, 오지수, 유재식, 이선태대한구강악안면외과학회 · 대한구강악안면외과학회지2017 · 제43권 제2호Predicting risk factors for complications in jaw cyst treatment: insights from a retrospective studyJi-Hyeon Oh, Min Keun Kim, Seong Gon Kim, Yei-Jin Kang, Young-Wook Park대한구강악안면외과학회 · 대한구강악안면외과학회지2025 · 제51권 제1호악골내 거대 낭종 병소의 조대술 후 적출술의 시행 여부 및 적출 시기의 평가김복주, 김욱규, 김철훈, 신상훈, 이광호, 이시현, 조지봉, 황대석대한구강악안면외과학회 · 대한구강악안면외과학회지2009 · 제35권 제6호악골 낭종의 적출술 후 골재생에 대한 파노라마 촬영과 컴퓨터 단층촬영의 비교 분석김택성, 이재훈대한구강악안면외과학회 · 대한구강악안면외과학회지2010 · 제36권 제2호Simple decompression of odontogenic cyst김지원, 김지형, 문성용, 정경달치의학연구원 · Oral Biology Research2016 · 제40권 제3호

이 간행물의 다른 논문 (8건)

Evidence-based practice in the treatment of temporomandibular disordersBu-Kyu Leepp. 263-263Biomaterial development for oral and maxillofacial bone regenerationLindsay S. Karfeld-Sulzer, Franz E. Weberpp. 264-270Three-dimensional finite element analysis of the stress distribution and displacement in different fixation methods of bilateral sagittal split ramus osteotomyYoon-Hee Park, 박재억, Jong Min Lee, Myung-Kyun Park, Young-Gyu Cho, 윤경인pp. 271-275Anterior open bite with temporomandibular disorders treated with intermaxillary traction using skeletal anchorage system허종기, Hye-Sun Kim, 이상훈, 김형곤pp. 284-294Retrospective study on the airway obstruction aspects of computed tomography and lateral cephalometry and the correlation of polysomnography in obstructive sleep apnea patientsSeok-Hwan Ryu, Hyun-Ho Ryu, Hye-Sung Lee, Sun-Mi Jin, 김명수, Chul-Hoon Kim, In Kyo Chung, Dong-Yoon Shinpp. 295-304
원문 보기