Intraosealna fokalna venska malformacija tela donje vilice: planiranje piezoelektrične resekcije pomoću kompjuterizovane tomografije konusnim zrakom i rekonstrukcija slobodnim koštanim transplantatom

  • Živorad S. Nikolić Faculty of Dentistry, University of Business Academy, Pančevo, Serbia
  • Drago B. Jelovac Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia.
  • Melvil Šabani Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia.
  • Jelena V. Jeremić Clinic for Burns, Plastic and Reconstructive Surgery, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Ivan Boričić Institute for Pathology, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP150616225N
Ključne reči: mandibular neoplasms||, ||mandibula, neoplazme, hemangioma||, ||hemangiom, diagnosis||, ||dijagnoza, cone-beam computed tomography||, ||kompjuterizovana tomografija konusnim zrakom, oral surgical procedures||, ||hirurgija, oralna, procedure, bone transplantation||, ||transplantacija kosti,

Sažetak


Uvod. Intraosealna vaskularna malformacija vilica može ugroziti život bolesnika zbog nekontrolisanog krvarenja do kojeg može doći nakon ekstrakcije zuba. Shodno biološkom ponašanju tih lezija, primena odgovarajućih dijagnostičkih i terapijskih metoda neophodna je kako bi se izbegle moguće komplikacije. Prikazana je en bloc resekcija intraosealne venske malformacije piezoelektričnim nožem nakon prethodno izvršene kompjuterizovane tomografije konusnim zrakom (CBCT). Prikaz bolesnika. Kod bolesnika starosti 55 godina resekcija intraosealne fokalne vaskularne malformacije donje vilice piezoelektričnim nožem urađena je nakon prethodne CBCT, a defekt je rekonstruisan slobodnim koštanim transplantatom sa ilijačne kosti. Hirurško lečenje i postoperativni tok protekli su bez komplikacija. U periodu praćenja od dve godine nije došlo do razvoja recidiva.
Zaključak. Piezoelektričnim nožem može se postići precizna i bezbedna resekcija uz minimalan gubitak krvi, što je od posebnog značaja kada je u pitanju venska malformacija koštanog tkiva. Prednosti ove tehnike su: mali rizik od oštećenja mekotkivnih struktura, mogućnost precizne osteotomije i minimalan gubitak krvi. Korišćenjem piezoelektričnog noža može se izbeći transfuzija krvi kao i transmisija krvnoprenosivih bolesti. U ovom prikazu slučaja posebno je istaknut značaj planiranja resekcije donje vilice piezoelektričnim nožem pomoću CBCT. To je izuzetno bezbedan metod lečenja, kojim se gubitak krvi svodi na minimum.

Biografije autora

Živorad S. Nikolić, Faculty of Dentistry, University of Business Academy, Pančevo, Serbia
MSci
Drago B. Jelovac, Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia.
No
Melvil Šabani, Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia.
No
Jelena V. Jeremić, Clinic for Burns, Plastic and Reconstructive Surgery, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
No
Ivan Boričić, Institute for Pathology, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
No

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Objavljeno
2017/07/05
Broj časopisa
Vol. 74 Br. 5 (2017)
Rubrika
Prikaz bolesnika