Minimally Invasive Marsupialization for Treating Odontogenic Cysts: Case Reports

Abstract

Marsupialization and decompression constitute a well-established procedure for treating cavitary bone lesions of the jaw. The technique can be a primary treatment option, especially for pediatric patients with large cysts or lesions involving vital anatomical structures, such as a developing tooth germ. In this procedure, a decompression stent, such as a customized acrylic obturator or space-maintaining appliance, silicone tube, or nasal cannula, is inserted to maintain the patency of the cyst. However, this may cause clinical problems, such as irritation or trauma to the adjacent tissues, as well as discomfort to the patient, or failure of the stent due to cyst shrinkage. It can also be a reason for patient noncompliance. In the cases described here, a minimally invasive marsupialization technique using a metal tube made from a 16-gauge needle was used for odontogenic cysts in pediatric patients associated with unerupted teeth. Through this method, the lesions were removed, with patient cooperation, and the cyst-associated teeth erupted spontaneously.

Prevalence of odontogenic cysts in oral and maxillofacial surgery department of hasan sadikin general hospital: 2 years retrospective study

“…Bone resection indication for large cyst to elimination invasive to adjacent tissue. 1,19,20,21 The purpose of this study is to find out the The age of the majority of cyst patients was at the age of 16-30 years with 15 (50%) patients and followed by patients aged 0-15 years with a total of 8 (26.67%), 31-45 years which amounted to 6 (20%) patients, while the lowest number was at the age of over 45 years, there were 1 (3.33%) patients (Figure 1).…”