Treatment of a large maxillary cyst with marsupialization (case report)

Abstract

A large maxillary cyst was treated for 6 months with marsupialization and decompression, followed by surgical removal of the affected supernumerary teeth and cystectomy. Various treatment methods for huge cystic lesion of the jaw exist, such as, resection of the involved bone, enucleation and decompression. Among these methods, enucleation after decompression is a conservative technique that decreases the size of the cystic cavity and reduces the risk of intra-bony defects, which could be induced by primary enucleation. In addition, it can save the adjacent anatomic structures surgical enucleation of a large cystic lesion may lead to damage of other teeth or anatomic structures. Therefore, treatment should begin with the more conservative approach of decompression, to reduce the size of the lesion, followed by apicoectomy and cystectomy.