Optimal time to definitive enucleation of large cysts following marsupialization : A single center, retrospective study

Copyright © 2024 The Authors. Published by Elsevier Masson SAS.. All rights reserved..

OBJECTIVES: Optimal time to enucleation following marsupialization of large odontogenic mandibular cysts is undefined. We aim to assess volume reduction throughout follow-up, to indicate optimal time to enucleation. Secondary objectives include the identification of factors influencing cyst reduction.

STUDY DESIGN: We retrospectively enrolled 15 patients with mandibular cysts of different histological types treated with marsupialization at our center between 2018 and 2022. Cyst volume was assessed with cone-beam computed tomography (CBCT) and a semi-automatic segmentation algorithm, at baseline and between 6 and 8 months post marsupialization.

RESULTS: The overall mean cyst volume reduction percent (VR%) was 57.7 % or 0.2 % per day. VR% at 8 months was significantly higher than those assessed at 6 and 7 months (67.1% vs 47.1 %, p = 0.003). Time to CBCT was the only independent variable influencing cyst VR%.

CONCLUSION: Our study proves that the optimal time to enucleation for mandibular cyst is 8 months, independent of histological cyst type, patient age, baseline cyst volume and the number of pre-operative residual bone walls.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of stomatology, oral and maxillofacial surgery - (2024) vom: 18. März, Seite 101837

Sprache:

Englisch

Beteiligte Personen:

Bellini, Pierantonio [VerfasserIn]
Ricci, Angelo [VerfasserIn]
Setti, Giacomo [VerfasserIn]
Veneri, Federica [VerfasserIn]
Losi, Luca [VerfasserIn]
Chester, Johanna [VerfasserIn]
Consolo, Ugo [VerfasserIn]

Links:

Volltext

Themen:

CBCT
Cyst volume
Decompression
Enucleation
Journal Article
Marsupialization
Odontogenic cysts

Anmerkungen:

Date Revised 27.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jormas.2024.101837

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369979745