A 6-YEAR RETROSPECTIVE STUDY ABOUT CYSTS IN THE ORAL AND MAXILLOFACIAL REGION

구강악안면영역의 낭종에 대한 6년간의 후향적 임상 연구

  • Choi, Guen-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Jang, Jung-Rok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Park, Young-Jun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Moon, Hyea-Won (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Kim, Young-Joon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Yu, Min-Gi (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Kook, Min-Suk (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Park, Hong-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea) ;
  • Oh, Hee-Kyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institutue, Chonnam National University, 2nd stage of Brain Korea)
  • 최근호 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 장정록 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 박영준 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 문혜원 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 김영준 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 유민기 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 국민석 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 박홍주 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 유신열 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l) ;
  • 오희균 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소, 2단계 BK2l)
  • Published : 2009.09.30

Abstract

Purpose : This study was designed to evaluate the clinical aspect of cysts which arised in the oral and maxillofacial region. Patients and Methods : We reviewed clinical record, radiograph, histopathologic and operative report of 155 patients who had been diagnosed as cysts and treated at the department of oral and maxillofacial surgery in Chonnam National University Hospital from January 2003 to December 2008. Gender, age, classifiaction, anatomic distribution, clinical sign and symptoms, treatment, complications and recurrence rate were studied. Results : 1. Among 155 patients, the male patients(64.5%) were more than the female(35.5%). 2. The average age ofthe patients was 37.2 years(ranging from 5 to 79 years). 3. In pathologic classification, radicular cyst and dentigerous cyst were most common cysts, irrespective of 73 cases(48.3%) and 35 cases(23.2%). 4. The frequently involved cystic regions were followed as mandibular molars(38.1%), and maxillary incisors(30.2%). 5. The frequent sequence of clinical symptoms was edema(29.9%), no symptom(18.9%), tenderness(13.9%), pain(11.5%) and abscess(9.4%). 6. The most prevalent treatment was the combination operation, such as cyst enucleation with extraction or endodontic treatment of the causative tooth(76.8%) 7. Among 155 cases, 2 cases that were treated using enucleation method were recurred(1.3%).

Keywords

References

  1. Kramer IRH, Pindborg JJ, Shear M : Histologic typing of odontogenic tumors, 2nd ed. Springer-Verlag, 1992, p235
  2. Shear M : Cysts of the jaws : recent advances. J pathology 14 : 43, 1985
  3. Neville BW, Damm DD, Allen CM et al : Oral and maxillofacial pathology, WB Saunders, 1995, p.493
  4. Ciloro M : Peterson's principle of oral and maxillofacial surgery 2nd ed. BC Decker, 2004, p.575
  5. Richter M, Laurent F, Chausse JM : Homologous cancellous bone grafts for large jaw defects caused by bone cyst. J Oral Maxillofac Surg 44 : 447, 1986 https://doi.org/10.1016/S0278-2391(86)80009-X
  6. Spengos MN : Irradiated allogeneic bone grafts in the treatment of odontogenic cysts. J Oral Surg 32 : 674, 1974
  7. Olson JW, Miller RL, Kushner GM et al : Odontogenic carcinoma occurring in a dentigerous cyst : case report and clinical management. J Periodontol 71 : 1365, 2000 https://doi.org/10.1902/jop.2000.71.8.1365
  8. Yasuoka T, Yonemoto K, Kato Y et al : Squamous cell carcinoma arising in a dentigerous cyst. J Oral Maxillofac Surg 58 : 900, 2000 https://doi.org/10.1053/joms.2000.8219
  9. Colic S, Jurisic M, Jurisic V : Pathophysiological mechanism of the developing radicular cyst of the jaw. Acta Chir lugosl 55 : 87, 2008 https://doi.org/10.2298/ACI0801087C
  10. Valderhaug JP : Pathogenesis of radicular cysts. Nor Tannlaeqegoren Tid 81 : 265, 1971
  11. Ioannidou F, Mustafa B, Seferiadou-Mavpropoulous T : Odontogenic cysts of the jaws. Stomatologia 46 : 81, 1989
  12. Rim JS, Jang HS, Son HM et al : Clinical study of cyst in the jaws. J Kor Oral Maxillofac Surg 26 : 293, 2000
  13. Moon C, Lee DK, Min SK et al : Clinical study of jaw cysts. J Kor Maxiilofac Plast and Reconst Surg 22 : 301, 2000
  14. Kim KH, Um IW, Lee DG : Clinical study of autogenous bone graft in the maxillofacial region. J Kor Oral Maxillofac Surg 19 : 226, 1993
  15. Cha SK, Kim IK, Oh SS et al : Clinical study of cyst in the jaws. J Kor Oral Maxillofac Surg 27 : 167, 2001
  16. Kreidler JF, Raubenheimer EJ, Van Heerden WF : A Retrospective analysis of 367 cystic lesions of the jaw-the experience. J Craniomaxillofac Surg 21 : 339, 1993 https://doi.org/10.1016/S1010-5182(05)80494-9
  17. Laskin DM : Oral and Maxillofacial Surgery, CV Mosby, 1984, p.325
  18. Cruger GO : Textbook of oral and maxillofacial surgery, 6th ed. CV Mosby, 1984, p.255
  19. Archer WH : Oral and maxillofacial surgery, 5th ed. WB Saunders, 1975, p.518
  20. Kim YJ, Um IW, Lee DG : Clinical study of autogenous bone graft in the maxillofacial region. J Kor Oral Maxillofac Surg 19 : 432, 1993
  21. Um IW : Mandibular reconstruction with autogenous bone graft. J Kor Dent Assoc 30 : 397, 1992
  22. Tomford WW, Strakweather R, Goldman MH : A Study of the Clinical incidence of infection in the use of banked allograft bone. J Bone Joint Surg 2 : 63, 1981