대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제43권3호
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  • Pages.237-245
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  • 2016
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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소아 청소년 환자에서 발생한 269개의 구강 악안면 영역 낭 : 10년간의 후향적 임상 연구

Analysis of 269 Cases of Jaw Cysts in Children and Adolescents: A Retrospective Study over a Decade

  • 홍혜린 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김미선 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 이효설 (경희대학교 치의학전문대학원 소아치과학교실)
  • Hong, Hyelin (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University) ;
  • Kim, Misun (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University) ;
  • Lee, Hyoseol (Department of Pediatric Dentistry, School of Dentistry, Kyung-Hee University)
  • 투고 : 2015.10.01
  • 심사 : 2015.11.25
  • 발행 : 2016.08.31
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초록

낭은 액체 또는 반유동성 액체를 함유하는 상피세포층으로 둘러싸인 공동이다. 낭은 모든 연령대에서 진단될 수 있으나, 소아 청소년 환자는 성인들과 다른 병소의 종류와 양상을 보일 수 있으며, 후속 영구치가 발육 중이므로 치료법도 다를 수 있다. 본 연구는 2005년 1월부터 2015년 3월까지 최근 10년간 경희대학교 치과병원을 내원한 19세까지의 소아 청소년환자 중임상적, 방사선학적 및 조직학적으로 낭으로 확진된 253명의 환자들을 분석하였다. 그 결과 낭은 남아 142명(56.1%)에서 다소 많았으며, 치성낭이 209개(82.6%)로 대다수를 차지하였고, 전체적으로 발육성 낭이 염증성 낭보다 많았다. 발육성 낭에서는 함치성낭, 염증성 낭은 치근낭이 많았다. 한편 하악 구치부에서 발생 비율이 높았다. 환자들 중 많은 경우 임상 증상이 없었으며, 낭의 치료 방법으로는 적출술만을 시행하고 원인치 발거를 동시에 진행한 경우가 많았다.

This study aimed to identify the characteristics of jaw cysts among children and adolescents treated at the Kyung Hee University Dental Hospital from 2005 to 2015. A retrospective observational study was conducted of 269 jaw cysts diagnosed in 253 patients. The following variables were recorded: gender, age, prevalence and location of lesions, clinical symptoms and treatment. Statistical analyses were performed using the SPSS (version 20.0). Our results suggest that the cysts are slightly more prevalent in males. Cystic lesions of the jaws in children are predominantly odontogenic and developmental in origin. Dentigerous cysts predominate in developmental cysts and the most frequent diagnosis is radicular cysts in inflammation cysts. The most common location of the cysts is in the mandible, particularly the lower molar region. In numerous cases, the patients have no clinical symptoms. Most cysts were surgically enucleated with tooth extraction. Furthermore, our findings demonstrate that the characteristics of jaw cysts in children are distinctive and differ in several respects from the corresponding distribution of jaw cysts in adult population. Therefore, knowledge of the clinical, radiological and histopathological behavior of jaw cysts and periodic radiographic examination are key factors for early diagnosis and adequate treatment of jaw cysts in children.

키워드

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