lec 8.1 - management of cysts Flashcards
The process of completely removing the cyst by excising its entire lining from the surrounding bone.
Enucleation
Indicated for small to moderately-sized cysts that are well contained and do not involve vital structures.
Enucleation
A technique where a window is made in the cyst wall, allowing the contents to drain out. The cyst lining is left open and connected to the oral cavity or skin.
Marsupialization
Indicated for large cysts, those in close proximity to vital structures, or patients not candidate for more aggressive options.
Marsupialization
After enucleation, the surrounding bone is scraped to ensure complete removal of residual cystic lining and to stimulate bone regeneration.
Enucleation with curettage
Used in cases where there is a risk for residual cyst lining being left behind, such as with aggressive cysts (odontogenic keratocyst).
Enucleation with curettage
The removal of cyst along with a portion of the surrounding bone or soft tissue.
Resection
Used for aggressive cysts or cyst-like lesions (ameloblastoma) that cannot be managed with enucleation alone.
ResectionA
A procedure done after the removal of large cysts that result in significant bone defects.
Bone grafting and reconstruction
It is a two-stage approach for the management of large or complex cysts, particularly odontogenic keratocysts or other cysts where initial complete removal could be challenging.
Enucleation after marsupialization
A fixative used for chemical cauterization.
Carnoy’s solution
A more aggressive technique used to treat cysts and tumors of high recurrence rate, like OKCs or ameloblastomas. It removes entire lesion and scrapes surrounding bone to ensure that remnants of the lesion is removed.
Enucleation with curettage
Additional resection of surrounding bone to ensure all remnants are elimated.
Peripheral ostectomy
Indications for Enucleation with curettage
- Odontogenic keratocysts
- Ameloblastoma
- Dentigerous cysts
- Other aggressive/recurrent cysts
