Journal of the Korean Association of Oral and Maxillofacial Surgeons  2011;37(2):133-136

doi:10.5125/jkaoms.2011.37.2.133

Treatment of large sized cystic lesion of the jaws with specific appliance for decompression: cases report.

Chang Su JANG 1 ; Ju Won KIM ; Seung Bin YANG ; Jin Hyuk YIM ; Jwa Young KIM ; Byoung Eun YANG

Affiliations

+expand

Keywords

Decompression; Surgical decompression; Radicular cyst; Mandibular diseases; Treatment outcome

Country

Republic of Korea

Language

Korean

Abstract

Cystic lesions on the jaws with expansion can invade the adjacent anatomical structure, infiltrate and expand the jaws, cause facial deformity, etc. There is great potential for pathologic fractures after cyst enucleation, and damage to the major structures like the nerve, artery. For these reasons, marsupialization and decompression are commonly used to reduce the cystic size. In 1947, Thomas first mentioned decompression that reduces the osmotic pressure in a cyst by making a hole in the cyst and insert a drain. In our cases, a large sized cystic lesion was treated with a specific device made from an orthodontic band and spinal needle. This device is easy and effective for applications and self irrigation.