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[Treatment of follicular cysts of the mandible with reduction cystostomy].

A surgical technique is described for the treatment of a voluminous mandibular cyst whereby the contrasting need to preserve the vitality of the teeth whose apex was near the cyst wall and that of preventing marsupialisation due to the difficulty of providing continuous and effective postoperative care were met by cystotomy with reduction of the primary cyst to a small, periapical cyst. The operation was planned to take place in two stages, the idea being to secure radical removal of the remains of the cyst at a later date. An exploratory inspection after 14 months showed that a bone cavity of negligible size and with no sign of a wall was left. Two objectives were thus achieved: maintenance of the vitality of the teeth around the cyst; improved and spontaneous alignment of the teeth to facilitate and simplify complementary orthodontic management.

Child↗
PubMed1986

[Transappendicular continent cystostomy. Critical study apropos of 30 cases].

UNLABELLED: Continent vesicostomy using appendix has been performed in 30 incontinent children (myelo-meningocele). Surgical technique is described laying stress on the closure of the bladder neck and the appendix arrangement: appendix is implanted in the bladder with an antireflux sub-mucosal tunnel and the other end is hemmed to the skin. Self-catheterization is very easy. All patients are dry but the rate of complications was very high: 77%--8 leakage through the bladder neck imposing one or two re-operations. 10 uretero-hydronephrosis related to a small and hypertonic bladder: enterocystoplasty with good results--5 lithiasis--2 perforations. Success of this technique is closely linked to the construction of a large and low pressure bladder: 11 enterocystoplasty have been performed secondarily and 4 during the first operation. Actually 26/30 patients are well with normal kidneys and excellent comfort. FOLLOW-UP: 1 to 7 years.

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