Piezosurgery Versus Conventional Surgery in Radicular Cyst Enucleation
Piezosurgery Versus Conventional Surgery in Radicular Cyst Enucleation
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DOI：
10.1097/scs.0b013e318271014c
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发表时间：
2012-11-01
影响因子：
0.9
通讯作者：
Tuz, Hakan H.
中科院分区：
文献类型：
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作者：
Kocyigit, Ismail Doruk;Atil, Fethi;Tuz, Hakan H.
目的：本研究比较了使用压电手术和传统手术在根尖囊肿enucleation.Study设计：这项研究进行了29例放射学和细胞学预先诊断与根尖囊肿在颌骨区域。19名患者采用压电外科手术治疗，10名患者采用传统外科手术治疗。根据以下标准评价外科手术：出血、软组织损伤、操作复杂性、摘除的囊肿组织上的主要穿孔区域和近似手术持续时间。术后对患者进行监测，并在术后24、48和72小时对患者进行评估。随访进行检查复发，范围从5到24 months.Results：没有观察到任何并发症，在任何20例患者使用压电手术治疗，虽然手术的持续时间比预期的要长。10例采用常规方法治疗的患者中，3例因囊肿破裂而影响手术，5例因囊肿上皮穿孔而难以摘除，2例术后出血，2例复发。压电外科手术可以被认为是有效的程序，如眼球摘除，需要敏感的操作，尽管整个外科手术的长度增加了。考虑到本研究的结果以及目前文献中缺乏关于在囊肿摘除术中使用压电手术相关的术后疼痛、感染和长期成功率的信息，建议在该领域进行进一步研究。
Objective: This study compared the use of piezosurgery and conventional surgery in radicular cyst enucleation.Study Design: The study was conducted with 29 patients who were radiologically and cytologically prediagnosed with radicular cysts in the jaw region. Nineteen patients were treated using piezosurgery, and 10 were treated using conventional surgical procedures. Surgical procedures were evaluated according to the following criteria: hemorrhage, soft-tissue damage, manipulation complexity, major perforation areas on the enucleated cyst tissue, and approximate operation duration. Patients were monitored postoperatively and evaluated for hemorrhaging at 24, 48, and 72 hours following surgery. Follow-up was conducted to check for recurrences and ranged from 5 to 24 months.Results: No complications were observed in any of the 20 patients treated using piezosurgery, although the duration of surgery was longer than expected. Of the 10 patients treated using conventional methods, hemorrhaging that affected the operation occurred in 3 cases, perforation of the cyst epithelium and difficulties in enucleation occurred in 5 cases, postoperative hemorrhage occurred in 2 cases, and recurrence was observed in 2 cases.Conclusions: Piezosurgery may be considered effective in procedures such as enucleation that require sensitive manipulation, despite the increase in the length of the overall surgical procedure. Given the results of the present study and the current lack of information in the literature regarding postoperative pain, infection, and long-term success rates associated with the use of piezosurgery in cyst enucleation, further study in this area is recommended.