Dereci Ömür, Saruhan Nesrin, Tekin Görkem, Alizadeh Ahmad, Öntürk Tuğrul
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey.
Department of Biology, Faculty of Science and Literature, Eskişehir Osmangazi University, Eskişehir, Turkey.
Ann Maxillofac Surg. 2021 Jul-Dec;11(2):241-246. doi: 10.4103/ams.ams_122_21. Epub 2022 Feb 1.
To compare the treatment methods of enucleation and decompression with regards to reduction of the dimension of the cystic defect with the aid of a software program.
Thirty patients with regular controls of 3, 6, and 12 months treated between January 1, 2013, and January 1, 2021, were selected and included in the study. Sixteen patients were treated with enucleation and 14 patients with decompression. All preoperative and control radiographic and clinical data were retrieved from the archives. The area measurement of cystic cavities was made on panoramic radiographs taken at preoperative (T0), 3-month (T1), 6-month (T2), and 12-month (T3) control periods with a software program. Intra-group and inter-group analyses were made to compare the reduction of cystic defects between two treatment methods.
The mean age of study patients was 45.2 ± 7.3. Eighteen of them were male and 12 of them were female. Statistically, a significant difference was not observed between decompression and enucleation groups at T0, T1, T2, and T3 control periods ( > 0.05). There was a statistically significant difference in the defect dimensions between all control periods in both decompression and enucleation groups ( < 0.05).
Decompression and enucleation of jaw cysts are both successful in reducing cystic cavities. However, there is no superiority between the two treatment modalities regarding the defect reduction at the 12-month control period.
借助软件程序比较摘除术和减压术在减小囊性缺损尺寸方面的治疗方法。
选取2013年1月1日至2021年1月1日期间接受治疗且有3、6和12个月定期随访的30例患者纳入研究。16例患者接受摘除术治疗,14例患者接受减压术治疗。所有术前及随访时的影像学和临床资料均从档案中获取。使用软件程序在术前(T0)、3个月(T1)、6个月(T2)和12个月(T3)随访期拍摄的全景X线片上测量囊性腔隙的面积。进行组内和组间分析以比较两种治疗方法之间囊性缺损的减小情况。
研究患者的平均年龄为45.2±7.3岁。其中18例为男性,12例为女性。统计学上,在T0、T1、T2和T3随访期,减压组和摘除术组之间未观察到显著差异(>0.05)。减压组和摘除术组在所有随访期的缺损尺寸之间均存在统计学显著差异(<0.05)。
颌骨囊肿的减压术和摘除术在减小囊性腔隙方面均取得成功。然而,在12个月随访期,两种治疗方式在缺损减小方面并无优势。