지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 276 - 283 (8page)
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초록· 키워드
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Objectives: Curettage and enucleation are two of the most common procedures performed in oral and maxillofacial surgery units. To access a cystic lesion, the buccal cortical plate is removed. The no reposition (NR) group underwent surgery without repositioning the buccal cortical plate. The reposition (R) group underwent surgery with a repositioning of the buccal cortical plate. This study compared the two surgical procedures in terms of bone healing and complications.
Materials and Methods: Patients who underwent curettage and enucleation surgery were enrolled in this study. Panoramic radiographs of the patients in both the NR group (n=26) and R group (n=34) were taken at the baseline and at 6, 12 and 24 months after surgery. The radiolucent area was calculated to evaluate bony healing in each radiograph. The complications were analyzed through a review of the medical records.
Results: The correlation between bony healing and surgical approach was not significant in the 6th, 12th, and 24th month (P <0.05). The complication rate was not associated with gender, graft material, bone graft and drain insertion (P <0.05). On the other hand, the R group had a higher complication rate (35.3%) than the NR group (0%). The difference in the mean lesion size between the NR group (37,024±3,617 pixel) and R group (92,863±15,931pixel) was significant (independent t test, P=0.004).
Conclusion: Although the reposition method is chosen when the lesion size is large, it is associated with more complications. Indeed, infection,discomfort and recurrence of the lesion were the most common complications in the R group. Furthermore, the R method does not have a strong point in terms of bone healing compared to the NR method. Therefore, the R method cannot be considered an ideal approach and should be used in limited cases.
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참고문헌 (24)
참고문헌 신청
August M / 2003 / Dedifferentiation of odontogenic keratocyst epithelium after cyst decompression / J Oral Maxillofac Surg 61 : 678 ~ 683
Bataineh AB / 2001 / Sensory nerve impairment following mandibular third molar surgery / J Oral Maxillofac Surg 59 : 1012 ~ 1017
Blanas N / 2000 / Systematic review of the treatment and prognosis of the odontogenic keratocyst / Surg Oral Med Oral Pathol Oral Radiol Endod 90 : 553 ~ 558
Bramley P / 1974 / The odontogenic keratocyst-an approach to treatment / Int J Oral Surg 3 : 337 ~ 341
Brondum N / 1991 / Recurrence of keratocysts and decompression treatment. A long-term follow-up of forty-four cases / Oral Surg Oral Med Oral Pathol 72 : 265 ~ 269
Bataineh AB / 2001 / Sensory nerve impairment following mandibular third molar surgery / J Oral Maxillofac Surg 59 : 1012 ~ 1017
Blanas N / 2000 / Systematic review of the treatment and prognosis of the odontogenic keratocyst / Surg Oral Med Oral Pathol Oral Radiol Endod 90 : 553 ~ 558
Bramley P / 1974 / The odontogenic keratocyst-an approach to treatment / Int J Oral Surg 3 : 337 ~ 341
Brondum N / 1991 / Recurrence of keratocysts and decompression treatment. A long-term follow-up of forty-four cases / Oral Surg Oral Med Oral Pathol 72 : 265 ~ 269
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