Received 23/11/2023
DOI: 10.35556/idr-2024-1(106)30-36
Reducing the time of hospitalization of patients with the use of clinical and diagnostic parallels in the diagnosis and treatment of cystic formations of the jaws
Yaremenko A.I., ORCID ID: 0000-0002-7700-7724,
Chariev R.H.,
Kovalev M.I., ORCID ID: 0000-0001-9420-7712,
Kutukova S.I., ORCID ID: 0000-0003-2221-4088,
Artemenko K.L.
Pavlov First Saint Petersburg State Medical University
197022, Russia, Saint Petersburg, L’va Tolstogo St., 6–8
E-mail address: doctormihail@mail.ru
Summary
The aim of the study was to study the peculiarities of diagnosis and treatment of cystic formations of the jaws, taking into account clinical and radiation parallels and a comparative analysis of the effectiveness of the treatment according to the criterion of the duration of the postoperative period.
Material and methods. The medical histories of 112 patients of the main and 112 patients of the control groups who were treated at the Clinic of Maxillofacial Surgery of the I.P. Pavlov Moscow State Medical University of the Russian Federation were retrospectively studied. In the main group, cone-beam computed tomography was performed during diagnosis and treatment, extended X-ray parameters and densitometry parameters were studied. In the control group, these indicators were not evaluated.
Results and discussion. In the course of the study, a comparative analysis of the shapes, localization, structure, size of cystic formations of the jaws, the methods of surgical intervention used, as well as an analysis of the effectiveness of the treatment of patients in the main and control groups was carried out using the postoperative period as the main indicator characterizing the wound healing process as a criterion of effectiveness.
Conclusions. The analysis of the clinical course of the disease, the applied treatment methods and X-ray signs carried out during the study made it possible to identify four clinical and radiation forms in the examined patients: granuloma, cystic granuloma, residual cyst, intracinus cyst.
The treatment of patients in the main group with cone beam computed tomography (CBCT) and orthopantomography (OPTG) and a detailed analysis of radiological parameters for patients with cystogranulomas, residual cysts, and intracinus cysts was more effective in terms of the duration of the postoperative period com-pared with the control group. The clinical and radiation form of chronic granulomatous periodontitis did not show a difference in the duration of hospitalization when comparing the main and control groups of the study.
Keywords: odontogenic cysts, clinical and diagnostic parallels, terms of hospitalization.
For citation: Yaremenko A.I., Chariev R.H., Kovalev M.I., Kutukova S.I., Artemenko K.L. Reducing the time of hospitalization of patients with the use of clinical and diagnostic parallels in the diagnosis and treatment of cystic formations of the jaws. Stomatology for All / Int. Dental Review. 2024; no.1(106): 30—36 (in Russian). doi: 10.35556/idr-2024-1(106)30-36
References
1. Gubaidulina E.Ya. Tumors, tumor-like lesions and cysts of the face, oral organs, face and neck. Surgical dentistry. 1996; 534–555 (in Russian).
2. Alibekov I.M., Guz D.G., Chumak K.S. Rhinochirurgy – minimally invasive methods of treatment. The health of Yugra: experience and innovations. 2021; no.2: 52–54 (in Russian).
3. Khatskevich G.A. Clinical and experimental substantiation of resections of the tips of the roots of multi-root teeth: Abstract of the dissertation of the Candidate of Medical Sciences: 14.00.21. 1969; 30 p. (in Russian).
4. Budina D.O. Diagnosis and treatment of acute odontogenic osteomyelitis of the jaw. E-Scio. 2021; no.11(62): 248–254 (in Russian).
5. Kulakova A.A. Surgical dentistry and maxillofacial surgery. National Leadership. M.: GEOTAR-Media; 2010; 741–765 (in Russian).
6. Chibisova M.A., Zubareva A.A., Kholin A.V., Kayzerov E.V., Charyev R.H. Clinical and radiation features of the odontogenic cystic inflammatory process of the frontal parts of the upper jaw. Institute of Dentistry. 2016; no.4(73): 47–51 (in Russian).
7. Solovyov M.M. Surgical treatment of odontogenic cysts: Handbook. St. Petersburg: SpetsLit; 2004; 127 p.
8. Pavlov P.V., Zakharova M.L., Alekseeva L.B. Surgical tactics in the treatment of laryngeal cysts in children. Russian otorhinolaryngology. 2016 (in Russian).
9. Galetsky D.V. Evaluation of the effectiveness of various methods of surgical treatment of odontogenic jaw cysts: Abstract of the dissertation of the Candidate of Medical Sciences: 14.00.21. 2003; 19 p. (in Russian).
10. Colakoglu G. Evaluation of the internal anatomy of paramolar tubercles using cone-beam computed tomography. Surg. Radiol. Anat. 2020; 42(1): 15–21. doi: 10.1007/s00276-019-02361-1
11. Chandran A. Calcifying epithelial odontogenic cyst of maxilla: report of a case and review and discussion on the terminology and classification. J. Microsc. Ultrastruct. 2020; 9(2): 98–102. doi: 10.4103/JMAU.JMAU_32_20
12. Ionna F., Guida A., Califano L., Motta G., Salzano G., Pavone E., et al. Transoral robotic surgery in head and neck district: a retrospective study on 67 patients treated in a single center. Infect Agent Cancer. 2020 Jun 15; 15: 40 p.