Retrospetkivna studija spontane regeneracije kosti posle dekompresije velikih odontogenih cističnih lezija kod dece

  • Marko Pejović Stomatoloski fakultet univerziteta u Beogradu
  • Jelena Stepić Clinic of Oral Surgery, University of Belgrade, Belgrade, Serbia
  • Aleksa Marković Clinic of Oral Surgery, University of Belgrade, Belgrade, Serbia
  • Miroslav Dragović Clinic of Oral Surgery, University of Belgrade, Belgrade, Serbia
  • Biljana Miličić Department of Medical Statistics and Informatics, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia
  • Snježana Čolić Clinic of Oral Surgery, University of Belgrade, Belgrade, Serbia
DOI: https://doi.org/10.2298/6640
Ključne reči: odontogenic cysts||, ||ciste, odontogene, oral surgical procedures||, ||hirurgija, oralna, procedure, decompression, surgical||, ||dekompresija, hirurška, treatment outcome||, ||lečenje, ishod, pediatric dentistry||, ||stomatologija, dečija,

Sažetak


Uvod/Cilj. Hirurška terapija odontogenih cista u dečjem uzrastu može da bude udružena sa povredama važnih anatomskih struktura. Mada se enukleacija smatra terapijom izbora viličnih cista, specifičnosti dečjeg uzrasta nameću primenu konzervativnijeg hirurškog pristupa. Cilj istraživanja bio je da se proceni efikasnost dekompresije kao definitivnog terapijskog modaliteta kod odontogenih cista u dečjem uzrastu. Metode. Ova retrospektivna studija obuhvatila je 22 pacijenta, uzrasta 7−16 godina, sa solitarnim cističnim lezijama. Najčešće među njima su bile folikularne ciste (14), a ostale su bile keratocistični odontogeni tumori (KCOT). Sve cistične lezije prvo su tretirane dekompresijom; to je bio i jedini poduhvat (jednofazni postupak) kod 13 folikularnih cista, a potreba za sekundarnim zahvatom – enukleacijom, ukazala se posle dekompresije jedne folikularne ciste i svih KCOT (dvofazni postupak). Rezultati. Ukupno 13 (59,1%) cističnih lezija, od kojih su sve bile folikularne ciste, uspešno je podvrgnuto jednofaznom hirurškom postupku, dok je preostalih 9 (40,9%) cista (1 folikularna i 8 KCOT) zahtevalo naknadnu enukleaciju. Zaključak. Kod neagresivnih cističnih lezija preporučuje se konzervativniji hirurški pristup kao što je dekompresija (jednofazna procedura). Nasuprot tome, KCOT u dečjem uzrastu zahtevaju dvofazni hirurški postupak − dekompresiju praćenu enukleacijom.

 

 


Reference

Bodner L. Cystic lesions of the jaws in children. Int J Pediatr Otorhinolaryngol 2002; 62(1): 25−9.

Manor E, Kachko L, Puterman MB, Szabo G, Bodner L. Cystic le-sions of the jaws - a clinicopathological study of 322 cases and review of the literature. Int J Med Sci 2012; 9(1): 20−6.

Sun KT, Chen MY, Chiang HH, Tsai HH. Treatment of large jaw bone cysts in children. J Dent Child (Chic) 2009; 76(3): 217−22.

Hyun H, Hong S, Kim J. Recurrent keratocystic odontogenic tumor in the mandible: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108(2): 7−10.

Takeda Y. Hyaline bodies and secondary dental cuticle in den-tigerous cyst. J Oral Pathol 1985; 14(3): 268−9.

Nakamura N, Mitsuyasu T, Mitsuyasu Y, Taketomi T, Higuchi Y, Ohishi M. 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 2002; 94(5): 543−53.

August M, Faquin WC, Troulis MJ, Kaban LB. Dedifferentiation of odontogenic keratocyst epithelium after cyst decompres-sion. J Oral Maxillofac Surg 2003; 61(6): 678−83.

Anavi Y, Gal G, Miron H, Calderon S, Allon DM. Decompres-sion of odontogenic cystic lesions: clinical long-term study of 73 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112(2): 164−9.

Iatrou I, Theologie-Lygidakis N, Leventis M. Intraosseous cystic le-sions of the jaws in children: a retrospective analysis of 47 consecutive cases. Oral Surg Oral Med Oral Pathol Oral Ra-diol Endod 2009; 107(4): 485−92.

Motamedi MH, Talesh KT. Management of extensive dentiger-ous cysts. Br Dent J 2005; 198(4): 203−6.

