Endoscopic Endonasal Approach to a Giant Dentigerous Cyst
Dentigerous cysts constitute 20% of all odontogenic cysts and are often located in the mandible and maxilla. They are often seen at young ages and in men. Patients are usually asymptomatic, and the diagnosis is established by dental radiographs in routine scans. Surgery is recommended for dentigerou...
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| Format: | Article |
| Language: | English |
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Istanbul University Press
2022-06-01
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| Series: | The Turkish Journal of Ear Nose and Throat |
| Subjects: | |
| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/585B3F67222548D39448A48649DA3772 |
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| _version_ | 1850033881596559360 |
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| author | Eren Yılmaz Aytuğ Altundağ Pelin Dülgeroğlu Karamık Düzgün Yıldırım Kemal Behzatoğlu |
| author_facet | Eren Yılmaz Aytuğ Altundağ Pelin Dülgeroğlu Karamık Düzgün Yıldırım Kemal Behzatoğlu |
| author_sort | Eren Yılmaz |
| collection | DOAJ |
| description | Dentigerous cysts constitute 20% of all odontogenic cysts and are often located in the mandible and maxilla. They are often seen at young ages and in men. Patients are usually asymptomatic, and the diagnosis is established by dental radiographs in routine scans. Surgery is recommended for dentigerous cysts because ameloblastoma, intraosseous mucoepidermoid carcinoma, or intraosseous squamous cell carcinoma may develop from them. Generally the transoral route is preferred over the endoscopic route for dentigerous cysts located in the maxilla. In addition to the question of the transnasal versus oral approach to dentigerous cysts, another controversy is the removal or marsupialization of the entire cyst. In our 10-year-old male patient, a cyst that completely filled the right maxillary sinus and eroded the lateral and anterior wall of the maxillary sinus was treated with transnasal endoscopic surgery. The cyst wall and 3 permanent teeth were removed endoscopically. No post-operative complications were observed. The patient’s age and the location and size of the cyst play an important role in the choice of treatment. Furthermore, the most accurate way to choose the appropriate treatment is to make the treatment decision with a multidisciplinary approach. |
| format | Article |
| id | doaj-art-6df535239fc04493bd1a3b7e3bd73faa |
| institution | DOAJ |
| issn | 2602-4837 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | The Turkish Journal of Ear Nose and Throat |
| spelling | doaj-art-6df535239fc04493bd1a3b7e3bd73faa2025-08-20T02:58:01ZengIstanbul University PressThe Turkish Journal of Ear Nose and Throat2602-48372022-06-01322434610.26650/Tr-ENT.2022.1095118123456Endoscopic Endonasal Approach to a Giant Dentigerous CystEren Yılmaz0https://orcid.org/0000-0002-5349-9699Aytuğ Altundağ1https://orcid.org/0000-0003-0794-5050Pelin Dülgeroğlu Karamık2https://orcid.org/0000-0003-2793-931XDüzgün Yıldırım3https://orcid.org/0000-0002-5411-229XKemal Behzatoğlu4https://orcid.org/0000-0002-9843-9825İstanbul Gelişim Üniversitesi, İstanbul, TürkiyeBiruni Üniversitesi, Istanbul, TurkiyeAcıbadem Hastanesi, Istanbul, TurkiyeAcıbadem Mehmet Ali Aydınlar Üniversitesi, Istanbul, TurkiyeAcıbadem Mehmet Ali Aydınlar Üniversitesi, Istanbul, TurkiyeDentigerous cysts constitute 20% of all odontogenic cysts and are often located in the mandible and maxilla. They are often seen at young ages and in men. Patients are usually asymptomatic, and the diagnosis is established by dental radiographs in routine scans. Surgery is recommended for dentigerous cysts because ameloblastoma, intraosseous mucoepidermoid carcinoma, or intraosseous squamous cell carcinoma may develop from them. Generally the transoral route is preferred over the endoscopic route for dentigerous cysts located in the maxilla. In addition to the question of the transnasal versus oral approach to dentigerous cysts, another controversy is the removal or marsupialization of the entire cyst. In our 10-year-old male patient, a cyst that completely filled the right maxillary sinus and eroded the lateral and anterior wall of the maxillary sinus was treated with transnasal endoscopic surgery. The cyst wall and 3 permanent teeth were removed endoscopically. No post-operative complications were observed. The patient’s age and the location and size of the cyst play an important role in the choice of treatment. Furthermore, the most accurate way to choose the appropriate treatment is to make the treatment decision with a multidisciplinary approach.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/585B3F67222548D39448A48649DA3772endoscopic surgerydentigerous cystodontogenic cyst |
| spellingShingle | Eren Yılmaz Aytuğ Altundağ Pelin Dülgeroğlu Karamık Düzgün Yıldırım Kemal Behzatoğlu Endoscopic Endonasal Approach to a Giant Dentigerous Cyst The Turkish Journal of Ear Nose and Throat endoscopic surgery dentigerous cyst odontogenic cyst |
| title | Endoscopic Endonasal Approach to a Giant Dentigerous Cyst |
| title_full | Endoscopic Endonasal Approach to a Giant Dentigerous Cyst |
| title_fullStr | Endoscopic Endonasal Approach to a Giant Dentigerous Cyst |
| title_full_unstemmed | Endoscopic Endonasal Approach to a Giant Dentigerous Cyst |
| title_short | Endoscopic Endonasal Approach to a Giant Dentigerous Cyst |
| title_sort | endoscopic endonasal approach to a giant dentigerous cyst |
| topic | endoscopic surgery dentigerous cyst odontogenic cyst |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/585B3F67222548D39448A48649DA3772 |
| work_keys_str_mv | AT erenyılmaz endoscopicendonasalapproachtoagiantdentigerouscyst AT aytugaltundag endoscopicendonasalapproachtoagiantdentigerouscyst AT pelindulgeroglukaramık endoscopicendonasalapproachtoagiantdentigerouscyst AT duzgunyıldırım endoscopicendonasalapproachtoagiantdentigerouscyst AT kemalbehzatoglu endoscopicendonasalapproachtoagiantdentigerouscyst |