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Maxillary reconstruction for a huge odontogenic keratocyst
Nai-Jen Chang1, Victor Shyu, Chih-Hao Chen
1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taoyuan, Taiwan.
The Journal of Craniofacial Surgery
|May 19, 2011
Summary
Maxillary cysts can cause cosmetic concerns, sometimes requiring surgical intervention. This case demonstrates successful excision and reconstruction for a large maxillary cyst, with no recurrence at 18 months.
Area of Science:
- Oral and Maxillofacial Surgery
- Craniofacial Surgery
Background:
- Maxillary cystic lesions present diagnostic challenges, occasionally precluding definitive diagnosis from clinical or radiological assessment.
- Surgical planning requires careful evaluation of the clinical scenario to address patient complaints effectively.
Observation:
- A 25-year-old female presented with a large maxillary cyst causing significant cheek protrusion.
- The patient's primary concern was the cosmetic deformity resulting from the cyst.
Findings:
- Surgical excision of the cystic lesion was performed, followed by reconstruction of the anterior maxillary defect.
- The patient experienced no recurrence of the cyst at an 18-month follow-up appointment.
Implications:
- Simple excision and reconstruction offer an effective treatment for benign maxillary cysts causing cosmetic concerns.
- This approach can lead to high patient satisfaction with aesthetic outcomes.

