RU1792653C - Method for treating maxillary cysts - Google Patents

Abstract

Using; in medicine, namely in dentistry. The purpose of the invention is to shorten the treatment time. The essence of the proposal is that the cyst is punctured from two poles and filled with self-polymerizing adhesive, followed by squeezing its walls. The advantage of the proposal is to improve functional results. 1 tab

Description

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The invention relates to medicine and can be used to remove retention cysts (e.g., tongue and lips).

. A method is known for treating retention cysts by aspirating their contents with a syringe, followed by the introduction of cauterizing substances. The disadvantage of this method is its unreliability when using weak cauterizing substances, the possibility of complications, an inflammatory nature and the appearance of a rough scar when using strong cauterizing substances.

There is also a method of treating retention cysts of the hyoid salivary gland by aspirating their contents with a syringe, rinsing the acid wall with chlorine liquid 2-3 times with N. I. Krause (1953), followed by introducing a fresh portion into the cystic cavity and leaving there. Obliteration of the cystic cavity occurs at various times, on average, after 2-3-fold procedures for several days. The disadvantage of this method is the need for repeated puncture, suction of cystic contents, rinsing and administration of chlorine fluid, which prolongs the treatment time.

The introduction of chlorine fluid into the cyst cavity is accompanied by swelling and infiltration of soft tissues,

The aim of the invention is to reduce the treatment time by achieving that the cavity is punctured from two poles, filled with copolymerizable glue, followed by gluing its walls.

Sulfecrylt glue is known, which in 1980 was synthesized at the Institute of Chemistry of the Bashkir Scientific Center of the Urpl Branch of the Academy of Sciences of the USSR and on December 18, 1986, it was approved for clinical use by the Committee on New Medical Technology of the Administration for the Introduction of New Medicines and Medical Equipment of the USSR Ministry of Health. Sulfacrylate glue is autosterilene, polymerizes in the presence of moisture, does not have local and general toxic, allergenic and irritating effects, and has anti-inflammatory effects. Sulfacrylate is used in abdominal surgery for the suture-glue method of processing the stump of the appendix, sealing the small intestine anastomosis and colonic anastomosis, eliminating small intestinal fistula, suturing porpho “St“ ra

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of active UZR.Y acorn :) and the duodenum, gastrectomy, peritonization of the gallbladder bed and deserted portions of the peritoneum.

A comparison of the invention with the prototype is presented in the table.

The table shows that the technical solution contains 6 essential features, of which 3 are common with the prototype and 3 distinctive.

The method is carried out as follows.

The ampoule tube with glue Sulfacrylate is rubbed with 96 ° ethanol and placed in a sterile kidney-shaped basin. The assistant fixes a lip or tongue with his fingers. The area of the retention cyst is smeared with 1% iodine solution. From two poles, the cyst is punctured by two thick injection needles, on one of which syringe 1 is put on (Fig. 1). Needle 2 is fixed by an assistant without a syringe so that it does not move and does not leave the cystic cavity. The contents are sucked out through a needle with a syringe cysts, and through the lumen of another needle, air enters the cavity of the cyst. After suctioning the contents of the cyst, the needle and syringe are removed. The remaining part of its contents in the cyst cavity is squeezed out with fingers through the opening 3 created by a needle with a syringe put on it. Then, the tip of the neck of the ampoule tube with Sulfacrylate glue is cut with scissors, the neck of the ampoule tube 4 is inserted into the needle cannula (Fig. 2), and the ampoule is squeezed with your fingers. Thus, the glue enters the cyst cavity through the lumen of the needle. The introduction of the glue stops after it appears from the hole created by the needle on which the syringe was attached. Then, the second injection needle is removed along with the tube ampoule, and the cyst cavity is squeezed with the fingers, as a result of which the glue is distributed along the walls, its excess leaves through the holes formed by the injection needles, and the cavity itself is glued.

PRI me R 1. Sick 3., 22 years old was admitted to the maxillofacial department of the Republican Clinical Hospital of the Ministry of Health of the TASSR with a diagnosis of retention of the cyst of the salivary (mucous) gland of the lower lip. In the anamnesis, repeated emptying of the formation located on the lower lip, with the release of heavy fluid. On examination - on the bottom

the lip shows a bluish, painless, roundish, elastic consistency, a tumor-like formation (1.0x1.0 cm in size) with well-designed edges. Treatment - cyst puncture with

evacuation of its contents and filling of the cavity of the cyst with sulfacrylate glue.

Control examination 1 week after filling the cyst with glue: under the mucous membrane of the lower lip in the area of the former

cysts are palpated by a flat, elastic, painless foreign body, the mucous membrane covering it is not changed.

A follow-up examination after 4 weeks after filling the cyst with glue: under the mucous membrane of the lower lip in the area of the former cyst, painless, scattered, single foreign bodies (in the form of crushed glass) are palpated, the mucous membrane is not changed in color.

Control examination 7 weeks after filling the cyst with glue: the lip in the area of the former cyst is soft, painless, no relapse.

. PRI me R2. Sick G., 19 years old, turned to the maxillofacial department of the Republican Clinical Hospital of the Ministry of Health of the TASSR with complaints about the period. the appearance of a tumor-like formation on the lower surface of the tongue, which, when opened, releases a viscous liquid. On examination, there is a cyanotic tumor on the lower surface of the tongue with clear boundaries (1.0x0.7 cm in size). The diagnosis is retention cyst of the mucous gland of the lower surface of the tongue. Treatment is puncture of the cyst, evacuation of its contents with filling of the cavity of the cyst with sulfacrylate glue.

Outpatient follow-up recommended. Control examination after 2 weeks - in the area of the former cyst, single, painless foreign bodies are palpated under the mucous membrane. Inspection through

4.5 weeks - the mucous membrane in the area of the former cyst of the tongue is not changed in color, no relapse.

Claims (1)

SUMMARY OF THE INVENTION A method for treating jaw cysts by puncture, drainage and subsequent filling of a cavity with a composition, which includes /. in order to shorten the treatment time, the cyst is punctured from two poles and filled with self-polymerizing glue, followed by squeezing its walls.