Topleninova D Iu, Davydova Iu V
Stomatologiia (Mosk). 1994 Oct-Dec;73(4):30-4.
Forty-six patients (21 men and 25 women) with keratocysts were treated at Dental Surgery Chair of the Moscow Medical Stomatological Institute. Cystectomy was carried out in 26 patients, two-staged treatment in 20. Histologic examination of the operative material confirmed the diagnosis. A two-staged method of treatment of this disease in an outpatient setting has been developed. Cystectomy was carried out in cases with cysts up to 2-3 cm in diameter, it did not destroy the cortical plate of the jaw; it was performed similarly as total biopsy and was the final treatment modality. In cases with larger cysts, when the thickness of the cortical layer was less than 0.5 cm and there was a risk of fracture, two-staged treatment was resorted to: the first step, decompression performed similarly as cystostomy and the second, cystectomy a year or more after the first stage, when the size of the cyst reduced to 1.5-2 cm in diameter. The patients were followed up for up to 2-5 years after the treatment. Hence, correct and timely diagnosis of the disease and a two-staged method of treatment of keratocysts developed at out Chair bring about good results with the least injury to the patients.
莫斯科医学口腔学院牙科手术椅科室对46例角化囊肿患者（21名男性和25名女性）进行了治疗。26例患者接受了囊肿切除术，20例采用了两阶段治疗。手术材料的组织学检查证实了诊断。已开发出一种在门诊环境中治疗该疾病的两阶段方法。对于直径达2 - 3厘米的囊肿，若未破坏颌骨皮质板，则进行囊肿切除术，其操作类似于全活检，是最终的治疗方式。对于较大囊肿，当皮质层厚度小于0.5厘米且有骨折风险时，则采用两阶段治疗：第一步，减压操作类似于囊肿造口术；第二步，在第一阶段一年或更长时间后，当囊肿直径缩小至1.5 - 2厘米时进行囊肿切除术。治疗后对患者进行了长达2 - 5年的随访。因此，在我们科室，对该疾病正确及时的诊断以及开发的角化囊肿两阶段治疗方法，在对患者损伤最小的情况下带来了良好的效果。
