Tratamentul pacienţilor cu chisturi odontogene ale maxilarelor. Chistectomia versus chistotom

Abstract

Rezumat Scopul studiului a fost de a compara 2 metode de tratament chirurgical (chistectomia şi chistotomia) la pacienţii cu chisturi odontogene ale maxilarelor. Analiza clinică a metodelor de tratament aplicate pacienţilor cu chisturi odontogene ale maxilarelor a demonstrat că chistotomia are unele avantaje vizavi de chistectomie: traumatism minimal, risc scăzut de lezare a formaţiunilor anatomice adiacente (canal mandibular, sinus maxilar, cavitatea nazală), minimalizează riscul de lezare a fasciculului vasculo-nervos a dinţilor limitrofi formaţiunii, posibilitatea efectuării chistotomiei la pacienţii cu boli cronice concomitente decompensate.

Summary The purpose of the study is to compare 2 methods of surgical treatment (cystectomy and cystotomy) in patients with odontogenic cysts of jaws. The clinical analysis of the applied treatment methods in patients with odontogenic cysts of jaws demonstrated that cystotomy have some advantages upon cystotomy technique: minimal trauma, decreased risk of important anatomical structures damage (mandibular channel, maxillary sinus, nasal cavity), decreases the risk of nerve/blood supply of adjacent teeth, the possibility to perform cystotomy in patients with decompensated concomitant deseases.