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Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst

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Published on: March 31, 2023

Dentigerous cyst in a young boy.

D K Isser¹, S Das

¹Patna Medical College Hospital, PMCH-Campus, M. O. Flat No. 1, 800 004 Patna, Bihar.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|November 3, 2012

Summary

A rare, large dentigerous cyst in a young boy's maxilla was successfully removed. Enucleation via the Caldwell-Luc approach prevented complications like oroantral fistula and sinusitis.

Area of Science:

Dentistry
Oral and Maxillofacial Surgery
Pediatric Dentistry

Background:

Dentigerous cysts are typically found in the mandible of middle-aged individuals.
Large maxillary dentigerous cysts in children are exceptionally rare.
Neglect can lead to significant disfigurement and complications.

Purpose of the Study:

To report a rare case of a huge maxillary dentigerous cyst in a pediatric patient.
To discuss the management challenges and surgical approach for such a large cyst.
To highlight the importance of timely diagnosis and intervention.

Main Methods:

Surgical enucleation of the dentigerous cyst using the Caldwell-Luc approach.
Histopathological examination of the cyst lining.

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Assessment of the cyst's impact on surrounding structures.

Main Results:

Complete removal of the massive maxillary dentigerous cyst was achieved.
The Caldwell-Luc approach successfully averted potential oroantral fistula and sinusitis.
Histopathology confirmed the diagnosis of a dentigerous cyst.

Conclusions:

Enucleation via the Caldwell-Luc approach is a viable option for large maxillary dentigerous cysts in children when marsupialization is not feasible.
Prompt surgical intervention is crucial to prevent severe disfigurement and complications.
This case underscores the importance of considering rare presentations in pediatric dentistry.