The masrupialization as a confrontation method of the cystic tumors of the
jawbones. A review of the literature
Vagia GKALITSIOU, Maria LAZARIDOU, Antonis VOLITAKIS
Private Clinic, Thessaloniki, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2014) 1, 37-43
SUMMARY: Marsupialization had been one of the first methods that were applied for the treatment of cystic alterations of jawbones already since 1882. It is considered to be one of the most non traumatic methods which cause minor tissue loss. Also, it is the most secure method of confrontation of big cystic alterations of jawbones because it does not affect or put in danger the adjacent anatomic structures, as the inferior alveolar nerve. It also protects the mandibular fracture, which is likely to happen when enucleation of big cystic lesions is attempted. Keratinocyst and cystic ameloblastoma are the most characteristic pathological entities, for the treatment of which the technique of marsupialization has been applied with various results. The marsupialization can be applied in combination with enucleation and cuterage, whenever the cyst can not be eliminated completely with the marsupialization alone. Aim: This literature review aims to analyze the advantages, the disadvantages and the results of the marsupialization technique and present its effectiveness for the treatment of cystic tumors of the jaws such as the cystic ameloblastoma and the keratinocyst.
KEY WORDS: marsupialization, keratinocysts, ameloblastoma
REFERENCES
Bodner L, Bar-Ziv J: Characteristics of bone formation following marsupialization of jaw cysts. Dentomaxillofac Radiol 27:166, 1998
Cranin AN, Madan S, Fayans E: Novel method of treating large cysts of jaws in children. NY State Dent J 60:41, 1994
Dolanmaz Dogan, Etoz Osman A, Pampu Alper, Kalayci Abdullah, Gunhan Omer: Marsupialization of unicystic ameloblastoma: A conservative approach for aggressive odontogenic tumors. Indian Journal of Dental Research 22(5):709-712, 2011
Eyre J, Zakrzewska JM: The conservative management of large odontogenic keratocysts. Br J Oral Maxillofac Surg 23:195, 1985
Gardner DG, Corio RL: Plexiform unicystic ameloblastoma: a variant of ameloblastoma with a low recurrence rate after enucleation. Cancer 53:1730, 1984 Hopper FE: Bilateral cysts of the mandible. A unique opportunity. Br Dent J 153:306, 1982 Kirtaniya BC, V Sachdev, A Singla, AK Sharma: Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. J of Indian Society of Pedodontists and Preventive Dentistry 28(3):203-208, 2010
Κολόμβος Ν, Καραμπά-Στυλογιάννη Ε, Σκλαβούνος Α, Αρσενόπουλος Α: Ευμεγέθεις οδοντογενείς κύστεις της κάτω γνάθου. Εκπυρήνιση ή μαρσιποποίηση; Στοματολογία 62(2): 87-94, 2005
Λαζαρίδης Ν, Καρακάσης Δ.: Στοματική και Γναθοπροσωπική Χειρουργική. Θεσσαλονίκη. Εκδ. Α. Αλτιντζή. 2009: 73, 1ος τόμος. σελ: 73-74
Lizio G, Corinaldesi G, Bianchi A, Marchetti C: Successful resolution of juvenile paradental cysts after marsupialization in five consecutive patients. Aust Dent J 56(4): 427-32, 2011
Lucas RB: Pathology of Tumors of the Oral Tissues. Churchill Livingstone (ed 4), Edinburgh, Scotland, 1984, pp 31-60
Marx R, Stern D: Oral and Maxillofacial Pathology. A Rationale for diagnosis and treatment. Leaf Hauffman 2nd ed. Miami Florida, 2012, pp 612 Morgan TA, Burton CC, Qian F: A Retrospective Review of Treatment of the Odontogenic Keratocyst. J Oral and Maxillofac Surg 63(5): 635-9, 2005
Nakamura N, Higuchi Y, Mitsuyasu T, Sandra F, Ohishi M: Comparison of long -term results between different approaches to ameloblastoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93(1): 13-20, 2002
