Management of large residual cyst in elderly patient with decompression alone: Case report

Abstract

SummaryBackground/Aim:Residual cysts comprise approximately 10% of all odontogenic cysts. They are more commonly seen in 4th-6th decades of life, and occur due to incomplete previous surgical removal of a radicular cyst; or due to left epithelial remnants stimulated by tooth extraction. These lesions are often treated with enucleation. However, this procedure is not always the ideal treatment solution for elderly people due to the presence of physical and mental disorders, and risk of jaw fracture.Case Report: In this case report, the successful treatment of a large residual cyst in the symphysis of a 93 year-old female patient by performing decompression alone is presented. A plastic drain was placed on the wall of the cyst to allow irrigation. Regeneration was observed in the cyst cavity 3 months after surgery. The 1-year follow up showed that the majority of the cyst cavity was filled with new bone.Conclusions: In elderly patients, large inflammatory cysts can be successfully treated with decompression considering the limited regeneration capacity and difficulties in follow-up.

Functional denture obturator for marsupialization of residual cyst: A novel approach

“…Residual cysts are not known to be recurrent (1.6% recurrence rate) but they have a very high rate of malignant change of their epithelium between all other odontogenic cysts (60% of all odontogenic cysts) 16,20 . For this reason, a 1‐year follow‐up is recommended to investigate any malignant formation 2 …”

“…Oral cysts are defined as pathological cavities and closed sacs that may include gaseous content, semi-solid, soft material, or fluid which originated from the epithelium that covered the cavity. 1,2 Residual cysts (RCs) are considered one of the most common radicular cysts which commonly appear as asymptomatic lesions with the most occurrence at the teeth extraction sites or sometimes after an incomplete surgical removal. 3 Inflammatory cysts formation such as RC is primarily based on the stimulation of remnant of odontogenic epithelial in soft or hard tissues of the jaw by an immunological or inflammatory process 2,4 and is radiographically illustrated as a well-defined, round-to-oval radiolucency that may vary in size with dystrophic calcification in degenerated cellular contents with radiography changes, as the patient ages.…”

“…1,2 Residual cysts (RCs) are considered one of the most common radicular cysts which commonly appear as asymptomatic lesions with the most occurrence at the teeth extraction sites or sometimes after an incomplete surgical removal. 3 Inflammatory cysts formation such as RC is primarily based on the stimulation of remnant of odontogenic epithelial in soft or hard tissues of the jaw by an immunological or inflammatory process 2,4 and is radiographically illustrated as a well-defined, round-to-oval radiolucency that may vary in size with dystrophic calcification in degenerated cellular contents with radiography changes, as the patient ages. 5,6 Selective treatment methods for these lesions and other cysts include enucleation, curettage (endoscopic or marginal surgery), marsupialization, or decompression.…”

“…Oral cysts are defined as pathological cavities and closed sacs that may include gaseous content, semi‐solid, soft material, or fluid which originated from the epithelium that covered the cavity. 1 , 2 …”

Residual cyst of the jaws: A clinico-pathologic study of this seemingly inconspicuous lesion

“…However, there are some contra-indications to enucleation which include large lesions, difficult accessibility, proximity to adjacent vital structures, and patient’s age. Hence, high-risk patients, younger individuals and the elderly should be managed with minimally invasive procedures to reduce morbidity [ 15 ].…”