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The Surgical Management of Odontogenic Keratocysts -Retrospective Clinical Study-

المعالجة الجراحية للأكياس السنية المتقرنة - دراسة سريريه راجعة -

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 Publication date 2009
  fields Dentistry
and research's language is العربية
 Created by Shamra Editor




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The odontogenic keratocyst is an epithelial development cyst of the jaws. This lesion is commonly found in the maxilla and mandible , and can become quite large because of its potential for significant expansion, extension into adjacent tissues and rapid growth. The treatment of the odontogenic keratocyst remains controversial Treatments are generally classified as conservative or aggressive. The purpose of this study was to evaluate different surgical treatment methods for odontogenic keratocysts and the outcome of these treatments over a years period.

References used
Marx RE, Stern D : Oral and Maxillofacial Pathology: A Rationale for Diagnosis and Treatment. Chicago, II ,Quintessence, 2003 pp 590 - 601
Harris M , Toller P : The pathogenesis of dental cysts. Br Med Bull 31 :159 ,1975
Scharffetter K , Balz- Hermann C ; Proliferation kinetics-study of the growth of the keratocysts. J Craniomaxillofac Surg 17 226 ,1989
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Cysts are more frequent in jaws comparing to other body bones, although their treatment is simple and depends on surgical approach as a first choice, still they are important due to their clinical complication. The aim of this retrospective study is to determine the percentage of radicular, dentigerous, odontogenic keratocysts and non-odontogenic cysts percentage in Damascus, Syria, and comparing these results with previously recorded records from other countries.
Dental anomalies are congenital defected teeth which have a certain prevalence in various malocclusions. the aim of this study was to determine the prevalence of different dental anomalies in Class I malocclusion patients seeking orthodontic treatment.
Sample of 60 evaluable patients were included in a prospective study with Superficial Veins Thrombosis(SVT)on ground of varicose vein lower extremities. the study achieved at AL-Assad hospital (Latakia) in the period between January 2005 to Decemb er 2011. Criteria of inclusion were incompetence (by Duplex investigation ), a tender indurated cord a long superficial vein, and indurated and heat in the affected area. Exclusion criteria were obesity, cardiovascular or neoplastic diseases, non-ambulatory status, SVT without varicose vein. 60 patients ( 41 females, 19 males) included in the study, 61.6% were between(31–50) years, left lower limb was affected in 48,3 %, Right 40%, and in 11,7 the both, The GSV was affected alone in all cases. Primary surgical choice was decided almost in all patients, secondary was in 4patients after 1-4 weeks of medical treatment. The extension level in the GSV determined by color duplex ultrasound was similar to surgical findings, and above clinical extension level in (5-14) cm. All surgical intervention was achieved under spinal anesthesia, with no major technical difficulties. Short term results were good, no(DVT, PE, acute cardiac ischemia, death ), complications related to surgery(hematoma, seroma5%, wound infection3.3%, wound necrosis1.7%, lymphatic discharge3.3%) show no difference to un complicated varicose surgery. Conclusion: Primary surgical approach can be used with thrombosis of GSV above knee in varicose patients safely and effectively , color duplex ultrasound scans is recommended to determine extension of SVT.

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