Suhaim-Turayki Technique for the Decompression of Odontogenic Keratocysts: A Case Series

This report focuses on the efficacy of the Suhaim-Turayki Technique, a modified decompression procedure using dual drainage openings, in the treatment of odontogenic keratocysts (OKCs).

We present five cases (four females, one male; age range: 25-31 years) of patients treated with our novel technique for OKCs. The cysts were located primarily in the left mandible, except for one case in the anterior mandible. Two patients underwent the procedure under general anesthesia, while three were treated with local anesthesia. The cyst dimensions ranged from 5.2 to 7.3 cm in width and 1.7 to 5.8 cm in height. The procedure involved inserting a perforated Foley catheter drain (size 15 or 16) into the cystic cavity, with dual openings connected to the oral cavity for continuous drainage. Patients received weekly irrigation of the cavity, with subsequent home irrigation instructions. Follow-up intervals ranged from 6 to 12 months. Complete resolution was achieved in all cases, either with decompression alone or with an additional enucleation procedure for cyst remnants in two cases. At discharge, radiographs confirmed full bony regeneration and the absence of recurrence.

The Suhaim-Turayki Technique proved to be a timely and effective method for managing OKCs, with complete cyst resolution and no recurrences observed during extended follow-up. This modified decompression technique is a promising alternative for patients where more invasive treatment options are not suitable or preferred.