Korean J Otorhinolaryngol-Head Neck Surg.  2013 Sep;56(9):599-602. 10.3342/kjorl-hns.2013.56.9.599.

Restoration of Facial Deformity Caused by a Radicular Cyst after Marsupialization

• Kim DH
• Lee JH
• Mo JH
• Chung YJ

• KMID: 1855843
• DOI: http://doi.org/10.3342/kjorl-hns.2013.56.9.599

Abstract

Radicular cyst is the most common type of odontogenic cyst. The cyst originates from the maxilla occasionally, causes facial deformation and displacement of adjacent structures. An 11-year-old girl visited the outpatient clinic with the left cheek swelling and facial asymmetry. The cheek lesion was hard, accompanied by tenderness. The computed tomography (CT) scans revealed a large unilocular radicular cyst, which involved the floor of the left maxillary sinus, the palatine and alveolar process of the left maxilla. It was treated by transnasal marsupialization under endoscopic guidance. At the one postoperative year follow-up, facial asymmetry was restored and the marsupialization site was closed. The follow-up CT scan showed that the site of a radicular cyst was restored by bone formation. Therefore, we report a case of radicular cyst accompanied with facial asymmetry, which was restored after marsupialization. We also discuss the mechanism about the restoration of facial asymmetry.

Keyword

Endoscopic surgery; Facial asymmetry; Maxilla; Odontogenic cyst; Radicular cyst; Restoration

MeSH Terms

Alveolar Process
Ambulatory Care Facilities
Cheek
Child
Congenital Abnormalities
Displacement (Psychology)
Facial Asymmetry
Floors and Floorcoverings
Follow-Up Studies
Humans
Maxilla
Maxillary Sinus
Odontogenic Cysts
Osteogenesis
Radicular Cyst