CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čas. Stomat., roč. 105, 2005, č. 3, s. 82–87. |
Reconstruction of Bone
Defects after Operations on Voluminous Maxillary Cysts Pazdera J.1, Zbořil V.1, Tvrdý P.1, Kolář Z.2, Geierová M.2, Novotný J.3 1Klinika ústní, čelistní a obličejové chirurgie LF UP a FN Olomouc, přednosta prof. MUDr. J. Pazdera, CSc. 2Ústav patologie LF UP, Olomouc, přednosta prof. MUDr. Z. Kolář, CSc. 3Radiologické oddělení VN, Olomouc, přednosta prim. MUDr. J. Novotný |
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Summary: The authors treated 125 patients with odontogenic jaw cysts of the volume larger than 2 cm3. In 75
of them the cystectomy was followed by reconstruction of the bone defect by lyophilized griaded allogenic spongious
bone supplied by the Tissue Bank of the Faculty Hospital in Brno-Bohunice. The remaining 50 patients operated
on in the usual way (cystectomy with primary suture of the wound) formed the control group. In the postoperative
course the patients were subjected to control examination clinically and by radiography (CT examination
was performed in selected patients with the use of modern imaging methods). In evaluating of the results the frequency
of postoperative complications and the course of postoperative bone defects were compared.
In 75 patients of the basic cohort 86% of them healed up without complications, partial elimination of bone
grafts occurred in 8% and the grafts had to be removed in 5% for inflammatory complications, while postoperative
relapse of the cyst was observed in 1%.
In the control group of 50 patients treated in a classical clinical procedure, 76% of patients were healed up without
any complications. A secondary healing of the wound occurred in 12% of patients, the healing was complicated
by a putrid inflammation in 8% of patients and a postoperative relapse of the cysts was encountered in 4%.
The use of allogenic bone grafts contributed to a remarkable acceleration of osteoinduction: the ossification of
bone defects developed in relation to their volume as early as after 10–15 months after the operation. Application
of the method for operations on cysts of edentulous jaws or those with few teeth made it possible to prevent
deformation of the denture-bearing area bad and thereby to avoid the problems of subsequent prosthetic treatment.
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