Large Recurrent Radicular Cyst in Maxillary Sinus: A Case Report

Velasco, Ignacio; Vahdani, Soheil; Núñez, Natalia Fernández; Ramos, Héctor Barreiro

doi:10.4067/s0718-381x2017000100016

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…Під час видалення одонтогенних кіст великих розмірів (діаметром більше 3,0 см), які проросли у гілку нижньої щелепи, додатково робили інфільтраційну анестезію субмасетеріального простору для блокади щелепної гілки великого вушного нерва. Хірургічні втручання у верхньощелепній пазусі під час цистектомії одонтогенних кіст, що вросли у цю пазуху, проводяться як під загальним знеболенням [24][25][26] так і під місцевою потенційованою анестезією [27,28]. Під час видалення радикулярних кіст великих розмірів, які вросли у носову порожнину, досягти повного знечулення їх оболонки можна лише при блокаді носопіднебінного нерва внутрішньоносовим способом [14], що підтверджується проведеними клінічними спостереженнями [29].…”

Section: львівський національний медичний університет імені данила галицького українаunclassified

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

Mokryk¹,

Havryltsiv²,

Korniienko³

et al. 2021

Ukr. ž. med. bìol. sportu

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The purpose of the study was to analyze the data of modern domestic and foreign professional literature, which are devoted to new surgical methods of treatment of odontogenic cysts, to highlight the results of own clinical studies on the effectiveness of developed methods of cystectomy in jaw bones and their anesthesia. Materials and methods. Analytical and bibliosemantic methods were used in the research. The search for scientific information on medical topics for the period from 2010 to 2021 was carried out in the databases of electronic searching systems. Results and discussion. The use of standard techniques of conduction anesthesia of the trigeminal nerve is not always effective during cystectomy in the lateral parts of the mandible, due to the variability of branching of the trigeminal nerve, the possibility of additional innervation of the jaw branch from the superficial cervical plexus. Taking into account these anatomical factors, it is painless to perform a cystectomy of odontogenic cysts on the mandible. During oronasal cystectomy of odontogenic cysts that have grown into the nasal cavity it is advisable to block the nasopalatine nerve in the middle nasal passage. Modified methods of marsupialization can be used as an independent method of treatment of odontogenic cysts of large size, or be combined with radical removal of the cyst membrane. The use of ultrasound medical techniques reduces the risk of damage to adjacent soft tissues during enucleation of bone membranes in complex topographic and anatomical areas. The use of modern laser technologies and medical radiophysical equipment can increase the effectiveness of surgical treatment of odontogenic jaw cysts. The use of endovideosurgery techniques reduces the percentage of intraoperative complications. The introduction of computer spatial imaging of anatomical objects in dental practice has made it possible to develop new surgical technologies for precision-guided osteotomy and resection of the tips of the roots of masticatory teeth adjacent to the shells of radicular jaw cysts. Conclusion. In modern clinical practice, technical developments are used, which are based on the latest advances in laser optics, radio physics, bioacoustics, computer technology, which minimizes injuries during cystectomy operations, reduces the frequency of intraoperative complications. Individual-anatomical features of innervation of the maxillofacial area should be taken into account during local anesthesia, cystectomy and cystotomy operations in the jaw bones

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Section: львівський національний медичний університет імені данила галицького українаunclassified

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

Mokryk¹,

Havryltsiv²,

Korniienko³

et al. 2021

Ukr. ž. med. bìol. sportu

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“…Cysts of inflammatory origin do not recur after appropriate management 1 . Radicular cysts of large size are uncommon, but may present a diagnostic challenge 6 .…”

