Aim: the aim of this study is to analyze the epidemiological features and determine the frequency of different types of cyst of the jaw diagnosed at the Maxillofacial and Odontostomatol- ogy Clinic of the Maggiore Hospital in Trieste (Italy). Methods: a retrospective observational study was performed on 238 patients, 117 treated as out-patients and 121 that un- derwent surgery in the operating room. Results: the mean major diameter of the lesions removed under local anesthesia was significantly lower than those removed un- der general anesthesia (14.3 ± 5.01 mm and 23.7 ± 11.3 mm, re- spectively, p <0.05). Complications occurred in 19,7% of all cases. Paresthesia of the third branch of the trigeminal nerve was the most common complication observed, more than a half of those cases show a complete remission in the first year of fol- low-up. The positive association was underscored with the si- multaneous extraction of one or more impacted teeth. Conclusions: the incidence of this pathologic condition is probably underestimated because of its scarce symptomatol- ogy; however, in the advanced stages cysts could become a clinical issue: great bone resorption, infection process, and compression of nerve endings, just to mention a few signs and symptoms. It could represent a tough problem, it means that a second surgery must be performed, with a high cost for pa- tience and for the clinician.
CYSTECTOMY SURGERY: RETROSPECTIVE EPIDEMIOLOGICAL STUDY, A TEN-YEAR EXPERIENCE
Urban M;Zanconati A;Pozzan L;Porrelli D;Maglione M;Bevilacqua L
2024-01-01
Abstract
Aim: the aim of this study is to analyze the epidemiological features and determine the frequency of different types of cyst of the jaw diagnosed at the Maxillofacial and Odontostomatol- ogy Clinic of the Maggiore Hospital in Trieste (Italy). Methods: a retrospective observational study was performed on 238 patients, 117 treated as out-patients and 121 that un- derwent surgery in the operating room. Results: the mean major diameter of the lesions removed under local anesthesia was significantly lower than those removed un- der general anesthesia (14.3 ± 5.01 mm and 23.7 ± 11.3 mm, re- spectively, p <0.05). Complications occurred in 19,7% of all cases. Paresthesia of the third branch of the trigeminal nerve was the most common complication observed, more than a half of those cases show a complete remission in the first year of fol- low-up. The positive association was underscored with the si- multaneous extraction of one or more impacted teeth. Conclusions: the incidence of this pathologic condition is probably underestimated because of its scarce symptomatol- ogy; however, in the advanced stages cysts could become a clinical issue: great bone resorption, infection process, and compression of nerve endings, just to mention a few signs and symptoms. It could represent a tough problem, it means that a second surgery must be performed, with a high cost for pa- tience and for the clinician.Pubblicazioni consigliate
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