Staged minimally invasive surgical approach in the management of glandular odontogenic cyst

Abstract

Aim: The aim of the study was to report a unique case of glandular odontogenic cyst (GOC) in an unusual location of anterior maxilla. Materials and methods: Considering the age, sex, and location of the lesion, a minimally invasive surgical procedure was opted considering esthetics, such as decompression followed by enucleation and fresh frozen bone (FFB) grafting. To arrive at the diagnosis, cytokeratin (CK)-19 was employed to differentiate from suspected intraosseous mucoepidermoid carcinoma. Results: With the evidence of pre- and post treatment histopathological changes, the lesion appeared less aggressive justifying the treatment executed. Conclusion: Glandular odontogenic cyst is a locally aggressive jaw cyst, which has a high rate of cortical perforation and recurrence that poses both diagnostic and therapeutic challenges. Clinical significance: Treatment of decompression, followed by enucleation may be considered as an effective option in comparison to aggressive surgical intervention.