Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw

Background: Cystic lesions of the jaw are commonly found in clinical practice. Large, expansive cysts raise challenges for the clinician from both diagnostic and surgical perspectives. The aim of our work is to present a combined, two-staged surgical approach in histologically confirmed non-aggressi...

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Autores principales:	Andreea Irimia, Liliana Moraru, Diana Alina Ciubotaru, Constantin Caruntu, Alexandru-Titus Farcasiu, Ana Caruntu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	minimally invasive mandibular cyst marsupialization reconstruction Medicine R
Acceso en línea:	https://doaj.org/article/b41af4be32c849d09ddcb76b1a33e9cd
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spelling	oai:doaj.org-article:b41af4be32c849d09ddcb76b1a33e9cd2021-11-25T17:45:39ZMinimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw10.3390/healthcare91115312227-9032https://doaj.org/article/b41af4be32c849d09ddcb76b1a33e9cd2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1531https://doaj.org/toc/2227-9032Background: Cystic lesions of the jaw are commonly found in clinical practice. Large, expansive cysts raise challenges for the clinician from both diagnostic and surgical perspectives. The aim of our work is to present a combined, two-staged surgical approach in histologically confirmed non-aggressive cystic lesions of the jaw. Methods and Results: We report the case of an extensive mandibular cyst, associating a high risk of bone fracture, that is treated in the initial stage by cystic decompression through marsupialization with concomitant histological diagnostic confirmation, followed in the second stage by radical excision and mandibular reconstruction with titanium mesh, with the purpose of prevention for oro-cystic chronic fistula formation. Conclusions: Large odontogenic mandibular cysts imply a meticulously conducted assessment and treatment. Marsupialization should be taken into consideration for the treatment of large cystic lesions, followed by secondary enucleation, with minimal risks for the patient. The soft tissue healing process can be optimized with the use of titanium meshes, as an alternative for other reconstructive techniques, in the management of large cystic lesions.Andreea IrimiaLiliana MoraruDiana Alina CiubotaruConstantin CaruntuAlexandru-Titus FarcasiuAna CaruntuMDPI AGarticleminimally invasivemandibular cystmarsupializationreconstructionMedicineRENHealthcare, Vol 9, Iss 1531, p 1531 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	minimally invasive mandibular cyst marsupialization reconstruction Medicine R
spellingShingle	minimally invasive mandibular cyst marsupialization reconstruction Medicine R Andreea Irimia Liliana Moraru Diana Alina Ciubotaru Constantin Caruntu Alexandru-Titus Farcasiu Ana Caruntu Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw
description	Background: Cystic lesions of the jaw are commonly found in clinical practice. Large, expansive cysts raise challenges for the clinician from both diagnostic and surgical perspectives. The aim of our work is to present a combined, two-staged surgical approach in histologically confirmed non-aggressive cystic lesions of the jaw. Methods and Results: We report the case of an extensive mandibular cyst, associating a high risk of bone fracture, that is treated in the initial stage by cystic decompression through marsupialization with concomitant histological diagnostic confirmation, followed in the second stage by radical excision and mandibular reconstruction with titanium mesh, with the purpose of prevention for oro-cystic chronic fistula formation. Conclusions: Large odontogenic mandibular cysts imply a meticulously conducted assessment and treatment. Marsupialization should be taken into consideration for the treatment of large cystic lesions, followed by secondary enucleation, with minimal risks for the patient. The soft tissue healing process can be optimized with the use of titanium meshes, as an alternative for other reconstructive techniques, in the management of large cystic lesions.
format	article
author	Andreea Irimia Liliana Moraru Diana Alina Ciubotaru Constantin Caruntu Alexandru-Titus Farcasiu Ana Caruntu
author_facet	Andreea Irimia Liliana Moraru Diana Alina Ciubotaru Constantin Caruntu Alexandru-Titus Farcasiu Ana Caruntu
author_sort	Andreea Irimia
title	Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw
title_short	Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw
title_full	Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw
title_fullStr	Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw
title_full_unstemmed	Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw
title_sort	minimally invasive two-staged surgery in the treatment of large cystic lesions of the jaw
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b41af4be32c849d09ddcb76b1a33e9cd
work_keys_str_mv	AT andreeairimia minimallyinvasivetwostagedsurgeryinthetreatmentoflargecysticlesionsofthejaw AT lilianamoraru minimallyinvasivetwostagedsurgeryinthetreatmentoflargecysticlesionsofthejaw AT dianaalinaciubotaru minimallyinvasivetwostagedsurgeryinthetreatmentoflargecysticlesionsofthejaw AT constantincaruntu minimallyinvasivetwostagedsurgeryinthetreatmentoflargecysticlesionsofthejaw AT alexandrutitusfarcasiu minimallyinvasivetwostagedsurgeryinthetreatmentoflargecysticlesionsofthejaw AT anacaruntu minimallyinvasivetwostagedsurgeryinthetreatmentoflargecysticlesionsofthejaw
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Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw

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