Clinical dynamic study of jaw cyst after decompression

doi:10.19439/j.sjos.2021.06.019

Abstract

Abstract: PURPOSE: To observe the dynamic characteristics of odontogenic mandibular cyst after decompression, and analyze the treatment results. METHODS: Data of patients with odontogenic cyst of mandible confirmed in our hospital from June 2017 to June 2019 who underwent decompression were collected, and analyzed retrospectively. Cone-beam CT(CBCT) were taken before and after operation. Three-dimensional reconstruction was conducted using E3D modeling software. The contraction direction of the cyst cavity, contraction speed of the cyst cavity and its relationship with age and time were analyzed with SPSS 21.0 software package. RESULTS: The cysts of the mandibular body mostly contracted with the largest diameter as the axis. After decompression, the cystic cavity contracted in an elliptical shape. The contraction rate of cystic cavity from small to large was as followed: odontogenic keratocysts, apical cyst, and dentigerous cyst. The contraction speed was negatively correlated with time and age, and the contraction speed slowed down significantly after 12 months. CONCLUSIONS: The effect of fenestration decompression in the treatment of mandibular odontogenic cysts is related to time, age and pathological type. It is recommended to deal with in a timely manner according to the characteristics of the cyst changes.

Key words: Odontogenic cysts, Cone-beam CT, Decompression, E3D

CLC Number:

R739.8

DU Yue, PENG Xiao, HAN Rui, WANG Dong, HU Jie, GAO Ting-yi, ZHANG Kai. Clinical dynamic study of jaw cyst after decompression[J]. Shanghai Journal of Stomatology, 2021, 30(6): 658-662.

References

[1] Asutay F, Atalay Y, Turamanlar O, et al.Three-dimensional volumetric assessment of the effect of decompression on large mandibular odontogenic cystic lesions[J].J Oral Maxillofac Surg, 2016, 74(6): 1159-1166.
[2] 王彬, 徐镭, 孙秋望月, 等. 开窗减压术治疗下颌骨牙源性囊肿的临床和影像学研究[J].南京医科大学学报(自然科学版), 2018, 38(5): 653-657.
[3] 庞亚倩,张凯,刘亮,等.下颌骨囊性病变的三维有限元模型生物力学分析[J].南方医科大学学报, 2020, 40(6): 911-915.
[4] 江穗, 朱李军, 陈仲伟, 等. 156例牙源性颌骨囊肿临床分析[J].中山大学学报(医学科学版), 2008, 29(S1): 136-138.
[5] Marin S, Kirnbauer B, Rugani P, et al.The effectiveness of decompression as initial treatment for jaw cysts: a 10-year retrospective study[J]. Med Oral Patol Oral Cir Bucal, 2019, 24(1): e47-e52.
[6] 邓书海, 钟凡, 赵继刚, 等. 颌骨巨大囊性病变开窗减压术8例临床观察[J].中国实用口腔科杂志, 2011, 4(2): 98-100.
[7] Rajendra Santosh AB.Odontogenic cysts[J]. Dent Clin North Am, 2020, 64(1): 105-119.
[8] Nasseh I, Al-Rawi W.Cone beam computed tomography[J]. Dent Clin North Am, 2018, 62(3): 361-391.
[9] Lara-Mendes STO, Barbosa CFM, Santa-Rosa CC, et al.Guided endodontic access in maxillary molars using cone-beam computed tomography and computer-aided design/computer-aided Manufacturing system: a case report[J]. J Endod, 2018, 44(5): 875-879.
[10] Gao L, Wang XL, Li SM, et al.Decompression as a treatment for odontogenic cystic lesions of the jaw[J]. J Oral Maxillofac Surg, 2014, 72(2): 327-333.
[11] 殷学民,任晓旭,吕晓智,等.开窗术后负压引流治疗大型牙源性颌骨囊肿的临床总结[J].南方医科大学学报, 2012, 32(3): 409-411.
[12] Thompson L.World Health Organization classification of tumours: pathology and genetics of head and neck tumours[J]. Ear Nose Throat J, 2006,85(2): 74-74.
[13] Song IS, Park HS, Seo BM,et al.Effect of decompression on cystic lesions of the mandible: 3-dimensional volumetric analysis[J]. Br J Oral Maxillofac Surg, 2015, 53(9): 841-848.
[14] Buchbender M, Neukam FW, Lutz R,et al.Treatment of enucleated odontogenic jaw cysts: a systematic review[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2018, 125(5): 399-406.
[15] 章茜,杨旭东.颌骨囊性病变开窗减压术疗效评价方法的研究进展[J]. 国际口腔医学杂志, 2017, 44(4): 493-496.
[16] Bodner L, Bar-Ziv J.Characteristics of bone formation following marsupialization of jaw cysts[J]. Dentomaxillofac Radiol, 1998, 27(3): 166-171.
[17] Oftadeh R, Perez-Viloria M, Villa-Camacho JC, et al.Biomechanics and mechanobiology of trabecular bone: a review[J]. J Biomech Eng, 2015, 137(1): 0108021-01080215.
[18] Man QW, Zhong WQ, Ren JG, et al.Increased level of cell-derived microparticles in the cyst fluids of odontogenic keratocysts[J]. Int J Oncol, 2018, 52(6): 1863-1874.
[19] 王彦瑾,谢晓艳,洪瑛瑛,等.844例牙源性角化囊肿的临床病理学分析[J].北京大学学报(医学版), 2020, 52(1): 41-48.
[20] 袁韵仪,段余峰,雷勇华.含牙囊肿埋伏牙行开窗减压术后的萌出预测[J]. 国际口腔医学杂志, 2018, 45(3): 362-367.
[21] Bassetti MA, Kuttenberger J, Novak J, et al.The dentigerous cyst: two different treatment options illustrated by two cases[J]. Swiss Dent J, 2019, 129(3): 193-203.
[22] Kubota Y, Imajo I, Itonaga R,et al.Effects of the patient's age and the size of the primary lesion on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts[J]. Br J Oral Maxillofac Surg, 2013, 51(4): 358-362.
[23] Park HS, Song IS, Seo BM, et al.The effectiveness of decompression for patients with dentigerous cysts, keratocystic odontogenic tumors, and unicystic ameloblastoma[J]. J Korean Assoc Oral Maxillofac Surg, 2014, 40(6): 260-265.
[24] Anavi Y, Gal G, Miron H, et al.Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011,112(2): 164-169.