Marsupialization for management of odontogenic cysts and tumors : Report of three cases with literature review

치성 낭종 및 종양의 치료를 위한 조대술의 사용 : 증례 보고(3례) 및 문헌 고찰

  • Lee, Jae-Il (Department of Oral and Maxillofacial Surgery, Seoul St. Mary's Hospital, The Catholic University) ;
  • Yoon, Hyun-Joong (Department of Oral and Maxillofacial Surgery, Bucheon St. Mary's Hospital, The Catholic University) ;
  • Lee, Sang-Hwa (Department of Oral and Maxillofacial Surgery, St. Paul's Hospital, The Catholic University)
  • 이재일 (가톨릭대학교 서울성모병원 구강악안면외과) ;
  • 윤현중 (가톨릭대학교 부천성모병원 구강악안면외과) ;
  • 이상화 (가톨릭대학교 성바오로병원 구강악안면외과)
  • Received : 2015.03.30
  • Accepted : 2015.06.29
  • Published : 2015.08.01

Abstract

Cyst is a closed sac, having a distinct membrane and division compared to the nearby tissue. Most cysts in the oro-maxillofacial area are odontogenic origin and found most commonly by oral and maxillofacial surgeons. Enucleation is considered as a definitive therapy in the management of these cysts. However, to select the treatment method for large cyst, consideration of position of the cyst, size and accessibility to main structure are needed. Marsupialization is a minimal invasive technique to treat large odontogenic cyst and tumor without damage to adjacent important structures. This study was undertaken to describe three cases of odontogenic cysts and tumors of jaws that were successfully treated with enucleation after marsupialization.

