Volume 19 Issue 11
Nov.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(11): 1851-1854
JIN Lan, ZHAO Wen-yan, RUAN Yan, ZHONG Lin-ling, YANG Fan, ZHANG Guo-xing. Clinical value of fenestration decompression in the treatment of jaw cysts[J]. Chinese Journal of General Practice, 2021, 19(11): 1851-1854. doi: 10.16766/j.cnki.issn.1674-4152.002183
Citation: JIN Lan, ZHAO Wen-yan, RUAN Yan, ZHONG Lin-ling, YANG Fan, ZHANG Guo-xing. Clinical value of fenestration decompression in the treatment of jaw cysts[J]. Chinese Journal of General Practice, 2021, 19(11): 1851-1854. doi: 10.16766/j.cnki.issn.1674-4152.002183
shu

Clinical value of fenestration decompression in the treatment of jaw cysts

doi: 10.16766/j.cnki.issn.1674-4152.002183
  • 1.

    Eye and Mouth Plastic Surgery, People's Hospital of Zhuji City, Zhuji, Zhejiang 311800, China

Funds:

 2020KY010

  • Received Date: 2020-10-26
    Available Online: 2022-02-15
    Abstract
  •   Objective  To explore the clinical value of fenestration decompression in the treatment of jaw cysts.  Methods  The clinical data of 88 patients with jaw cysts who were diagnosed and treated in the Oral and Maxillofacial Surgery of People's Hospital of Zhuji City from June 2015 to May 2019 were retrospectively collected and divided into the study group (fenestrated decompression, n=48) and the control group (traditional curettage of jaw cyst, n=40) according to different surgical methods. The operation status of both groups was recorded, and their cyst lesions were compared before and after the operation. The changes in the volume of the sac cavity, the volume of the sac cavity area and the bone density were recorded. The occurrence of surgical complications in both groups was counted, the status of adjacent pulp necrosis between both groups was followed up and observed, and the difference in recurrence rates at follow-up was compared.  Results  The operation time, intraoperative blood loss and postoperative hospitalisation time in the study group were (29.83±2.18) min, (12.43±2.11) mL and (2.11±0.48) days, respectively, which were significantly less than those in the control group [(51.52±10.28)min, (52.34±2.99)mL, (4.72±0.52)d, t=-14.254, -73.191, -24.454, all P < 0.001]. The volume of the cyst and the volume of the sac cavity area in the study group were less than those in the control group at 3, 6 and 12 months after the operation, and the bone density was higher than that of the control group (all P < 0.001). The complication rate in the study group was 4.17% at 3 months after the operation, which was lower than 25.00% in the control group (χ2=8.041, P=0.005). The necrosis rate of adjacent pulp in the study group was 0.00% at 3 months after the operation, which was significantly lower than 12.50% in the control group (P=0.039). The recurrence rate at follow-up was 0.00%, which was slightly lower than 7.50% in the control group, but the difference was not statistically significant (P=0.180).  Conclusion  Fenestration decompression in the treatment of jaw cysts can reduce intraoperative blood loss, minimise jaw cysts, promote cyst repair, increase bone density, reduce postoperative complications and reduce the incidence of necrosis of adjacent pulp.

     

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