[Upper maxillary cysts: embryogenic and surgical considerations in our cases]

Area of Science:

• Otorhinolaryngology
• Oral and Maxillofacial Surgery
• Pathology

Background:

• Upper maxillary cysts are under-researched due to diagnostic and etiological complexity.
• These cysts exhibit significant clinical and etiopathogenic polymorphism, bordering multiple surgical specialties.
• Their cystic nature and origin within the upper jaw allow extensive expansion into surrounding facial regions.

Purpose of the Study:

• To review classification schemes, clinical characteristics, and surgical treatment principles for upper maxillary cysts.
• To present a surgical case study with iconography, considering embryogenic factors.
• To classify results from 35 surgical procedures using the Cudennec classification module.

Main Methods:

• Review of existing literature on upper maxillary cyst classification and management.
• Presentation of a surgical case study with detailed iconography.
• Classification of 35 surgical cases (1989-1996) based on the Cudennec classification module.
• Utilized advanced imaging techniques like CT and NMR for diagnosis.

Main Results:

• The study highlights the wide spectrum of clinical presentations for upper maxillary cysts.
• Accurate diagnosis is crucial, aided by modern imaging techniques.
• Surgical approaches must be diversified based on lesion characteristics and patient symptoms.

Conclusions:

• Progress in surgical techniques allows for more functional procedures, replacing radical methods like the Caldwell-Luc procedure.
• Advanced imaging (CT, NMR) improves diagnostic accuracy by defining lesion limits and nature.
• Tailored surgical strategies are essential for effective management of diverse upper maxillary cyst presentations.