악골내 거대 낭종 병소의 조대술 후 적출술의 시행 여부 및 적출 시기의 평가

조지봉; 이광호; 이시현; 김복주; 김철훈; 황대석; 신상훈; 김욱규

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악골내 거대 낭종 병소의 조대술 후 적출술의 시행 여부 및 적출 시기의 평가
EVALUATION ON THE DECISION AND TIMING OF CYST ENUCLEATION AFTER MARSUPIALIZATION OF LARGE SIZED CYSTIC LESION ON THE JAWS

대한구강악안면외과학회지 2009년 35권 6호 p.411 ~ 419

조지봉, 이광호, 이시현, 김복주, 김철훈, 황대석, 신상훈, 김욱규,

소속 상세정보

조지봉 ( Jo Ji-Bong ) - 동아대학교 의과대학 구강악안면외과학교실
이광호 ( Lee Kwang-Ho ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
이시현 ( Lee Shi-Hyun ) - 동아대학교 의과대학 구강악안면외과학교실
김복주 ( Kim Bok-Joo ) - 동아대학교의료원 치과학교실 구강악안면외과
김철훈 ( Kim Chul-Hoon ) - 동아대학교 의과대학 구강악안면외과학교실
황대석 ( Hwang Dae-Seok ) - 부산대학교 치과대학 구강악안면외과학교실
신상훈 ( Shin Sang-Hun ) - 부산대학교 치과대학 구강안면외과학교실
김욱규 ( Kim Uk-Kyu ) - 부산대학교 치의학전문대학원 구강악안면외과학교실

KMID : 0355620090350060411

Abstract

Objective: The purpose of this study was to determine whether cyst enucleation would be done after marsupialization of large cystic lesion on the jaws or not, and if so, when it should be done.

Patients & Methods: 12 patients with cystic lesion treated by marsupialization only and 10 patients with cystic lesion treated by marsupialization followed by enucleation were examined in this study. Postoperative clinical and radiographic examinations were performed at 1, 4, 7, 10, 13, 16, 19 months on 22 patients. Bone regeneration and reduction rate of the residual cystic cavities and bone density were evaluated with a analysis of digital panoramic radiographs. Also histological evaluation of the healing process was performed on 1 patient.

Results: Uneventful healing and spontaneous bony filling of the residual cavities were observed in all cases. Postoperative radiographs showed that the size of the lesions was reduced for a few months, but the reduction rate of the residual cavity was minimized for 13~16 months after marsupialization. The bone density was increased 22.5 % after 19 months.

Conclusion: This results suggest that the appropriate timing to perform enucleation would be 13~16 months after marsupialization. The state of healing process could be confirmed by histological examination and radiographic evaluation of bone density. Enucleation after marsupialization could be applied appropriately to reduce the periods of bone healing in large cystic lesion on the jaws.