Suvremeni oralnokirurški pristup terapiji velikih cista čeljusti

master's thesis

• Title (english): Contemporary surgical approach for treatment of large cyst of the jaw
• Author: Tena Velčić
• Mentor: Tomislav Katanec (mentor)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2023-06-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Ciste čeljusti patološke su šupljine ovalna ili okrugla oblika, ispunjene tekućim ili polutekućim
sadržajem. Omeđene su cističnom ovojnicom koja se sastoji od unutarnje epitelne i vanjske vezivne
ovojnice. Prema podjeli Svjetske zdravstvene organizacije iz 2017. godine, ciste čeljusti i mekih
tkiva usne šupljine dijele se na odontogene ciste upalnog podrijetla te odontogene i neodontogene
razvojne ciste. Cistične promjene teško je dijagnosticirati samo na temelju kliničke slike i
rendgenskog nalaza, stoga je dijagnostički postupak nužno upotpuniti punkcijom cističnog sadržaja
te, prema potrebi, ostalim tomografskim radiološkim pretragama kao što su CBCT ili MR.
Patohistološka dijagnostika jedina je tehnika koja točno definira vrstu cistične lezije. U terapiji
cista glavni je cilj enukleacija ciste u potpunosti. Odabir operativne tehnike ovisi o veličini i
lokalizaciji ciste. Male ciste, do tri centimetra u promjeru, uklanjaju se postupkom enukleacije
(metoda Partsch II) neovisno o lokalizaciji. Velike ciste, promjera većeg od tri centimetra, u donjoj
se čeljusti mogu ukloniti postupkom enukleacije, marsupijalizacijom (metoda Partsch I),
dvofaznom tehnikom po Hermannu, Broschovom metodom te metodom Partsch II sa sukcijom.
Velike ciste gornje čeljusti operiraju se rinološkim metodama: Caldwell-Lucovom tehnikom,
tehnikom prema Loebelu te čuvenom Denkerovom cistektomijom. Dekompresija je operativna
tehnika koja se može primijeniti u gornjoj i donjoj čeljusti. Unatoč cijeloj paleti kirurških
postupaka, Partsch II metoda je odabira u liječenju cista i gornje i donje čeljusti.

Abstract (english)

Jaw cysts are pathological cavities of oval and round shape filled with liquid or semi-liquid contents. They are bounded by a cystic membrane which consists of an outer connective and an inner epithelial membrane. According to the classification of the World Health Organization from 2017. cyst of the jaw and soft tissues of the oral cavity are divided into: odontogenic inflammatory cysts and developmental odontogenic and non-odontogenic cysts. It is difficult to diagnose cystic lesions based merely on the physical findings and the radiological examinations. Therefore, it is necessary to complete the diagnostic procedure with a needle aspiration of cystic content and possibly other tomographic radiological examinations such as CBCT or MR. Pathohistological diagnosis is the only technique that accurately defines the type of cystic lesion. The principal purpose of the treatment is a complete enucleation of the cyst. The size and the localization of the cyst determines which operative technique is going to be used. Minor jaw cysts, up to 3 centimetres in diameter, are removed by the method of enucleation (Partsch II), regardless of the localization. Large cysts are cysts larger than 3 centimetres in diameter. Such cysts may be removed in the mandible by the enucleation technique (Partsch II), marsupialisation (Partsch I method) and Partsch II method with suction. Large maxilla cysts are operated with rhinological methods, i.e. Caldwell- Luc technique, technique according to Loebel and the already historical cystectomy according to Denker. The decompression method is an operative technique that may be used in both the maxilla and mandible. Notwithstanding the existence of a whole range of surgical techniques for the operation of cysts of the jawbone, the Partsch II technique is the method of choice for the treatment of cysts of both the maxilla and mandible.

• Keywords: ciste čeljusti; enukleacija; cistektomija; metoda Partsch II; marsupijalizacija; konična računalna tomografija; oralnokirurški postupci
• Keywords (english): jaw cyst; enucleation; Partsch II method; marsupialization; Cone-Beam Computed Tomography; Oral Surgical Procedures
• Language: croatian
• URN:NBN: urn:nbn:hr:127:120432
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-06-20 21:56:18