Asutay Fatih, Atalay Yusuf, Turamanlar Ozan, Horata Erdal, Burdurlu Muammer Çağrı
Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Afyon Kocatepe University, Afyonkarahisar, Turkey.
Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Afyon Kocatepe University, Afyonkarahisar, Turkey.
J Oral Maxillofac Surg. 2016 Jun;74(6):1159-66. doi: 10.1016/j.joms.2015.12.010. Epub 2016 Jan 6.
The primary approach to treating large cystic lesions is controversial. The aims of the present study were to assess the effects of decompression before enucleation for the treatment of large cystic lesions and to compare the rate of decrease of keratocystic odontogenic tumor, ameloblastoma, and dentigerous cyst at specific times (preoperatively and at 6 months).
The study included 40 patients (mean age, 31.22 ± 8.78 yr) with large mandibular lesions (>3 cm). Decompression was used to release intraluminal pressure and decrease the volume of the lesion. Three-dimensional computed tomography was applied to all patients at the diagnosis stage and at 6 months after decompression. Volumetric analysis was performed using software designed for 3-dimensional measurement of volumes. Other variables, such as age, gender, and rate of decrease, were recorded.
There were important differences in rates of decrease between preoperative and 6-month lesion volumes. Statistical analyses showed no significant differences among groups for age, gender, and histologic lesion type (P > .05).
Decompression of large cystic lesions could be useful for surgical interventions without complications.
治疗大型囊性病变的主要方法存在争议。本研究的目的是评估摘除术前减压对大型囊性病变治疗的效果，并比较角化囊性牙源性肿瘤、成釉细胞瘤和含牙囊肿在特定时间（术前和6个月时）的体积减小率。
该研究纳入了40例患有大型下颌病变（>3 cm）的患者（平均年龄，31.22±8.78岁）。采用减压来释放腔内压力并减小病变体积。在诊断阶段和减压后6个月时，对所有患者进行三维计算机断层扫描。使用专为三维体积测量设计的软件进行体积分析。记录其他变量，如年龄、性别和减小率。
术前和6个月时病变体积的减小率存在显著差异。统计分析显示，在年龄、性别和组织学病变类型方面，各组之间无显著差异（P>.05）。
大型囊性病变的减压对于无并发症的手术干预可能是有用的。
