Tube Decompression for Staged Treatment of a Calcifying Odontogenic Cyst-A Case Report.

Abstract

The calcifying odontogenic cyst is a rare developmental odontogenic lesion with a distinguishing cystic lining containing "ghost" epithelial cells. The variation in clinical, radiographic, and histologic findings makes the treatment decision difficult for these lesions. There are very few reports on treatment, with enucleation and curettage being the standard surgical method of choice for the cystic type and excision of the tumor for the solid type. A 2-stage surgical approach consisting of initial decompression with tube placement followed by a secondary procedure of enucleation and curettage is common for other large odontogenic cysts, such as dentigerous and odontogenic keratocysts. To the authors' knowledge, this is the first case managed with an intended 2-stage approach in the form of decompression followed by enucleation and curettage.

• Authors: Hany A Emam, Judson Smith, Ashleigh Briody, Courtney A Jatana
• Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg) Vol. 75 Issue 9 Pg. 1915-1920 (Sep 2017) ISSN: 1531-5053 [Electronic] United States
• PMID: 28390759 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Adult
• Biopsy
• Curettage
• Decompression, Surgical
• Diagnosis, Differential
• Humans
• Male
• Maxillary Neoplasms (diagnostic imaging, surgery)
• Odontogenic Cyst, Calcifying (diagnostic imaging, surgery)
• Tomography, X-Ray Computed