Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1845-1847
ZHOU Gen-xiang, WANG Zhong-hua, GAO Ming-hua, DONG Li-ying, LI Fang-jie. Clinical effect analysis of curettage and fenestration decompression for treating odontogenic cyst of jaw[J]. Chinese Journal of General Practice, 2022, 20(11): 1845-1847. doi: 10.16766/j.cnki.issn.1674-4152.002716
Citation: ZHOU Gen-xiang, WANG Zhong-hua, GAO Ming-hua, DONG Li-ying, LI Fang-jie. Clinical effect analysis of curettage and fenestration decompression for treating odontogenic cyst of jaw[J]. Chinese Journal of General Practice, 2022, 20(11): 1845-1847. doi: 10.16766/j.cnki.issn.1674-4152.002716
shu

Clinical effect analysis of curettage and fenestration decompression for treating odontogenic cyst of jaw

doi: 10.16766/j.cnki.issn.1674-4152.002716

  • Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Huzhou Normal University, Huzhou, Zhejiang 313000, China

Funds:

 2020KY939

  • Received Date: 2022-05-03
    Available Online: 2022-12-30
    Abstract
  •   Objective  To evaluate the clinical effect of curettage and fenestration decompression in the treatment of odontogenic cyst of jaw and provide reference for rational selection of surgical techniques in clinical work.  Methods  A retrospective analysis of 180 patients with odontogenic cyst of jaw from January 2016 to December 2018 in the First Affiliated Hospital of Huzhou Normal University was carried out. Patients were divided into two groups according to different surgical methods, 100 cases underwent cyst curettage and 80 cases fenestration decompression. The percentages of cyst area reduction at 3 and 6 months, clinical effective rate at 6 months postoperatively were compared between the two groups. The clinical effective rate of different types of cysts in the fenestration group were compared. The rate of postoperative infection, bleeding, numbness and recurrence were compared between the two groups.  Results  The percentage of cyst cavity area reduction in the fenestration group at 3 and 6 months after operation were significantly higher than that in curettage group, and the differences were statistically significant (all P < 0.01). At 6 months after operation, the effective rate of fenestration group was 82.50% (66/80) while that of curettage group was 69.00% (69/100), and the difference was statistically significant (P < 0.05). The total effective rate of fenestration group was 91.25% (73/80), effective rate of keratinizing cyst was better than that of multilocular type (P < 0.05), and there was no significant difference in fenestration effect between different cyst types (P>0.05). In curettage group, the rate of postoperative infection was 2.00% (2/100), the rate of lower lip numbness was 1.00% (1/100) and the recurrence rate was 1.00% (1/100). There was no postoperative complication in the fenestration group.  Conclusion  Both curettage and fenestration decompression are effective methods for the treatment of odontogenic cyst of jaw. Curettage is more suitable for small jaw cysts or cysts that do not invade important anatomical structures around the jaw. Compared to curettage, fenestration decompression is simpler to operate, less traumatic, and has fewer complications. Fenestration decompression can effectively reduce the cyst cavity and promotes bone regeneration around jaw cysts, which is especially suitable for large-medium-sized cysts, and is conducive to complete curettage in stage Ⅱ surgery to preserve function.

     

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