Tube Decompression for Staged Treatment of a Calcifying Odontogenic Cyst—A Case Report

Publication date: September 2017
Source:Journal of Oral and Maxillofacial Surgery, Volume 75, Issue 9
Author(s): Hany A. Emam, Judson Smith, Ashleigh Briody, Courtney A. Jatana
The calcifying odontogenic cyst is a rare developmental odontogenic lesion with a distinguishing cystic lining containing "ghost" epithelial cells. The variation in clinical, radiographic, and histologic findings makes the treatment decision difficult for these lesions. There are very few reports on treatment, with enucleation and curettage being the standard surgical method of choice for the cystic type and excision of the tumor for the solid type. A 2-stage surgical approach consisting of initial decompression with tube placement followed by a secondary procedure of enucleation and curettage is common for other large odontogenic cysts, such as dentigerous and odontogenic keratocysts. To the authors' knowledge, this is the first case managed with an intended 2-stage approach in the form of decompression followed by enucleation and curettage.



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