Paul Samrity, Kapoor Vinod, Kumar Munish, Narula Ravi, Kapoor Varun, Kapoor Upasna
Department of Oral and Maxillofacial Surgery, Guru Nanak Dev Dental College and Hospital, Sunam, Sangrur, India.
Department of Oral and Maxillofacial Surgery, Gian Sagar Dental College and Hospital, Ramnagar, Dist. Patiala, Punjab, India.
Indian J Dent. 2014 Apr;5(2):69-74. doi: 10.4103/0975-962X.135263.
Evaluation of clinical presentation of cystic lesions of the maxillofacial region, their relation to radiological picture, and treatment planning so as to plan and execute a patient need based treatment modality after co-relating it to the eventual histopathological diagnosis.
25 cases with clinico-radiological diagnosis of a cyst were selected and treated, and the diagnosis was co-related to the eventual histopathological diagnosis. The patients were followed up for at least 3 months (3-12 months). An attempt was made to underline patient and lesion related variables having a bearing on the choice of treatment modality in each case.
Out of 25 patients, 28% were females and 72% males. Commonly affected age groups were 11-20 (40%) and 31-40 years (24%). 76% of 25 patients complained of swelling on the first visit. 96% lesions were related to jaws, of which 15 were in the mandible and 9 were in the maxilla. 58.33% bone lesions had cortical expansion. 92% lesions were confirmed to be cysts histopathologically. Two were ameloblastomas. 80% patients underwent enucleation with various adjunctive procedures. 32% patients faced temporary post operative complications. No recurrences were observed. Radiological presentation of lesions and patient's age were found to be the two most important radiological and clinical variables affecting treatment planning.
A comprehensive patient need based treatment plan can be reached only after taking various patient and lesion related variables (which may manifest as clinical, radiological or histological parameters) into consideration.
评估颌面部囊性病变的临床表现、其与影像学表现的关系以及治疗方案，以便在将其与最终的组织病理学诊断相关联后，规划并实施基于患者需求的治疗方式。
选取25例临床影像学诊断为囊肿的病例进行治疗，并将诊断结果与最终的组织病理学诊断相关联。对患者进行至少3个月（3 - 12个月）的随访。尝试强调在每种情况下影响治疗方式选择的患者和病变相关变量。
25例患者中，女性占28%，男性占72%。常见的发病年龄组为11 - 20岁（40%）和31 - 40岁（24%）。25例患者中有76%在首次就诊时主诉肿胀。96%的病变与颌骨有关，其中15例在下颌骨，9例在上颌骨。58.33%的骨病变有皮质膨胀。92%的病变经组织病理学证实为囊肿。2例为成釉细胞瘤。80%的患者接受了摘除术及各种辅助手术。32%的患者术后出现临时并发症。未观察到复发情况。发现病变的影像学表现和患者年龄是影响治疗规划的两个最重要的影像学和临床变量。
只有在考虑各种患者和病变相关变量（可能表现为临床、影像学或组织学参数）后，才能制定出基于患者需求的综合治疗方案。
