Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient

Background. A solitary bone cyst or simple bone cyst is a nonneoplastic osseous lesion, with no epithelial lining, also considered as a pseudocyst. These lesions, with an intact bony wall and fluid-filled, are frequently discovered by chance in radiological studies. The etiopathogenesis has not been...

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Main Authors: Lluís Brunet-Llobet, Eduard Lahor-Soler, Elias Isaack Mashala, Jaume Miranda-Rius
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2019/9137507
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author Lluís Brunet-Llobet
Eduard Lahor-Soler
Elias Isaack Mashala
Jaume Miranda-Rius
author_facet Lluís Brunet-Llobet
Eduard Lahor-Soler
Elias Isaack Mashala
Jaume Miranda-Rius
author_sort Lluís Brunet-Llobet
collection DOAJ
description Background. A solitary bone cyst or simple bone cyst is a nonneoplastic osseous lesion, with no epithelial lining, also considered as a pseudocyst. These lesions, with an intact bony wall and fluid-filled, are frequently discovered by chance in radiological studies. The etiopathogenesis has not been studied in depth, and the management remains controversial. Case Presentation. We present a clinical case of a 15-year-old boy who underwent an orthopantomography to assess the development and position of the third molars during a routine postorthodontic check-up. By chance, the X-ray identified an asymptomatic radiolucent image in the left jaw, measuring 12.0 mm×17.8 mm and compatible with a solitary bone cyst involving teeth 35 and 36. We describe our technique for performing minimally invasive decompression of the lesion using a microperforated catheter. We describe the entire course of the follow-up, both clinical and radiological, until complete cure. Conclusions. This straightforward continuous decompression technique poses no problems for the patient, has a low risk of sequelae, and is clearly cost-effective. In view of the highly satisfactory evolution, whenever possible, we favor this minimally invasive technique for the treatment of solitary bone cysts in the jaw.
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spelling doaj-art-8f6fd8834ab6495991071040bcc9a0df2025-02-03T05:52:22ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/91375079137507Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage PatientLluís Brunet-Llobet0Eduard Lahor-Soler1Elias Isaack Mashala2Jaume Miranda-Rius3Division of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, SpainHospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group, Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, SpainDepartment of Orthopedic Surgery and Traumatology, Mount Meru Regional Hospital, Arusha, TanzaniaHospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group, Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, SpainBackground. A solitary bone cyst or simple bone cyst is a nonneoplastic osseous lesion, with no epithelial lining, also considered as a pseudocyst. These lesions, with an intact bony wall and fluid-filled, are frequently discovered by chance in radiological studies. The etiopathogenesis has not been studied in depth, and the management remains controversial. Case Presentation. We present a clinical case of a 15-year-old boy who underwent an orthopantomography to assess the development and position of the third molars during a routine postorthodontic check-up. By chance, the X-ray identified an asymptomatic radiolucent image in the left jaw, measuring 12.0 mm×17.8 mm and compatible with a solitary bone cyst involving teeth 35 and 36. We describe our technique for performing minimally invasive decompression of the lesion using a microperforated catheter. We describe the entire course of the follow-up, both clinical and radiological, until complete cure. Conclusions. This straightforward continuous decompression technique poses no problems for the patient, has a low risk of sequelae, and is clearly cost-effective. In view of the highly satisfactory evolution, whenever possible, we favor this minimally invasive technique for the treatment of solitary bone cysts in the jaw.http://dx.doi.org/10.1155/2019/9137507
spellingShingle Lluís Brunet-Llobet
Eduard Lahor-Soler
Elias Isaack Mashala
Jaume Miranda-Rius
Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient
Case Reports in Dentistry
title Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient
title_full Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient
title_fullStr Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient
title_full_unstemmed Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient
title_short Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient
title_sort continuous surgical decompression for solitary bone cyst of the jaw in a teenage patient
url http://dx.doi.org/10.1155/2019/9137507
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