[Experience in treatment of patients with spacious cysts of jaws]

Experience in operative treatment of 91 patients with spacious cysts of jaws occupying from 1/3 to capital DSE, Macedonian and more of the lower jaw volume was presented. In 36 patients keratocysts were found and in 55 patients teeth containing cysts. In the latter case it is obligatory to remove fully the cyst capsule because its epithelium is capable of metaplasia and neoplastic transformation. Patients were treated with the use of 2 stage method. 1st stage included decompression operation of cystotomy type; 2nd stage was performed 1-2 or more years later (depending upon primary cyst size) and consisted of remaining cyst capsule removal with wound closure. Benefits of 2 stage operation were described.