Keywords

References

  1. Jang CS, Kim JW, Yang SB, Yim JH, Kim JY, Yang BE. Treatment of large sized cystic lesion of the jaws with specifc appliance for decompresson: cases report. J Korean Assoc Oral Maxillofac Surg 2011; 37: 133-6 https://doi.org/10.5125/jkaoms.2011.37.2.133
  2. Ikeshima A, Tamura Y. Differential diagnosis between dentigerous cyst and benign tumour with an embedded tooth. J Oral Sci 2002; 44: 13-7 https://doi.org/10.2334/josnusd.44.13
  3. Bodner L, Woldenberg Y, Bar-Ziv J. Radiographic features of large cysts lesions of the jaws in children. Pediatr Radiol 2003; 33: 3-6 https://doi.org/10.1007/s00247-002-0816-2
  4. Pekiner FZ, Borahan O, Ugurlu F. Clinical and radiological features of a large radicular cyst involving the entire maxillary sinus. MUSBED 2012; 2: 31-6
  5. Zhao YF, Wei JX, Wang SP. Treatment of odontogenic keratocysts: a follow-up of 255 chinese patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 151-6 https://doi.org/10.1067/moe.2001.125694
  6. Giuliani M, Grossi GB, Lajolo C. Conservative management of a large odontogenic keratocyst: report of a case and revew of the literature. J Oral Maxillofac Surg 2006; 64: 308-16 https://doi.org/10.1016/j.joms.2005.10.013
  7. Brannon RB. The odontogenic keratocyst. A clinicopathologic study of 312 cases. Part II. Histologic features. Oral Surg Oral Med Oral Pathol 1977; 43(2): 233-55 https://doi.org/10.1016/0030-4220(77)90161-X
  8. Crowley TE, Kaugars GE, Gunsolley JC. Odontogenic keratocysts: a clinical and histologic comparison of the parakeratin and orthokeratin variants. J Oral Maxillofac Surg 1992; 50(1): 22-6 https://doi.org/10.1016/0278-2391(92)90187-5
  9. Kaczmarzyk T, Mojsa I, Stypulkowska J. A systematic review of the recurrence rate for keratocystic odontogenic tumour in relation to treatment modalities. Int J Oral Maxillofac Surg 2012; 41(6): 756-67 https://doi.org/10.1016/j.ijom.2012.02.008
  10. Karamanis S, Kitharas T, Tsoukalas D. Implant placement after marsupialization of a dentigerous cyst. J Oral Implantol 2006; 32: 313-6 https://doi.org/10.1563/0-806.1
  11. Partsch C. Uber Kiefercysten. Deutsche Monatsschrift Fur zahnheilkunde 1892; 10: 271-304
  12. Partsch C. Zur behandlung der kieferzysten. Deutsche Monatsschrift Fur Zahnheilkunde. 1910; 28: 252-60
  13. Borgonovo AE, Di Lasda S, Grossi G, Maiorana C. Two-stage treatment protocol of keratocystic odontogenic tumour in young patients with Gorlin-Goltz syndrome: Marsupialization and later enucleation with peripheral ostectomy. A 5-year-follow-up experence. Int J Pediatr Otorhinolaryngo 2011; 75: 1565-71 https://doi.org/10.1016/j.ijporl.2011.09.009
  14. Sailer HF, Pajarola GF. Oral Surgery for the General Dentist, Thieme, New York, 1999.
  15. Riachi F, Tabarani C. Effective management of large radicular cysts using surgical enucleation vs. marsupialization two cases report. Int Arab J Dent 2010; 1: 45-51
  16. Gao L, Wang XL, Li SM, Chen C, Li JW, Yan XJ, Zhang J, Ren WH, Zhi KQ. Decompression as a treatment for odontogenic cystic lesions of the jaw. J Oral Maxillofac Surg 2014; 72(2): 327-33 https://doi.org/10.1016/j.joms.2013.07.035
  17. Zhao Y, Liu B, Han QB, Wang SP, Wang YN. Changes in bone density and cyst volume after marsupialization of mandibular odontogenic keratocysts (keratocystic odontogenic tumors). J Oral Maxillofac Surg 2011; 69(5): 1361-6 https://doi.org/10.1016/j.joms.2010.05.067
  18. Shudou H, Sasaki M, Yamashiro T, Tsunomachi S, Takenoshita Y, Kubota Y, Ninomiya T, Kawazu T, Mori Y. Marsupialisation for keratocystic odontogenic tumours in the mandible: longitudinal image analysis of tumour size using 3D visualized CT scans. Int J Oral Maxillofac Surg 2012; 41(3): 290-6 https://doi.org/10.1016/j.ijom.2011.10.015
  19. Kubota Y, Imajo I, Itonaga R, Takenoshita Y. Effects of the patient's age and the size of the primary lesion on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts. Br J Oral Maxillofac Surg 2013; 51(4): 358-62 https://doi.org/10.1016/j.bjoms.2012.07.017
  20. Pogrel MA. Treatment of keratocysts: the case for decompression and marsupialization. J Oral Maxillofac Surg 2005; 63: 1667-73 https://doi.org/10.1016/j.joms.2005.08.008
  21. Lapeer GL. The use of marsupialization in resolving a dentigerous cystic lesion: a case presentation. J Can Dent Assoc 1985; 51: 569-70
  22. de Molon RS, Verzola MH, Pires LC, Mascarenhas VI, da Silva RB, Cirelli JA, Barbeiro RH. Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: a case report and literature review. Contemp Clin Dent 2015; 6: S106-10 https://doi.org/10.4103/0976-237X.152963
  23. Marker P, Brondum N, Clausen PP, Bastian HL. Treatment of large odontogenic keratocysts by decompression and later cystectomy: a long-term follow-up and a histologic study of 23 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82: 122-31 https://doi.org/10.1016/S1079-2104(96)80214-9
  24. Sanchez-Siles M, Camacho-Alonso F, Lopez-Jornet P, Salazar-Sanchez N. Keratocystic odontogenic tumor. Case report and review of the literature. 2013; 79(2): 44-7
  25. Kirtaniya BC, Sachder V, Singla A, Sharma AK. Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent 2010; 28: 203-8 https://doi.org/10.4103/0970-4388.73795