Kirurško liječenje velikih cista donje čeljusti

master's thesis

• Author: Marko Miličić
• Mentor: Davor Katanec (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2005, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Pregled literature pokazuje da je u proteklom stoljeću postojalo mnogo različitih metoda liječenja velikih cista donje čeljusti i da se stalno pronalaze i istražuju nove mogućnosti, one do danas nisu iscrpljene. Temeljni problemi koje se nastojalo riješiti kirurškim metodama bili su poslijeoperacijski recidivi, posebice kod razvojnih odontogenih cista koje današnje podjele nazivaju imenima odontogenih keratocista ili primordijalnih cista, a zatim problemi cijeljenja velikih koštanih šupljina, koje je najčešće kompromitirala infekcija krvnoga ugruška. Primjena kemijskih sredstava ili niske temperature, kojima se željelo uništiti moguće ostatke čahure, medicinski nemaju osnove jer nije moguće točno odrediti dubinu njihova djelovanja i nose rizik komplikacija. Ispiranje koštanog defekta 3% vodikovim peroksidom, kako bi se opazili i odstranili eventualni ostaci čahure, dopušteno je. Što se tiče cijeljenja
velikih koštanih defekata nakon enukleacije cista čeljusti, nije važno koju metodu primijenili, ali je sigurno da metoda marsupijalizacije nije više svakodnevna metoda, nego se primjenjuje samo iznimno, kod zdravstveno kompromitiranih bolesnika kako se ne bi izlagali riziku zahvata uz opću anesteziju. Sve metode kojima se primarno zatvara koštana šupljina, a njima se ujedno nastoji smanjiti mrtvi prostor i spriječiti infekciju krvnog ugruška, dobre su.

Abstract (english)

The survey of literature shows there were many different methods of treating large lower jaw cysts and that new possibilities are constantly devised and researched, and they have not been exhausted today either. The basic problems for which efforts were made to solve them by surgical methods were post-surgery recurrence cases, particularly in developmental odontogenic cysts, which are called odontogenic keratocysts or primordial cysts in present classifications, followed by problems of vaccination of large bone cavities, which were most often compromised by an infection of blood clots. The implementation of chemical means or low temperature, by which eventual remains of the capsule were to be destroyed, are medically unfounded because it is not possible to determine the depth of their action precisely and they involve the risk of complications. Rinsig of the bone defect with 3% hydrogen peroxide, for the purpose of perceiving and removing eventual remains of the capsule, is allowed. As for healing of a large bone defects after enucleation of jaw cysts, it is not important which method to apply, but it is certain that the method of marsupialization is no longer an everyday method, but is applied only exceptionally in patients with compromised health, in order that they would not be exposed to the risk of an intervention with general aesthesia. All the methods which primarily close the bone cavity, and which endeavour to reduce the dead space and prevent the infection of a blood clot, are good.

• Keywords: oralnokirurški postupci; odontogene ciste
• Keywords (english): Oral Surgical Procedures; Odontogenic Cysts
• Language: croatian
• URN:NBN: urn:nbn:hr:127:806390
• 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: Closed access
• Created on: 2024-05-20 08:32:50