Abstract
Radicular cysts are the most common odontogenic cystic lesions that occur in jaws. They rarely become problematic and are incidentally found on routine dental radiographs. As they appear to reach a considerable size prior to medical attention due to their insidious and destructive growth characteristics during the intraosseous stage, treatment often requires extensive cystectomy and skeletal reconstruction. Here we present the case of an 18-year-old man who was sent to our department, because of a huge, bulging mass in his left cheek. Surgery consisted of complete removal of the cyst and immediate reconstruction of the midfacial buttress using an autologous rib graft in a tongue-and-groove fashion. Histopathological examination of the lesion confirmed the diagnosis of a maxillary radicular cyst. This case underscores the nature of the frequently asymptomatic and long-term evolution of maxillary radicular cysts, with their growth causing massive bone destruction for which skeletal reconstruction is required.
References
Mass E, Kaplan I, Hirshberg A (1995) A clinical and histopathological study of radicular cysts associated with primary molars. J Oral Pathol Med 24:458
Joshi NS, Sujan SG, Rachappa MM (2011) An unusual case report of bilateral mandibular radicular cysts. Contemp Clin Dent 2:59
Shafer HL (2006) Textbook of oral pathology, 6th edn. Elsevier, Amsterdam
Allon DM, Allon I, Anavi Y, Kaplan I, Chaushu G (2015) Decompression as a treatment of odontogenic cystic lesions in children. J Oral Maxillofac Surg 73:649
Sagit M, Guler S, Tasdemir A, Akf Somdas M (2011) Large radicular cyst in the maxillary sinus. J Craniofac Surg 22:e64
Riviş M, Văleanu AN (2013) Giant maxillary cyst with intrasinusal evolution. Rom J Morphol Embryol 54:889
Kim SW, Lee YW, Kim JT, Kim YH (2012) Reconstruction of a maxillary defect using the remnant bone of mandibular angle ostectomy. J Plast Reconstr Aesthet Surg 65:e189
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Hahn, H.M., Lee, Y.J. & Park, D.H. Huge Radicular Cyst of the Maxilla Treated with Complete Resection and Immediate Reconstruction by Rib Bone Graft. J. Maxillofac. Oral Surg. 18, 378–381 (2019). https://doi.org/10.1007/s12663-018-1125-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-018-1125-0