Marsupialization as an Organ Preservation Measure in Management of Odontogenic Cyst

Volume 10 , Issue 2 , August 2023 , Pages 19-26

Authors

Rozhan N. Saeed 1 ; Suha N. Aloosi 1

1 Oral and Maxillofacial Surgery Department, College of Dentistry, University of Sulaimani, Sulaimani, Iraq.

DOI logo 10.17656/sdj.10170

Keywords

Abstract

Objective: Odontogenic cysts are a category of intra-osseous lesions that occur frequently. Marsupialization can be the main therapeutic option for patients with large cysts or lesions to preserve crucial anatomical structures. The goal of this study was to treat individuals with odontogenic cystic lesions conservatively using the marsupialization method.
Methods: Twenty-two patients participated in this research as part of a cross-sectional study designed for statistical purposes. The study included males and females between the ages of 6 and 80 with biopsy-proven odontogenic cysts.
Results: After the treatment of 22 patients, data were collected and analyzed statistically. The statistical analysis was performed with the use of Microsoft Excel and SPSS (Statistical Package for the Social Sciences). The Spearman coefficient was used to evaluate the correlation between patient age and marsupialization duration and the correlation between cyst size and marsupialization duration, while the Kruskal-Wallis test was used to illustrate the link between cyst type and marsupialization duration. Moreover, the Mann-Whitney U test was used to assess statistical variations between variables.
Conclusions: Marsupialization is a conservative, noninvasive procedure that is effective in reducing the cyst’s size until it is fully resolved or reaches a certain point suitable for excision by enucleation. The marsupialization treatment was also advantageous in preserving teeth, bones, the inferior alveolar nerve, the maxillary sinus, and the nasal cavity. The main purpose of this study was to preserve the vital structures that were compromised by the different types of odontogenic cysts, and the treatment strategy successfully achieved that goal.

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