RESUMO
AIM: The aim of the study was to improve the types of surgical intervention when performing biopsy of large-sized cystic formations of the lower jaw by cystotomy. MATERIAL AND METHODS: 44 patients were examined and surgeries were performed: 12 patients with ameloblastoma, 14 - with keratoxystone tumor, 18 - with dentigerous cyst. All patients had a retained tooth in the cyst cavity. RESULTS: For histological verification of cystic formations of large sized it is necessary to perform cystotomy-typed biopsy with bone tissue and shell fragment collection, using epithelialized flap method. CONCLUSION: Cystotomy-typed biopsy using the method of epithelialized flap can significantly reduce the rehabilitation period and allows to decide on the choice of further method of surgical treatment.
Assuntos
Ameloblastoma , Cisto Dentígero , Cistos Odontogênicos , Cistotomia , Humanos , Mandíbula/cirurgia , Cistos Odontogênicos/cirurgiaRESUMO
Experience in operative treatment of 91 patients with spacious cysts of jaws occupying from 1/3 to capital DSE, Macedonian and more of the lower jaw volume was presented. In 36 patients keratocysts were found and in 55 patients teeth containing cysts. In the latter case it is obligatory to remove fully the cyst capsule because its epithelium is capable of metaplasia and neoplastic transformation. Patients were treated with the use of 2 stage method. 1st stage included decompression operation of cystotomy type; 2nd stage was performed 1-2 or more years later (depending upon primary cyst size) and consisted of remaining cyst capsule removal with wound closure. Benefits of 2 stage operation were described.
Assuntos
Cistos Maxilomandibulares/cirurgia , Cistos Odontogênicos/cirurgia , Procedimentos Cirúrgicos Bucais/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
Colapol was used for repair of perforation and maxillary alveolar process in 26 patients with perforating odontogenic sinusitis. Colapol is a highly effective Russian biocomposite permitting restoration of full-value bone and characterized by an antiinflammatory effect.
Assuntos
Processo Alveolar/cirurgia , Substitutos Ósseos/uso terapêutico , Colágeno/uso terapêutico , Durapatita/uso terapêutico , Seio Maxilar/cirurgia , Adolescente , Adulto , Idoso , Processo Alveolar/diagnóstico por imagem , Combinação de Medicamentos , Feminino , Humanos , Masculino , Seio Maxilar/diagnóstico por imagem , Sinusite Maxilar/complicações , Sinusite Maxilar/diagnóstico por imagem , Sinusite Maxilar/cirurgia , Métodos , Pessoa de Meia-Idade , RadiografiaAssuntos
Infecção Focal Dentária/cirurgia , Sinusite Maxilar/cirurgia , Adolescente , Adulto , Idoso , Substitutos Ósseos/uso terapêutico , Durapatita/uso terapêutico , Feminino , Infecção Focal Dentária/complicações , Seguimentos , Humanos , Masculino , Seio Maxilar/cirurgia , Sinusite Maxilar/etiologia , Pessoa de Meia-IdadeRESUMO
The authors analyze the results of sparing sinusotomy in 685 patients with chronic odontogenic perforative sinusitis. This effective method helped appreciably reduce the incidence of complications after surgical treatment of the said patient population.
Assuntos
Infecção Focal Dentária/complicações , Sinusite Maxilar/etiologia , Fístula Bucoantral/etiologia , Terapia Combinada , Infecção Focal Dentária/cirurgia , Humanos , Complicações Intraoperatórias/epidemiologia , Sinusite Maxilar/complicações , Sinusite Maxilar/cirurgia , Fístula Bucoantral/complicações , Fístula Bucoantral/cirurgia , Complicações Pós-Operatórias/epidemiologiaRESUMO
Analysis of case histories of patients with odontogenic sinusitis helped single out the typical errors often made by the practitioners when diagnosing and treating this disease. These errors are: untimely diagnosis of the perforation, inadequate examination, erroneous interpretation of the diagnosis. When the maxillary sinus bottom is perforated during removal of a tooth, the physician often erroneously closes this opening. Treatment of sinusitis is often carried out regardless of the disease form and stage.