STENTS USED FOR DECOMPRESSION OF CYSTIC LESIONS IN THE JAWS

Abstract

Cystic lesions on the jaw scan be treated by applying various methods alone or in combination such as simple drainage, enucleation, curettage, marsupialization, marginal or segmental resection. Marsupialization is the procedure of reducing the pressure in the cyst cavity by providing a surgical opening that connects the cystic lesion and the oral cavity. It is thought that bone production is induced by reducing the pressure inside the cavity during decompression. Success of the treatment is directly related to the preservation of the surgical opening between the cyst cavity and the oral cavity and the ability to irritate the cavity through this opening. Stents, which can be of various shapes and materials, prevent the opening from closing; it should be in a structure that does not irritate the surrounding tissues, allow functional movements such as chewing and speech and can be cleaned by the patient.

Keywords

• Decompression,Jaw Cysts,Marsupialization

ÇENELERDEKİ KİSTİK LEZYONLARIN DEKOMPRESYONUNDA KULLANILAN STENTLER ÇENELERDE KULLANILAN DEKOMPRESYON STENTLERİ

Abstract

Çenelerdeki kistik lezyonlar; basit drenaj, enükleasyon, küretaj, marsüpyalizasyon, marjinal veya segmental rezeksiyon gibi çeşitli yöntemlerin tek başına veya kombine olarak uygulanması ile tedavi edilebilmektedir. Bunlardan marsupyalizasyon; kistik lezyonla oral kavitenin bağlantısını sağlayan cerrahi bir açıklık sağlanarak kist kavitesi içeresindeki basıncın azaltılması yani dekompresyonu işlemidir. Dekompresyon sırasında kavite içerisindeki basıncın azaltılması ile kemik yapımının indüklendiği düşünülmektedir. Tedavi başarısı; kist kavitesiyle oral kavite arasındaki cerrahi açıklığın korunması ve bu açıklık aracılığıyla kavitenin irrige edilebilmesiyle doğrudan ilişkilidir. Çok çeşitli şekil ve materyalden olabilen bu stentler açıklığın kapanmasını engellerken; çevre dokuları irrite etmeyen, çiğneme ve konuşma gibi fonksiyonel hareketlere izin verebilen ve hasta tarafınca temizlenebilen bir yapıda olmalıdır.

Keywords

• Dekompresyon; Çene Kistleri,Marsupyalizasyon

References

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