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Case Reports
. 2022 Jul-Dec;12(2):244-247.
doi: 10.4103/ams.ams_102_22. Epub 2023 Jan 10.

Use of Marsupialisation for a Conservative Approach to Huge Cystic Lesions of the Jaws - A Report of three Cases

Vinayakrishna Kolari  1 , Husain Dhabaria  1 , Shreya Sengupta  1 , Adil Iqbal Sait  1 , Abhishek Shah  1
Affiliations
Case Reports

Use of Marsupialisation for a Conservative Approach to Huge Cystic Lesions of the Jaws - A Report of three Cases

Vinayakrishna Kolari et al. Ann Maxillofac Surg. 2022 Jul-Dec.

Abstract

Rationale: The management of cystic lesions of the jaws presents a challenge to the surgeon. Marsupialisation, one of the conservative management options, has been used as a single or combined surgical treatment modality for the cystic lesions of the jaws.

Patient concerns: All patients presented with a complaint of a firm swelling of the face with one of the patients presenting with paraesthesia in the affected area.

Diagnosis: Clinical and radiographic examination was carried out followed by aspiration cytology. All lesions were provisionally diagnosed with odontogenic cystic lesions.

Treatment: Marsupialisation under general anaesthesia was carried out for all patients. Postoperatively, a customised obturator was fabricated.

Outcomes: All the patients showed good radiological ossification postoperatively.

Take-away lessons: The approach to larger cysts remains controversial. The long-term results following the marsupialisation of extensive cysts of this report may help surgeons to opt for a conservative approach to such lesions before aggressive options.

Keywords: Marsupialisation; odontogenic cysts and tumours; odontogenic keratocyst; radicular cyst; unicystic ameloblastoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Pre-operative OPG of Case 2, showing a well-defined, unilocular radiolucency with sclerotic borders in the mandibular body and angle of size 5.5 cm × 3 cm with the presence of an impacted mandibular right third molar. (b) Post-operative OPG at 3-month follow-up, showing peripheral ossification
Figure 2
Figure 2
(a) Pre-operative OPG of Case 3, showing a well-defined, unilocular radiolucency with corticated borders in the left maxilla involving the maxillary sinus of size 6 cm × 4 cm. (b) Post-operative OPG at 9-month follow-up, showing well-defined trabecular bone formation
Figure 3
Figure 3
(a) Pre-operative orthopantomogram (OPG) of Case 1, showing a well-defined, unilocular radiolucency with well-defined corticated borders in the mandibular body, angle and ramus region of size 4 cm × 3 cm with the presence of an impacted mandibular left third molar. (b) Post-operative OPG at 9-month follow-up, showing well-defined trabecular bone formation
Figure 4
Figure 4
(a) Marsupialisation site, (b) Customised obturator was fabricated before the discharge of the patient to keep the opening patent and to prevent food lodgement
See this image and copyright information in PMC

References

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