Gao L, Wang X, Li S, Liu C, Chen C, Li J, Zhi K. Decompres-sion as a treatment for odontogenic cystic lesions of the jaw. J Oral Maxillofac Surg 2014; 72(2): 327−33.

Bodner L, Woldenberg Y, Bar-Ziv J. Radiographic features of large cystic lesions of the jaws in children. Pediatr Radiol 2003; 33(1): 3−6.

Pogrel AM, Jordan RC. Marsupialization as a definitive treatment for the odontogenic keratocyst. J Oral Maxillofac Surg 2004; 62(6): 651−5.

Hu Y, Chang Y, Tsai A. Conservative treatment of dentigerous cyst associated with primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112(6): 5−7.

Koca H, Esin A, Aycan K. Outcome of dentigerous cysts treated with marsupialization. J Clin Pediatr Dent 2009; 34(2): 165−8.

Qian W, Ma Z, Xie Q, Cai X, Zhang Y, Yang C. Marsupialization facilitates eruption of dentigerous cyst-associated mandibular premolars in preadolescent patients. J Oral Maxillofac Surg 2013; 71(11): 1825−32.

Yahara Y, Kubota Y, Yamashiro T, Shirasuna K. Eruption predic-tion of mandibular premolars associated with dentigerous cysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108(1): 28−31.

Blanas N, Freund B, Schwartz M, Furst IM. Systematic review of the treatment and prognosis of the odontogenic keratocyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90(5): 553−8.

Kaczmarzyk T, Mojsa I, Stypulkowska J. A systematic review of the recurrence rate for keratocystic odontogenic tumour in re-lation to treatment modalities. Int J Oral Maxillofac Surg 2012; 41(6): 756−67.

Zhao Y, Liu B, Han Q, Wang S, Wang Y. Changes in Bone Den-sity and Cyst Volume After Marsupialization of Mandibular Odontogenic Keratocysts (Keratocystic Odontogenic Tu-mors). J Oral Maxillofacial Surg 2011; 69(5): 1361−6.

Marker P, Brøndum N, Clausen PP, Bastian HL. Treatment of large odontogenic keratocysts by decompression and later cys-tectomy: a long-term follow-up and a histologic study of 23 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82(2): 122−31.

Falaki F, Delavarian Z, Salehinejad J, Saghafi S. Squamous cell carcinoma arising from an odontogenic keratocyst: a case re-port. Med Oral Patol Oral Cir Bucal 2009; 14(4): 171−4.

Pogrel AM. Treatment of keratocysts: the case for decompres-sion and marsupialization. J Oral Maxillofac Surg 2005; 63(11): 1667−73.

Gosau M, Draenert FG, Müller S, Frerich B, Bürgers R, Reichert TE, et al. Two modifications in the treatment of keratocystic odon-togenic tumors (KCOT) and the use of Carnoy’s solution (CS)—a retrospective study lasting between 2 and 10 years. Clin Oral Invest 2009; 14(1): 27−34.

Stoelinga PJ. The treatment of odontogenic keratocysts by exci-sion of the overlying, attached mucosa, enucleation, and treatment of the bony defect with carnoy solution. J Oral Maxillofac Surg 2005; 63(11): 1662−6.

Stoelinga PJ. Long-term follow-up on keratocysts treated ac-cording to a defined protocol. Int J Oral Maxillofac Surg 2001; 30(1): 14−25.

Tolstunov L, Treasure T. Surgical treatment algorithm for odon-togenic keratocyst: combined treatment of odontogenic kera-tocyst and mandibular defect with marsupialization, enuclea-tion, iliac crest bone graft, and dental implants. J Oral Maxillo-fac Surg 2008; 66(5): 1025−36.

Forssell K, Forssell H, Kahnberg KE. Recurrence of keratocysts. A long-term follow-up study. Int J Oral Maxillofac Surg 1988; 17(1): 25−8.

Pitak-Arnnop P, Chaine A, Oprean N, Dhanuthai K, Bertrand J, Bertolus C. Management of odontogenic keratocysts of the jaws: A ten-year experience with 120 consecutive lesions. J Craniomaxillofac Surg 2010; 38(5): 358−64.

Kubota Y, Imajo I, Itonaga R, Takenoshita Y. Effects of the pa-tient's age and the size of the primary lesion on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts. Br J Oral Max-illofac Surg 2013; 51(4): 358−62.

Objavljeno
2017/01/27
Broj časopisa
Vol. 73 Br. 2 (2016)
Rubrika
Originalni članak