Browse > Article
http://dx.doi.org/10.5933/JKAPD.2017.44.2.235

Minimally Invasive Marsupialization for Treating Odontogenic Cysts: Case Reports  

Ryu, Jiyeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Shin, Teo Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Hyun, Hong-Keun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Youngjae (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Jungwook (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Chong-Chul (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Jang, Ki-Taeg (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Lee, Sang-Hoon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.44, no.2, 2017 , pp. 235-242 More about this Journal
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.
Keywords
Surgical decompression; Drainage; Odontogenic cyst;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Browne RM : The pathogenesis of odontogenic cysts a review. J Oral Pathol, 4:31-46, 1975.   DOI
2 Daley TD, Wysocki GP : The small dentigerous cyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 79:77-81, 1995.   DOI
3 Park C, Park K : Surgical Management of Dentigerous Cyst for Preserving Permanent Tooth Buds. J Korean Acad Pediatr Dent, 41:85-92, 2014.   DOI
4 Benn A, Altini M : Dentigerous cysts of inflammatory origin A clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 81:203-209, 1996.   DOI
5 Pogrel MA : Treatment of keratocysts: the case for decompression and marsupialization. J Oral Maxillofac Surg, 63:1667-1673, 2005.   DOI
6 Gutmann JL, Gutmann MS : Historical Perspectives on the Evolution of Surgical Procedures in Endodontics. J Hist Dent, 58:1-42, 2010.
7 August M, Faquin WC, Troulis MJ, Kaban LB : Dedifferentiation of odontogenic keratocyst epithelium after cyst decompression. J Oral Maxillofac Surg, 61:678-683, 2003.   DOI
8 Carter LM, Carr P, Wales CJ, Whitfield PH : Customised stents for marsupialisation of jaw cysts. Br J Oral Maxillofac Surg, 45:429-431, 2007.   DOI
9 Uloopi KS, Shivaji RU, et al. : Conservative management of large radicular cysts associated with non-vital primary teeth: a case series and literature review. J Indian Soc Pedod Prev Dent, 33:53-56, 2015.   DOI
10 Akay MC, Kaya E, Zeytinoglu M : Treatment of nonsyndromic dentigerous cysts in primary dentition. Clin Cosmet Investig Dent, 3:17-23, 2011.   DOI
11 Nakamura N, Mitsuyasu T, et al. : Marsupialization for odontogenic keratocysts: Long-term follow-up analysis of the effects and changes in growth characteristics. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 94:543-553, 2002.   DOI
12 Martinez-Perez D, Varela-Morales M : Conservative treatment of dentigerous cysts in children: a report of 4 cases. J Oral Maxillofac Surg, 59:331-333, 2001.   DOI
13 Jih M, Lee S, Lee N : Orthodontic Traction and Decompression Method in Treating Impacted Permanent Mandibular First Molars : Case Reports. J Korean Acad Pediatr Dent, 42:257-263, 2015.   DOI
14 Enislidis G, Fock N, Sulzbacher I, Ewers R : Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. Br J Oral Maxillofac Surg, 42:546-550, 2004.   DOI
15 Berti Sde A, Pompermayer AB, et al. : Spontaneous eruption of a canine after marsupialization of an infected dentigerous cyst. Am J Orthod Dentofacial Orthop, 137:690-693, 2010.   DOI
16 Wiemer SJ, Pruitt CA, Rallis DJ, Viozzi CF : Use of a modified removable partial denture as a marsupialization stent in a pediatric patient. J Oral Maxillofac Surg, 71:1382-1386, 2013.   DOI
17 de Paulo LFB, da Cruz Perez DE, et al. : Giant facial dermoid cyst: A case treated by marsupialization. Revista Portuguesa de Estomatologia, Medicina Dentaria e Cirurgia Maxilofacial , 55:167-170, 2014.   DOI
18 Kolokythas A, Schlieve T, Miloro M : Simple method for securing a decompression tube for odontogenic cysts and tumors: a technical note. J Oral Maxillofac Surg, 69:2392-2395, 2011.   DOI
19 Tolstunov L : Marsupialization catheter. J Oral Maxillofac Surg, 66:1077-1079, 2008.   DOI