Mandibula kistlerinde tedavi prensiplerimiz ve sonuçlarımız

Abstract

Bu klinik çalışmada, Uludağ Üniversitesi Tıp Fakültesi Plastik, Rekonstrüktif ve Estetik Cerrahi Kliniği’nde 1996-2002 yılları arasında mandibulada kist tanısı ile opere edilen 35 olgu ile ilgili deneyimlerimiz sunulmaktadır. Olgular, yaş, cinsiyet, kistin lokalizasyonu, radyolojik belirtiler, histopatolojik tanı, tedavi yöntemleri ve sonuçlar dikkate alınarak incelendi. Olguların 21’i erkek, 14’ü kadın olup yaş ortalaması 42.8 yıl idi. Histopatolojik incelemeler sonucunda, 15 olguda radiküler kist, 12 olguda keratokist, 5 olguda folliküler kist ve 3 olguda gingival kist saptandı. Keratokist en sık mandibulanın ramus ve angulus (9 olgu), radiküler kist simfizis (7 olgu), foliküler kist (2 olgu) ve gingival kist (3 olgu) korpus bölgesinde tespit edildi. Radyolojik görüntüler, 9 olguda multiloküler iken, 26 olguda uniloküler idi. Tedavide bütün olgularda intraoral yaklaşımla cerrahi enukleasyon yöntemi uygulandı. Olgular 7 ay ile 6 yıl arasında takip edildi. Komplikasyon olarak sadece 2 keratokist olgusunda nüks saptandı.

In this clinical study, our experiences with 35 cases who were treated for mandible cyst between the years 1996-2002 in the Department of Plastic, Reconstructive and Aesthetic Surgery of Uludağ University Medical School were presented. These cases were evaluated according to the age, sex, localization of the cyst, radiologic findings, histopathology, treatment methods and results. Twenty-one cases were men and 14 cases were women. The mean age was 42.8 years. Histologic examinations revealed that 15 cases were radiculer cyst, 12 cases were keratocyst, 5 cases were folliculer cyst and 3 cases were gingival cyst. Most commonly, keratocysts occured in the angulus and ramus (9 cases), radiculer cysts occurred in the symphysis (7 cases), follicular cysts (2 cases) and gingival cyst (3 cases) occurred in the corpus region of the mandible. The radiologic appearances were multilocular in 9 cases and unilocular in 26 cases. In all cases, surgical enucleation was performed through an intraoral approach. Cases were followed up between 7 months and 6 years. As a complication, in only two cases of keratocysts, recurrence was observed.