Use of Marsupialisation for a Conservative Approach to Huge Cystic Lesions of the Jaws - A Report of three Cases.

RATIONALE

The management of cystic lesions of the jaws presents a challenge to the surgeon. Marsupialisation, one of the conservative management options, has been used as a single or combined surgical treatment modality for the cystic lesions of the jaws.

PATIENT CONCERNS

All patients presented with a complaint of a firm swelling of the face with one of the patients presenting with paraesthesia in the affected area.

DIAGNOSIS

Clinical and radiographic examination was carried out followed by aspiration cytology. All lesions were provisionally diagnosed with odontogenic cystic lesions.

TREATMENT

Marsupialisation under general anaesthesia was carried out for all patients. Postoperatively, a customised obturator was fabricated.

OUTCOMES

All the patients showed good radiological ossification postoperatively.

TAKE-AWAY LESSONS: The approach to larger cysts remains controversial. The long-term results following the marsupialisation of extensive cysts of this report may help surgeons to opt for a conservative approach to such lesions before aggressive options.