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

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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.

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Kumari, K., Sowmya, S. V., Vineeth, K., Rao, R. S., Lalitha, R. M., Augustine, D., … Abraham, M. (2018). Staged minimally invasive surgical approach in the management of glandular odontogenic cyst. World Journal of Dentistry, 9(1), 48–52. https://doi.org/10.5005/jp-journals-10015-1506

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