Three-dimensional analysis of decompression efficacy and influencing factors in the maxillofacial cystic lesions: a retrospective study.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Heon-Young Kim, Sung Min Lee, Jung-Hyun Park, Sun-Jong Kim
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引用次数: 0

Abstract

Objectives: To evaluate the effectiveness of decompression and various parameters that may affect volume change in cystic lesions. Patients and.

Methods: This retrospective study included patients who visited the Department of Oral and Maxillofacial Surgery at Ewha Womans University Medical Center between 2012 and 2022 for decompression of cystic lesions of the jaw. To measure volume changes, pre- and post-decompression cone-beam computed tomography was performed and reconstructed in three dimensions using Mimics 25.0 software (Materialise NV). A comparative analysis was performed based on sex, age, initial cyst volume, location, degree of cortical layer expansion, and pathologic diagnosis using the Mann-Whitney U and Kruskal-Wallis tests.

Results: In all 20 cases, the duration of decompression was 7.84±3.35 months, and all patients successfully completed the decompression period without any complications. Significant differences were observed in the reduction rate and shrinkage speed based on the degree of cortical layer expansion. However, only the shrinkage speed (not the reduction rate) showed a significant difference with respect to the initial cyst volume. Significant differences were not observed based on sex, age, location, or pathologic diagnosis.

Conclusion: Although the present study involved a small number of cases, the effectiveness of decompression was confirmed. In particular, 3D analysis overcame the shortcomings of previous studies of decompression and allowed earlier resection. Further studies with more patients are required to provide a rationale for these results and identify factors that influence decompression.

颌面部囊性病变减压疗效及影响因素的三维分析:一项回顾性研究。
目的评估减压的效果以及可能影响囊性病变体积变化的各种参数。患者和方法这项回顾性研究纳入了2012年至2022年期间到梨花女子大学医学中心口腔颌面外科就诊、接受颌骨囊性病变减压术的患者。为了测量体积的变化,使用 Mimics 25.0 软件(Materialise NV)对减压前后的锥形束计算机断层扫描进行了三维重建。根据性别、年龄、初始囊肿体积、位置、皮质层扩张程度和病理诊断,使用 Mann-Whitney U 和 Kruskal-Wallis 检验进行了比较分析:在所有20例患者中,减压时间为(7.84±3.35)个月,所有患者均顺利完成减压,且未出现任何并发症。根据皮质层扩张程度,缩小率和缩小速度存在显著差异。然而,只有缩小速度(而非缩小率)与初始囊肿体积存在显著差异。在性别、年龄、部位或病理诊断方面没有观察到显著差异:尽管本研究涉及的病例数量较少,但减压术的有效性得到了证实。尤其是三维分析克服了以往减压研究的不足,可以更早地进行切除。需要对更多患者进行进一步研究,以提供这些结果的合理性,并确定影响减压的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
0
期刊介绍: Journal of the Korean Association of Oral and Maxillofacial Surgeons (J Korean Assoc Oral Maxillofac Surg) is the official journal of the Korean Association of Oral and Maxillofacial Surgeons. This bimonthly journal offers high-quality original articles, case series study, case reports, collective or current reviews, technical notes, brief communications or correspondences, and others related to regenerative medicine, dentoalveolar surgery, dental implant surgery, head and neck cancer, aesthetic facial surgery/orthognathic surgery, facial injuries, temporomandibular joint disorders, orofacial disease, and oral pathology. J Korean Assoc Oral Maxillofac Surg is of interest to oral and maxillofacial surgeons and dental practitioners as well as others who are interested in these fields.
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