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Mandibuler Ramus Lezyonlarinin Cerrahi Tedavi Zorlukları

Surgical Treatment Difficulties of Mandibular Ramus Lesions

Journal Name:

  • Süleyman Demirel Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The aim of this study was to introduce the difficulties in manipulation and accessibility to the cyst and tumour lesions located in mandibular ramus during surgical operation procedures. Methods In this study, 21 patients with cyst and tumours in their mandibular ramus, who were treated by a surgery team at the Suleyman Demirel University, Faculty of Dentistry, Oral and Maxillofacial Surgery between the years of 2000-2011 were examined retrospectively in terms of accessibility and manipulation difficulties to the region. While 18 patients were treated with enucleation and curettage, two patients were applied marsupialization and decompression treatment. One patient was subjected to partial resection because of ameloblastoma. Results The complications of permanent alveolar inferior nerve paresthesia in ameloblastoma case and temporary alveolar inferior nerve paresthesia in keratocystic odontogenic tumour case were observed. Discussion In the lesions located in mandibular ramus region, utilization of the tomographic imaging techniques, a very good knowledge about the anatomical structure of the region, and performing the operation by carefully determining the anatomical points for incision and access with the aids of visual examination, careful palpation or at least with a suitable hand tool are necessary.
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Abstract (Original Language): 
Amaç Bu çalışmanın amacı mandibula ramusunda lokalize olmuş kist ve tümörlerde cerrahi operasyon esnasında lezyona ulaşım ve manipülasyon zorluklarının ortaya konulmasıdır. Yöntem Çalışmamızda Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş, Çene Hastalıkları ve Cerrahisi Ana Bilim Dalı'nda bir cerrahi ekip tarafından 2000- 2011 yılları arasında tedavi edilen 21 kist ve tümör hastası ramusa ulaşım ve manipülasyon zorlukları açısından retrospektif olarak incelenmiştir. Onsekiz hastaya enükleasyon ve küretaj uygulanırken iki hastaya marsüpyalizasyon ve dekompresyon uygulamasının ardından enükleasyon uygulanmıştır. Bir hasta ise ameloblastoma nedeniyle parsiyel rezeksiyonla tedavi edilmiştir. Sonuçlar Bir ameloblastoma vakasında kalıcı ve bir keratokistik odontojenik tümör vakasında geçici alveolaris inferior sinir parestezisi komplikasyonu olmuştur. Tartışma Ramus bölgesine yerleşmiş lezyonlarda, tomografik görüntüleme yöntemlerinden faydalanılması, bölgenin anatomik olarak çok iyi bilinmesi, insizyon ve giriş için kullanılacak işaret noktalarının direkt görülerek, palpe edilerek ya da en azından bir el aleti yardımıyla belirlenerek işlemin yapılması daha uygundur.
FULL TEXT (PDF): 
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  • 3
135-138
  • Turkish

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