Professional paper

Marsupialization in the Treatment of Jaw Cysts

Ana KOTARAC KNEŽEVIĆ ; Department of Oral Surgery, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Goran Knežević ; Clinical Department of Oral Surgery, University Hospital Dubrava, Zagreb, Croatia
Berislav Perić ; Clinical Department of Oral Surgery, University Hospital Dubrava, Zagreb, Croatia
Jakša Grgurević ; Clinical Department of Oral Surgery, University Hospital Dubrava, Zagreb, Croatia

Abstract

The investigation raises the question of the value of marsupialization as a method for treatment of jaw cysts and cystic odontogenic tumours. The study comprises a retrospective analysis of a sample
of 71 patients treated during a twelve-year period in the Clinical Department of Oral Surgery and the Clinic of Maxillofacial Surgery of the University Hospital Dubrava. The sample consisted of 61 odontogenic cysts (85.92%), among which 14 (19.72%) were odontogenic keratocysts and 7 (9.86%) recurrences of odontogenic keratocysts. There were 39 (54.93%) radicular and follicular odontogenic cysts, 6 traumatic bone cavities “cysts” (8.45%), one odontogenic tumour (1.4%), one giant-cell central granuloma (1.41%), one recurrence of a giant-cell granuloma (1.41%) and
one central cavernous hemangioma (1.41%). The formations were treated by all known surgical procedures, and marsupialization was undertaken in 9 patients of which 3 (9.68%) with cysts 3-6 cm in diameter and 6 (22.22%) with cysts larger than 6 cm. They were odontogenic keratocysts or their recurrences and one case each of a radicular and follicular jaw cyst. The results showed that marsupialization visibly reduced the bone cavity in all cases treated by this method and indicated that it could be applied as the final surgical procedure in which a complete cure is possible of odontogenic keratocysts or other odontogenic cysts of the jaws. However as the results are preliminary the procedure should be applied rationally.

Keywords

Marsupialization; Jaw Cysts; Odontogenic Tumors

Hrčak ID:

48933

URI

https://hrcak.srce.hr/48933

Publication date:

15.3.2010.

Article data in other languages: croatian

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