Optimal time to definitive enucleation of large cysts following marsupialization: A single center, retrospective study.

Autor: Bellini P; Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology, and Regenerative Medicine Relevance, Unit of Dentistry and Oral-Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Largo del Pozzo, 71, Modena 41125, Italy., Ricci A; Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology, and Regenerative Medicine Relevance, Unit of Dentistry and Oral-Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Largo del Pozzo, 71, Modena 41125, Italy., Setti G; Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology, and Regenerative Medicine Relevance, Unit of Dentistry and Oral-Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Largo del Pozzo, 71, Modena 41125, Italy. Electronic address: giacomo.setti@unimore.it., Veneri F; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Largo del Pozzo, 71, Modena 41125, Italy., Losi L; Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology, and Regenerative Medicine Relevance, Unit of Dentistry and Oral-Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Largo del Pozzo, 71, Modena 41125, Italy., Chester J; Department of Dermatology, University of Modena and Reggio Emilia, Largo del Pozzo, 71, Modena 41125, Italy., Consolo U; Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology, and Regenerative Medicine Relevance, Unit of Dentistry and Oral-Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Largo del Pozzo, 71, Modena 41125, Italy.
Jazyk: angličtina
Zdroj: Journal of stomatology, oral and maxillofacial surgery [J Stomatol Oral Maxillofac Surg] 2024 Sep; Vol. 125 (4S), pp. 101837. Date of Electronic Publication: 2024 Mar 18.
DOI: 10.1016/j.jormas.2024.101837
Abstrakt: Objectives: Optimal time to enucleation following marsupialization of large odontogenic mandibular cysts is undefined. We aim to assess volume reduction throughout follow-up, to indicate optimal time to enucleation. Secondary objectives include the identification of factors influencing cyst reduction.
Study Design: We retrospectively enrolled 15 patients with mandibular cysts of different histological types treated with marsupialization at our center between 2018 and 2022. Cyst volume was assessed with cone-beam computed tomography (CBCT) and a semi-automatic segmentation algorithm, at baseline and between 6 and 8 months post marsupialization.
Results: The overall mean cyst volume reduction percent (VR%) was 57.7 % or 0.2 % per day. VR% at 8 months was significantly higher than those assessed at 6 and 7 months (67.1% vs 47.1 %, p = 0.003). Time to CBCT was the only independent variable influencing cyst VR%.
Conclusion: Our study proves that the optimal time to enucleation for mandibular cyst is 8 months, independent of histological cyst type, patient age, baseline cyst volume and the number of pre-operative residual bone walls.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Masson SAS.. All rights reserved.)
Databáze: MEDLINE
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