Freidel M, Cros P, Achard R, Dumas P
Rev Stomatol Chir Maxillofac. 1980;81(1):10-4.
Apart from certain particular types of lesions, the diagnosis of a histologically benign "large mandibular cyst" (paradental cyst, epidermal cyst, ameloblastoma...) should lead to an attempt at conservative treatment: this does not alter mandibular continuity and if possible, the inferior dental neurovascular pedicle, the soft tissues of the buccal lining, and the dental organs. It is finally the gross pathological findings and if necessary the results of an extemporaneous histological examination that will supply the information leading to the choice of the best type of treatment: marsupialization, enucleation, curettage, "pressure curettage", uninterrupting resection. This attitude requires prolonged postoperative radiological supervision and does not exclude the need for an interrupting resection in unfavourable cases at a later date.
除了某些特定类型的病变外，组织学诊断为良性的“大型下颌囊肿”（牙周囊肿、表皮样囊肿、成釉细胞瘤……）应尝试进行保守治疗：这不会改变下颌骨的连续性，并且如果可能的话，不影响下牙槽神经血管蒂、颊侧内衬软组织和牙器官。最终，大体病理结果以及必要时的术中组织学检查结果将提供信息，以指导选择最佳的治疗方式：袋形缝合术、摘除术、刮除术、“加压刮除术”、不间断切除术。这种治疗方式需要术后长期的影像学监测，并且不排除在后期出现不利情况时进行间断切除术的必要性。
