Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient

Abstract

Background. A solitary bone cyst or simple bone cyst is a nonneoplastic osseous lesion, with no epithelial lining, also considered as a pseudocyst. These lesions, with an intact bony wall and fluid-filled, are frequently discovered by chance in radiological studies. The etiopathogenesis has not been studied in depth, and the management remains controversial. Case Presentation. We present a clinical case of a 15-year-old boy who underwent an orthopantomography to assess the development and position of the third molars during a routine postorthodontic check-up. By chance, the X-ray identified an asymptomatic radiolucent image in the left jaw, measuring 12.0 mm×17.8 mm and compatible with a solitary bone cyst involving teeth 35 and 36. We describe our technique for performing minimally invasive decompression of the lesion using a microperforated catheter. We describe the entire course of the follow-up, both clinical and radiological, until complete cure. Conclusions. This straightforward continuous decompression technique poses no problems for the patient, has a low risk of sequelae, and is clearly cost-effective. In view of the highly satisfactory evolution, whenever possible, we favor this minimally invasive technique for the treatment of solitary bone cysts in the jaw.

Simple bone cyst recurred in adjacent areas: A case report

“… 9 26 27 Another radiographic feature of simple bone cysts is the extensive spread of the lesion without causing bone expansion; the cortical bone tends to thin due to intraosseous erosion. 20 This characteristic can be observed in the computed tomographic images of the case presented here, which showed lingual cortical thinning, no displacement or reabsorption of adjacent teeth, and preservation of the lamina dura.…”

“…The most frequently recommended treatment for a simple bone cyst is surgical exploration, followed by curettage of the bony walls. 20 Surgical exploration serves a dual purpose: it is both a diagnostic maneuver and a therapeutic procedure, as it induces bleeding in the cavity walls. This bleeding, in turn, allows for the formation of a clot, which is eventually replaced by bone.…”

Pseudocysts of the jaw: a retrospective study of 41 cases from a single institution

“…Decompression is widely recognized in the treatment of large cystic lesions of the jaw because of its minimally invasive nature and desired effect [ 48 ]. However, decompression is a long-term technique with a high failure rate that may necessitate second-stage surgery.…”

Massive Radicular Cyst in the Maxillary Sinus as a Result of Deciduous Molar Tooth Pulp Necrosis

“…The etiopathogenesis still remains controversial, but trauma is considered an important factor in their development. The decompression technique with needles can be used as a treatment for reducing the size of the lesion, without enucleation, which is unique comparing to previous lesions [13]. The oral cavity is a specific place in the human body that requires great care and caution from the dentist due to the variety of pathological lesions and difficulties in their differentiation.…”

“…The present report showed a radicular cyst. Other cysts that can be found in oral cavity in pediatric age are lateral periodontal cysts [ 10 ], mucoceles [ 11 ], glandular odontogenic cysts [ 12 ], and solitary bone cysts [ 13 ]. None of these lesions is common.…”