|Baltic Dental and Maxillofacial Journal|
December, 2011, Vol. 13, No. 4
CLINICAL CASE REPORTS
© 2011 Stomatologija
Stomatologija 2011; 13 (4): 128-131 113 KB
Endoscopically assisted enucleation of a large mandibular periapical cyst
Heleia Nestal Zibo, Ene Miller
Abstract. Enucleation of large cysts in the jaws is an invasive method that might be associated with complications. Marsupialization is a less invasive alternative method but it involves a prolonged and uncomfortable healing period.
This study addresses a contemporaneous and less invasive surgical technique for treating larger mandibular cysts.
Materials and methods. A 48-year-old woman presented with a large mandibular apical cyst involving the left parasymphysis, body, ramus and condylar neck, with involvement of the alveolar inferior nerve. The cystic lesion was enucleated using a 30° 4.0 mm endoscopic scope and endoscopic instruments through two small accesses: the ostectomy site of previously performed marsupialization and the alveolus of the involved third molar extracted of the time of the enucleation of the cyst.
Results. The endoscopic scope provided good visualization of the whole cystic cavity allowing the removal of any residual pathologic tissue and preservation of the integrity of the involved inferior alveolar nerve. The morbidity of the surgical procedure was extremely reduced. At a 6-month follow-up the patient did not present any symptom of inflammation and a panoramic X-ray showed good bone repair and remodelation.
Conclusions. Endoscopically assisted enucleation proved to be effective method of treating a large mandibular cyst, providing total enucleation with a minimal invasive technique.
Key words: radicular cyst, periapical cyst, endoscopy, odontogenic cysts.
Received: 21 02 2011
Accepted for publishing: 22 12 2011
*North Estonia Medical Centre, Tallinn, Estonia
Heleia Nestal Zibo* – D.D.S., PhD student, senior resident in oral and maxillofacial surgery, Department of Oral and Maxillofacial Surgery
Ene Miller* – M.D., Senior otorhinolaryngologist, Otorhinolaryngology Department
Address correspondence to: to Dr. Heleia Nestal Zibo, Department of Oral and
Maxillofacial Surgery, North Estonia Medical Centre, Sütiste tee 19, Tallinn 13419, Estonia.
E-mail address: Heleia.NestalZibo@regionaalhaigla.ee