Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw
Background: Cystic lesions of the jaw are commonly found in clinical practice. Large, expansive cysts raise challenges for the clinician from both diagnostic and surgical perspectives. The aim of our work is to present a combined, two-staged surgical approach in histologically confirmed non-aggressi...
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| Format: | Article |
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MDPI AG
2021-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/11/1531 |
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| author | Andreea Irimia Liliana Moraru Diana Alina Ciubotaru Constantin Caruntu Alexandru-Titus Farcasiu Ana Caruntu |
| author_facet | Andreea Irimia Liliana Moraru Diana Alina Ciubotaru Constantin Caruntu Alexandru-Titus Farcasiu Ana Caruntu |
| author_sort | Andreea Irimia |
| collection | DOAJ |
| description | Background: Cystic lesions of the jaw are commonly found in clinical practice. Large, expansive cysts raise challenges for the clinician from both diagnostic and surgical perspectives. The aim of our work is to present a combined, two-staged surgical approach in histologically confirmed non-aggressive cystic lesions of the jaw. Methods and Results: We report the case of an extensive mandibular cyst, associating a high risk of bone fracture, that is treated in the initial stage by cystic decompression through marsupialization with concomitant histological diagnostic confirmation, followed in the second stage by radical excision and mandibular reconstruction with titanium mesh, with the purpose of prevention for oro-cystic chronic fistula formation. Conclusions: Large odontogenic mandibular cysts imply a meticulously conducted assessment and treatment. Marsupialization should be taken into consideration for the treatment of large cystic lesions, followed by secondary enucleation, with minimal risks for the patient. The soft tissue healing process can be optimized with the use of titanium meshes, as an alternative for other reconstructive techniques, in the management of large cystic lesions. |
| first_indexed | 2024-03-10T05:27:51Z |
| format | Article |
| id | doaj.art-b41af4be32c849d09ddcb76b1a33e9cd |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T05:27:51Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-b41af4be32c849d09ddcb76b1a33e9cd2023-11-22T23:32:13ZengMDPI AGHealthcare2227-90322021-11-01911153110.3390/healthcare9111531Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the JawAndreea Irimia0Liliana Moraru1Diana Alina Ciubotaru2Constantin Caruntu3Alexandru-Titus Farcasiu4Ana Caruntu5Department of Oral and Maxillofacial Surgery, “Carol Davila” Central Military Emergency Hospital, 010825 Bucharest, RomaniaDepartment of Oral and Maxillofacial Surgery, “Carol Davila” Central Military Emergency Hospital, 010825 Bucharest, RomaniaDepartment of Oral and Maxillofacial Surgery, “Carol Davila” Central Military Emergency Hospital, 010825 Bucharest, RomaniaDepartment of Physiology, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Removable Prosthodontics, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Oral and Maxillofacial Surgery, “Carol Davila” Central Military Emergency Hospital, 010825 Bucharest, RomaniaBackground: Cystic lesions of the jaw are commonly found in clinical practice. Large, expansive cysts raise challenges for the clinician from both diagnostic and surgical perspectives. The aim of our work is to present a combined, two-staged surgical approach in histologically confirmed non-aggressive cystic lesions of the jaw. Methods and Results: We report the case of an extensive mandibular cyst, associating a high risk of bone fracture, that is treated in the initial stage by cystic decompression through marsupialization with concomitant histological diagnostic confirmation, followed in the second stage by radical excision and mandibular reconstruction with titanium mesh, with the purpose of prevention for oro-cystic chronic fistula formation. Conclusions: Large odontogenic mandibular cysts imply a meticulously conducted assessment and treatment. Marsupialization should be taken into consideration for the treatment of large cystic lesions, followed by secondary enucleation, with minimal risks for the patient. The soft tissue healing process can be optimized with the use of titanium meshes, as an alternative for other reconstructive techniques, in the management of large cystic lesions.https://www.mdpi.com/2227-9032/9/11/1531minimally invasivemandibular cystmarsupializationreconstruction |
| spellingShingle | Andreea Irimia Liliana Moraru Diana Alina Ciubotaru Constantin Caruntu Alexandru-Titus Farcasiu Ana Caruntu Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw Healthcare minimally invasive mandibular cyst marsupialization reconstruction |
| title | Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw |
| title_full | Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw |
| title_fullStr | Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw |
| title_full_unstemmed | Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw |
| title_short | Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw |
| title_sort | minimally invasive two staged surgery in the treatment of large cystic lesions of the jaw |
| topic | minimally invasive mandibular cyst marsupialization reconstruction |
| url | https://www.mdpi.com/2227-9032/9/11/1531 |
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