Bin Suhaim Faisal, Bin Turayki Haitham, A Bin Rubaia'an Muslat, Alshahrani Munira, Alshagroud Rana, Al-Sadhan Ra'ed
Oral and Maxillofacial Surgery Department, King Saud Medical City, Riyadh, Riyadh Province, Saudi Arabia.
Oral and Maxillofacial Surgery Department, King Khalid University, Abha, Aseer Province, Saudi Arabia.
F1000Res. 2025 May 20;14:504. doi: 10.12688/f1000research.163210.1. eCollection 2025.
This report focuses on the efficacy of the Suhaim-Turayki Technique, a modified decompression procedure using dual drainage openings, in the treatment of odontogenic keratocysts (OKCs).
We present five cases (four females, one male; age range: 25-31 years) of patients treated with our novel technique for OKCs. The cysts were located primarily in the left mandible, except for one case in the anterior mandible. Two patients underwent the procedure under general anesthesia, while three were treated with local anesthesia. The cyst dimensions ranged from 5.2 to 7.3 cm in width and 1.7 to 5.8 cm in height. The procedure involved inserting a perforated Foley catheter drain (size 15 or 16) into the cystic cavity, with dual openings connected to the oral cavity for continuous drainage. Patients received weekly irrigation of the cavity, with subsequent home irrigation instructions. Follow-up intervals ranged from 6 to 12 months. Complete resolution was achieved in all cases, either with decompression alone or with an additional enucleation procedure for cyst remnants in two cases. At discharge, radiographs confirmed full bony regeneration and the absence of recurrence.
The Suhaim-Turayki Technique proved to be a timely and effective method for managing OKCs, with complete cyst resolution and no recurrences observed during extended follow-up. This modified decompression technique is a promising alternative for patients where more invasive treatment options are not suitable or preferred.
本报告重点关注苏海姆 - 图拉伊基技术（一种采用双引流开口的改良减压手术）治疗牙源性角化囊肿（OKC）的疗效。
我们展示了5例（4名女性，1名男性；年龄范围：25 - 31岁）采用我们的新技术治疗OKC的患者。囊肿主要位于左下颌骨，除1例位于下颌前部。2例患者在全身麻醉下接受手术，3例采用局部麻醉。囊肿尺寸宽度为5.2至7.3厘米，高度为1.7至5.8厘米。手术过程包括将一根带孔的弗利导尿管引流管（尺寸为15或16）插入囊腔，双开口连接至口腔进行持续引流。患者每周接受囊腔冲洗，并随后接受家庭冲洗指导。随访间隔为6至12个月。所有病例均实现完全消退，其中2例单独通过减压实现，另外2例对囊肿残余物进行了额外的摘除手术。出院时，X线片证实骨完全再生且无复发。
苏海姆 - 图拉伊基技术被证明是一种及时有效的管理OKC的方法，在延长随访期间观察到囊肿完全消退且无复发。这种改良的减压技术对于不适合或不倾向于采用更具侵入性治疗方案的患者是一种有前景的替代方法。
