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Surgical management of a large maxillary non-odontogenic cyst using Le Fort I osteotomy: a short case report

Title: Surgical management of a large maxillary non-odontogenic cyst using Le Fort I osteotomy: a short case report
Authors: Grzelczyk Lucie; Daurade Mathieu
Source: Journal of Oral Medicine and Oral Surgery, Vol 30, Iss 3, p 35 (2024)
Publisher Information: EDP Sciences
Publication Year: 2024
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: non-odontogenic cysts; le fort i osteotomy; cleft palate; Dentistry; RK1-715; Surgery; RD1-811
Description: Introduction: Non-odontogenic epithelial cysts are rare and are typically treated by enucleation. The choice of surgical approach is influenced by factors such as lesion size, location, and patient-specific anatomy. Observation: This case involves a 62-year-old male with a large (33 × 36 mm) maxillary epithelial cyst complicated by a history of cleft palate. A Le Fort I osteotomy was selected due to the lesion's size, posterior location, and the anatomical limitations imposed by the cleft. Alternative approaches, such as cyst decompression, marsupialization, or endoscopy, were considered but ruled out due to the lesion's posterior position and volume. The osteotomy provided optimal access for complete enucleation while minimizing the risk of complications. Conclusion: Despite being more invasive, the Le Fort I osteotomy offered superior visibility and access, ensuring complete removal of the cyst.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.jomos.org/articles/mbcb/full_html/2024/03/mbcb240070/mbcb240070.html; https://doaj.org/toc/2608-1326; https://doaj.org/article/2f4867d63025454490e515600865e9e6
DOI: 10.1051/mbcb/2024025
Availability: https://doi.org/10.1051/mbcb/2024025; https://doaj.org/article/2f4867d63025454490e515600865e9e6
Accession Number: edsbas.F972ACF7
Database: BASE