Lečenje velike radikularne ciste – enukleacija ili dekompresija?

  • Stevo B Matijević Department of Oral Surgery, Military Medical Academy. Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Bojan Jovičić Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Department of Endodontics, Parodontology and Oral Medicine,Military Medical Academy. Belgrade, Serbia
  • Marija Bubalo Department of Oral Implantology, Military Medical Academy. Belgrade, Serbia
  • Smiljka Dukić Vojnomedicinska akademija.
  • Tatjana Čutović Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Department of Orthodontics, Clinic for Dentistry, Military Medical Academy. Belgrade, Serbia
DOI: https://doi.org/10.2298/5292
Ključne reči: mandible||, ||mandibula, odontogenic cysts||, ||ciste, odontogene, oral surgical procedures||, ||hirurgija, oralna, procedure,

Sažetak


Uvod. Lečenje radikularnih cista podrazumeva hirurški pristup, manje ili više agresivan. Ipak, lečenje velikih cističnih lezija, uključujući i radikularne ciste, stvara nedoumice u izboru hirurške metode, posebno u stepenu radikalizma. Prikaz slučaja. Prikazali smo pacijenta, starog 65 godina sa velikom radikularnom cistom donje vilice. Na ortopantomogramu moglo se uočiti veliko elipsasto multilokularno rasvetljenje na levoj strani tela mandibule, u neposrednoj blizini mandibularnog kanala, Postojao je rizik od nastanka patološke frakture vilice. Ipak, cista je u potpunosti uklonjena enukleacijom bez intraoperativnih i postoperativnih komplikacija. Zaključak. Prikazani slučaj podržava stav da pažljivo izvršena enukleacija može da se uradi bez nastanka komplikacija, kao što su oštećenje okolnih anatomskih struktura ili prelom vilice. Autori ukazuju na razloge za snažnu podršku preduzetom hirurškom pristupu u lečenju velikih radikularnih cista u donjoj vilici.

Biografije autora

Stevo B Matijević, Department of Oral Surgery, Military Medical Academy. Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia

VMA, Odeljenje za oralnu hirurgiju.

Docent dr sc stom.

Bojan Jovičić, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Department of Endodontics, Parodontology and Oral Medicine,Military Medical Academy. Belgrade, Serbia

Klinika za stomatologiju, Odeljenje za endodonciju, parodontologiju i oralnu medicinu.

Doc. dr sci. stom.

Marija Bubalo, Department of Oral Implantology, Military Medical Academy. Belgrade, Serbia

Klinika za stomatologiju, Odeljenje za oralnu implantologiju.

Dr sci stom.

Smiljka Dukić, Vojnomedicinska akademija.

Klinika za stomatologiju, Odeljenje za endodonciju, parodontologiju i oralnu medicinu.

Dr stom.

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Objavljeno
2015/07/08
Broj časopisa
Vol. 72 Br. 4 (2015)
Rubrika
Prikaz bolesnika