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Stomatologija 2011; 13 (4): 128-131 113 KB

Endoscopically assisted enucleation of a large mandibular periapical cyst

Heleia Nestal Zibo, Ene Miller

Summary

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



	Baltic Dental and Maxillofacial Journal

December, 2011, Vol. 13, No. 4 CONTENTS REVIEWS Dental management of patients before and after renal transplantation Eleni A. Georgakopoulou, Marina D. Achtari, Niki Afentoulide 107-112 Factors influencing face aging. Literature review Kestutis Sveikata, Irena Balciuniene, Janina Tutkuviene 113-116 SCIENTIFIC ARTICLES Specific signaling molecule expression in periodontal ligaments in different age groups: Pilot study Maris Grzibovskis, Ilga Urtane, Mara Pilmane 117-122 Upper airway sagittal dimensions in obstructive sleep apnea (OSA) patients and severity of the disease Juris Svaza, Andrejs Skagers, Dace Cakarne, Iveta Jankovska 123-127 CLINICAL CASE REPORTS Endoscopically assisted enucleation of a large mandibular periapical cyst Heleia Nestal Zibo, Ene Miller 128-131 Squamous cell carcinoma of the left temporal region Albinas Gervickas, Raimundas Golubevas, Alvydas Gleiznys 132-134 © 2011 Stomatologija		Stomatologija 2011; 13 (4): 128-131 113 KB Endoscopically assisted enucleation of a large mandibular periapical cyst Heleia Nestal Zibo, Ene Miller Summary 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