Dekompresija kao delotvorni primarni pristup radikularnoj cisti u maksilarnom sinusu

  • Vladimir M Biočanin Faculty of Pharmacy and Health, Department of Stomatology, University of Travnik, Travnik, Bosnia and Herzegovina
  • Denis O Brajković Department of Maxillofacial Surgery, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
  • Momir Z Stevanović Department of Periodontology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
  • Zoran V Tatić Clinic of Oral Implantology, Military Medical Academy, Belgrade, Serbia; ||Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Miroslav M Andrić Clinic of Oral Surgery, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia
  • Božidar M Brković Clinic of Oral Surgery, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia
DOI: https://doi.org/10.2298/5718
Ključne reči: maxillary sinus||, ||maksilarni sinus, radicular cyst||, ||cista, radikularna, cone-beam computed tomography||, ||kompjuterizovana tomografija konusnog zraka, oral surgical procedures||, ||hirurgija, oralna, procedure, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod. Terapijski pristup cistama vilice može zavisiti od njihovih dimenzija i lokalizacije. Enukleacija cistične lezije često nije pogodna u prvom aktu ako se velika cista nalazi u blizini važnih anatomskih struktura. Cilj ovog rada bio je da se prikaže ishod lečenja velike ciste u maksilarnom sinusu koji je podrazumevao preoperativnu dekompresiju i odloženu enukleaciju. Prikaz bolesnika. Prikazan je bolesnik, star 21 godinu, sa velikom, asimptomatskom, radikularnom cistom u maksilarnom sinusu. Radiografska dijagnostika pomoću cone-beam kompjuterizovane tomografije (CBCT), pokazala je prisustvo velike cistične lezije koja je probila prednji maksilarni zid (1,5 cm) i bila u bliskom kontaktu sa podom orbite. Hirurški tretman cistične lezije uključio je preoperativnu dekompresiju i biopsiju u prvom aktu i enukleaciju u opštoj anesteziji nakon 6 meseci. Zaključak. Dekompresija i odložena enukleacija pokazale su se efikasnim terapijskim pristupom kod lečenje velike radikularne ciste maksilarnog sinusa uz mali morbiditet.

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Objavljeno
2015/11/02
Broj časopisa
Vol. 72 Br. 7 (2015)
Rubrika
Prikaz bolesnika