• Vojnosanit Pregl · Apr 2015

    Case Reports

    Treatment of a large radicular cyst-enucleation or decompression?

    • Stevo Matijević, Bojan Jovivić, Marija Bubalo, Smiljka Dukić, and Tatjana Cutović.
    • Vojnosanit Pregl. 2015 Apr 1; 72 (4): 372374372-4.

    IntroductionRadicular cysts treatment involves surgical approach, more or less aggressive. However, treatment of large cystic lesions, including radicular cysts, causes some of dilemmas concerning the choice of the surgical method, especially the degree of radicalism.Case ReportWe presented a 65-year-old male patient with large radicular cyst in the mandible. A large elliptical multilocular radiolucency, located in the left side of the mandible, being in close vicinity to the mandibular canal, was registered at the orthopantomographic radiography. There was a risk of pathological fracture of the mandible. However, the cyst was completely removed by enucleation without intraoperative and postoperative complications.ConclusionThe presented case support the opinion that careful enucleation of large mandibular cysts may be done without complications, such as damages of surrounding anatomical structures or mandibular fracture. The authors indicate reasons for strong support of the undertaken surgical approach of treating large radicular cysts in the mandible.

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