{"title":"The outcomes between cystic decompression and marsupialisation methods in odontogenic cysts and cyst-like tumours: A retrospective comparative study.","authors":"Kannika Rungsaeng, Pisha Pittayapat, Sappasith Panya, Paksinee Kamolratanakul","doi":"10.4103/jomfp.jomfp_136_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Marsupialization and decompression are treatments designed to reduce hydrostatic pressure which results in reducing the cystic size and increasing the bone density of the lesion.</p><p><strong>Aims: </strong>To compare the percentage of cystic size reduction and the percentage of change in radiographic density from marsupialisation and two types of decompression: tube drain and stent.</p><p><strong>Settings and design: </strong>Retrospective analysis of panoramic films was conducted to evaluate cystic size and intralesional density.</p><p><strong>Materials and methods: </strong>Data were analysed from 40 cases, including 31 cases of odontogenic cyst and 9 cases of cyst-like tumour, treated at Chulalongkorn University's Faculty of Dentistry from 2009 to 2019. The percentage of cystic size reduction and percentage of change in radiographic density were analysed before the procedure and three months after treatment. The density and size of the odontogenic cysts were determined using Image J software version 1.43.</p><p><strong>Statistical analysis: </strong>Data were analysed using Kruskal-Wallis test.</p><p><strong>Results: </strong>The percentage of cystic size reductions when using marsupialisation, decompression with a tube drain and decompression with a stent were 31.49 ± 7.43, 35.42 ± 10.58 and 30.99 ± 7.16, respectively (<i>P</i> = 0.366). The percentage of change in radiographic density was 25.21 ± 7.04, 27.09 ± 7.96 and 24.94 ± 5.35, respectively (<i>P</i> = 0.661). There was no statistically significant difference in outcomes between the groups.</p><p><strong>Conclusions: </strong>Decompression with a tube drain yielded both the highest percentage of size reduction and the highest percentage of change in radiographic density in the cyst, although this better performance was not statistically significant. We recommend decompression with a tube drain, as it effectively maintains an open drainage pathway and prevents collapse of the cyst opening. This continuous release of hydrostatic pressure is beneficial in promoting gradual bone healing and regeneration.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"612-618"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819622/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral and Maxillofacial Pathology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jomfp.jomfp_136_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/31 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Context: Marsupialization and decompression are treatments designed to reduce hydrostatic pressure which results in reducing the cystic size and increasing the bone density of the lesion.
Aims: To compare the percentage of cystic size reduction and the percentage of change in radiographic density from marsupialisation and two types of decompression: tube drain and stent.
Settings and design: Retrospective analysis of panoramic films was conducted to evaluate cystic size and intralesional density.
Materials and methods: Data were analysed from 40 cases, including 31 cases of odontogenic cyst and 9 cases of cyst-like tumour, treated at Chulalongkorn University's Faculty of Dentistry from 2009 to 2019. The percentage of cystic size reduction and percentage of change in radiographic density were analysed before the procedure and three months after treatment. The density and size of the odontogenic cysts were determined using Image J software version 1.43.
Statistical analysis: Data were analysed using Kruskal-Wallis test.
Results: The percentage of cystic size reductions when using marsupialisation, decompression with a tube drain and decompression with a stent were 31.49 ± 7.43, 35.42 ± 10.58 and 30.99 ± 7.16, respectively (P = 0.366). The percentage of change in radiographic density was 25.21 ± 7.04, 27.09 ± 7.96 and 24.94 ± 5.35, respectively (P = 0.661). There was no statistically significant difference in outcomes between the groups.
Conclusions: Decompression with a tube drain yielded both the highest percentage of size reduction and the highest percentage of change in radiographic density in the cyst, although this better performance was not statistically significant. We recommend decompression with a tube drain, as it effectively maintains an open drainage pathway and prevents collapse of the cyst opening. This continuous release of hydrostatic pressure is beneficial in promoting gradual bone healing and regeneration.
期刊介绍：
The journal of Oral and Maxillofacial Pathology [ISSN:print-(0973-029X, online-1998-393X)] is a tri-annual journal published on behalf of “The Indian Association of Oral and Maxillofacial Pathologists” (IAOMP). The publication of JOMFP was started in the year 1993. The journal publishes papers on a wide spectrum of topics associated with the scope of Oral and Maxillofacial Pathology, also, ensuring scientific merit and quality. It is a comprehensive reading material for the professionals who want to upgrade their diagnostic skills in Oral Diseases; allows exposure to newer topics and methods of research in the Oral-facial Tissues and Pathology. New features allow an open minded thinking and approach to various pathologies. It also encourages authors to showcase quality work done by them and to compile relevant cases which are diagnostically challenging. The Journal takes pride in maintaining the quality of articles and photomicrographs.
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