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Clinical Oral Investigations
Erschienen in: Clinical Oral Investigations 7/2013

01.09.2013 | Original Article

Volume reduction of cystic lesions after surgical decompression: a computerised three-dimensional computed tomographic evaluation

verfasst von: Giuseppe Lizio, Anna Freni Sterrantino, Sara Ragazzini, Claudio Marchetti

Erschienen in: Clinical Oral Investigations | Ausgabe 7/2013

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Abstract

Objectives

This study was performed to evaluate the three-dimensional radiographic variation in mandibular odontogenic cystic lesions after decompression.

Materials and methods

Pre- and post-decompression computed tomography (CT) evaluations in 20 patients affected by keratocysts (n = 10), dentigerous cysts (n = 9) and ameloblastoma (n = 1) were analysed using software designed for three-dimensional measurement of volumes; the results were correlated with treatment duration, age, sex and histological type.

Results

The mean (range) decompression time was 5.70 (3–12) months. The mean (SD) pre- and post-decompression volumes were 9.50 (7.74) and 4.65 (4.34) cm3, respectively (P < 0.001), with a mean (SD) reduction of 49.86 % (19.34 %). The volume reduction was positively correlated with the duration of decompression (P < 0.001), whereas no correlations with other variables were found (P = 0.2357). The median monthly reduction in cyst volume was 11.34 % (mean, 13.52 %; range, 4.45–30.43 %) (P < 0.001).

Conclusions

This three-dimensional CT investigation demonstrated the effectiveness of decompression in the treatment of mandibular odontogenic cystic lesions and showed a positive correlation between the duration of treatment and volume reduction.

Clinical relevance

Decompression treatment, which is simple to perform and generally well-accepted by patients, is a reliable method to considerably reduce the volume of mandibular odontogenic cystic lesions before surgical removal. Extended decompression time seems to improve results of the reduction process.
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Metadaten
Titel
Volume reduction of cystic lesions after surgical decompression: a computerised three-dimensional computed tomographic evaluation
verfasst von
Giuseppe Lizio
Anna Freni Sterrantino
Sara Ragazzini
Claudio Marchetti
Publikationsdatum
01.09.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 7/2013
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-012-0869-z

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