Professional paper

Surgical treatment of large mandibular cyst

Željko Orihovac ; Dubrava Clinic Hospital, Maxilofacial Surgery
Bojan Vidaković ; Zagreb Faculty of Medicine student
Tena Vujnovac ; Zagreb Faculty of Medicine student

Abstract

Cysts of the jaw are not a rare problem, however non-specific clinical and radiographic findings may complicate treatment. This is the primary reason that microscopic tissue evaluation is necessary to establish the diagnosis. We report a case of a 67-year-old patient with a large mandibular cyst that was successfully surgically removed. The patient suffered swelling of the mandible. Radiographic examination showed pathological transparency, which could represent an odontogenic cyst or ameloblastoma. The first microscopic examination was also non-specific and did not exclude ameloblastoma, which must be treated radically due to its tendency to recur. Intraoperative biopsy material proved it to be a cyst, and not an ameloblastoma. Cystectomy of the mandible was performed, and the lesion was removed completely, including the epithelial sheath. Despite the size of the cyst, bone continuity was maintained and there was no need for osteosynthesis or osteoplasty. The postoperative defect was filled with regenerated bone, despite its
size, patient's age and the fact he was edentulous, and without disease recurrence. The authors concluded that it is necessary to adjust the extent of the intervention according to the type of lesion, thus optimizing treatment results.

Keywords

Cysts; jaw; surgical treatment; differential diagnosis; result

Hrčak ID:

22837

URI

https://hrcak.srce.hr/22837

Publication date:

5.5.2008.

Article data in other languages: croatian

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