Section: Introductionmentioning

confidence: 99%

Radicular Cyst adjacent to Danger area of Face: A Case Report

Khan

Sihmar

Rathi³

et al. 2022

IJHI

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Radicular cysts are the most common (57%- 87%) asymptomatic odontogenic cysts of inflammatory originaffecting the human jaws , it can result in slow growth tumefaction and involve many adjacent sound teethendangering their vitality and prognosis. It is usually a sequelae of the periapical granuloma originating as aresult of bacterial infection and necrosis of the dental pulp, nearly always following carious involvementtooth. We discussed a case of radicular cyst near the danger area of face. It can be threatening if the cyst ispresent in the dangerous area of the face. The dangerous area of face comprises the upper lip, the lower partof nose and the adjacent area. It has been named as dangerous area because boils, infections of the nose andinjuries around the nose, especially those that become infected can readily spread to cavernous sinus resultingin cavernous sinus thrombosis (CST). CST is generally a fulminant process with high rates of morbidity andmortality. In this case report, we are documenting a rare case of radicular cyst of “patient age and sex” in themention the name of exact location area of the face. We surgically excised the cyst with effectiveantimicrobial agents and save the adjacent teeth also.

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“…Для знечулення операцій на зубоальвеолярному комплексі найчастіше застосовуються провідникові анестезії периферійних гілок трійчастого нерва за стандартними методиками [1,2,6,9,10]. Хірургічні втручання на верхньощелепному синусі при лікуванні хронічних одонтогенних гайморитів проводяться як під загальним знеболенням [11][12][13] так і під місцевою потенційованою анестезією [14,15]. Необхідний анальгетичний ефект досягається при поєднанні премедикації (аналгоседації) й місцевого знечулення підочноямкового й великого піднебінного нервів, верхніх задніх альвеолярних гілок верхньощелепного нерва.…”

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Optimization of Local Anesthesia during Radical Maxillary Sinusotomy in Dental Patients

Mokryk¹,

Putʹko²,

Hychka³

et al. 2021

Ukr. ž. med. bìol. sportu

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The purpose of the study was to give a clinical evaluation of the effectiveness of endonasal blockade of the nasopalatine nerve in different ways during radical maxillary sinusotomy in dental patients. Materials and methods. Clinical observations were performed in 50 patients diagnosed with chronic odontogenic maxillary sinusitis. Radical maxillary sinusotomy was performed under local potentiated anesthesia. All patients underwent anesthesia on the maxilla according to classical methods. Patients, depending on the methods of endonasal blockade of the nasopalatine nerve, were divided into two clinical groups: the main (24 people) and the comparison group (26 people). Patients of the main group underwent endonasal blockade of the nasopalatine nerve at the site of its branch from the pterygopalatine ganglion. In patients of the comparison group, the blockade of this nerve was performed before its entry into the incisal canal. The effectiveness of anesthesia was evaluated for clinical and autonomic manifestations of pain stress. Results and discussion. During the removal of polyps and pathological granulations from the mucous membrane of the maxillary sinus in patients of the main group there was no pain, no emotional-motor and autonomic manifestations of pain stress, which confirmed the effectiveness of the endonasal method of anesthesia of the nasopalatine nerve. In patients of the comparison group during similar surgical manipulations the full effect of local anesthesia was achieved in 50.0% of cases (χ2 – 8.065, р = 0.005). These were patients who had hypopneumatized or moderately pneumatized types of maxillary sinuses. The rest of the patients during the operation had emotional – motor and autonomic manifestations of pain stress during the removal of pathologically altered mucous membrane located on the medial wall of the maxillary sinus. Conclusion. Complete anesthesia of the mucous membrane, maxillary sinus, regardless of the degree of its pneumatization is achieved during the usage of endonasal blockade of the nasopalatine nerve at the site of its branch from the pterygopalatine ganglion during radical maxillary sinusotomy in dental patients. Anesthesia of the nasopalatine nerve in the lower nasal passage, before its entry into the incisal canal, allows painless surgery only in patients with hypopneumatized maxillary sinuses and in most patients with moderate pneumatization

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Large Recurrent Radicular Cyst in Maxillary Sinus: A Case Report

Cited by 4 publications

References 8 publications

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

Radicular Cyst adjacent to Danger area of Face: A Case Report

Optimization of Local Anesthesia during Radical Maxillary Sinusotomy in Dental Patients

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