a. Definition
An action pengerokan mucous cyst wall is concerned with tooth extraction, removal of the protruding cyst wall.
b. Scope
Odontogenic cysts are non-neoplastic cysts of the mandible or maxilla, ie when the tooth root cyst radicular cyst is facing, and follicular cysts when the cyst is facing dental crowns
c. Indications of surgery
All follicular and radicular cysts
d. Contra indications Operations
Ko severe morbidity
e. Diagnoses
Ameblastoma unilokuler
f. Investigations
Photos of the mandible (Eisler, Panoramic, Hap) photo maxillary (Waters, Hap) depending on location
Engineering Operations
Ahead of the operation:
Explanation to the patient and his family about his illness, surgery and the risk of complications is accompanied by the signature of approval and requests from patients for surgery. (Informed consent). Check and complete the preparation of tools and completeness of the operation including yarn, Redon drain done the day before surgery.
Patients with fasting at least 6 hours before surgery.
Patients with a shower, washing hair and cleaning the body using an antiseptic drugs, especially the face and the hair near the operating field, shaving the hair close to the operating field, sideburns, mustache.
Antibiotic prophylaxis with Cefazolin or clindamycin combination Garamycin, adjusting doses for prophylaxis.
Stages of operation:
Narcotics, nasotrakheal intubation, intubation tubes were fixed to the patient's forehead.
Position the patient supine, with a padded donut on the head.
Incision bukogingival cysts on the prominent areas.
Incision is deepened until it reached the wall of the cyst is made sufficiently mucosal flap, partial cyst wall excised elliptical shape. The mucosa that lines the inner surface scraped clean and the cyst removed.
Apply a paste or tooth extraction into the cyst.
Attach with ribbon gauze tampon into the cavity of the cyst, tampons were fixed to the mucosa using 3.0 silk, then surgical wound or mucosa sutured with vicryl 3.0 dexon a knot.
Complications Surgery
Early Postoperative Complications
Hematoma, will increase the risk of wound infection and dehisensi. Control of bleeding is good and the tent will reduce the risk of hematoma
Infection, minimized by avoiding the buildup of fluid, with the tent. Operational planning and good surgical technique also plays a role in controlling the infection in addition to the use of prophylactic antibiotics.
Mortality
Low Mortality
Post-Surgical Care
* Provision of adequate intravenous fluids.
* Antibiotic prophylaxis is continued until 3 days post-surgery
* Fasting for 2 days.
* Gargle with antiseptic solution.
* Tampons detachable day 3
Follow-Up
Control every 3 months for 1 year
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