Nomifuri N, Yoshinori H, Hideo T, Masamichi O: Marsupialization of cystic ameloblastoma: a clinical and histopathologic study of the growth characteristics before and after marsupialization. J Oral Maxillofac Surg 53:748-754, 1995
Partsch C: Uber Kiefercysten. Dtsch Mschr Zahnheilkd 10:271, 1892
Partsch C: Zur Behandlung der Kieferzysten. Dtsch Mschr Zahnheilkd 28:252, 1910
Phillipsen H: On keratocysts in the jaws. Tandleagebladet 60:963, 1956
Pogrel MA, Jordan RC: Μarsupialization as a definitive treatment for the odontogenic keratinocyst. J Oral and Maxillofac Surg 62(6):651-5, 2004
Pogrel MA: Treatment of keratinocysts: the case for decompression and marsupialization. J Oral and Maxillofac Surg 63:1667-1673, 2005
Robinson L, Martinez MG: Unicystic ameloblastoma:A prognostically distinct identity. Cancer 40:2278, 1977
Seward MH, Seward GR: Observations on Snawdon’s technique for the treatment of cysts in the maxilla. Br J Oral Surg 6:149, 1969
Stoelinga PJ: Long-term follow up on keratinocysts treated according to a defined protocol. Int J Oral Maxillofac Surg 30:14, 2001
Tabrizi R, Ozkan BT, Dehgani A, Langner Nj: Marsupialization as a treatment option for the odontogenic keratocyst. J Craniofac Surg 23(5):459-61, 2012
Yi Zhao, Bing Liu, Qi-Bing Han, Shi-Ping Wang, Yi-Ning Wang: Changes in bone density and cyst volume after marsupialization of mandibular odontogenic keratinocysts (Keratocystic odontogenic tumors). J Oral Maxillofac Surg 69:1361-136, 2011
Yokoyabashi Y, Yokoyabashi T, Nakajima T, et al: Marsupialization as a possible diagnostic aid in cystic ameloblastoma. Case report. J Maxillofac Surg 11:137, 1983
Zhao YF, Liu B, Jiang ZQ: Marsupialization or decompression of the cystic lesions of the jaws. Sanghai Kou Qiang Yi Xue 14(4):325-9, 2005
Private Clinic, Thessaloniki, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2014) 1, 37-43
SUMMARY: Marsupialization had been one of the first methods that were applied for the treatment of cystic alterations of jawbones already since 1882. It is considered to be one of the most non traumatic methods which cause minor tissue loss. Also, it is the most secure method of confrontation of big cystic alterations of jawbones because it does not affect or put in danger the adjacent anatomic structures, as the inferior alveolar nerve. It also protects the mandibular fracture, which is likely to happen when enucleation of big cystic lesions is attempted. Keratinocyst and cystic ameloblastoma are the most characteristic pathological entities, for the treatment of which the technique of marsupialization has been applied with various results. The marsupialization can be applied in combination with enucleation and cuterage, whenever the cyst can not be eliminated completely with the marsupialization alone. Aim: This literature review aims to analyze the advantages, the disadvantages and the results of the marsupialization technique and present its effectiveness for the treatment of cystic tumors of the jaws such as the cystic ameloblastoma and the keratinocyst.
KEY WORDS: marsupialization, keratinocysts, ameloblastoma
REFERENCES
Bodner L, Bar-Ziv J: Characteristics of bone formation following marsupialization of jaw cysts. Dentomaxillofac Radiol 27:166, 1998
Cranin AN, Madan S, Fayans E: Novel method of treating large cysts of jaws in children. NY State Dent J 60:41, 1994
Dolanmaz Dogan, Etoz Osman A, Pampu Alper, Kalayci Abdullah, Gunhan Omer: Marsupialization of unicystic ameloblastoma: A conservative approach for aggressive odontogenic tumors. Indian Journal of Dental Research 22(5):709-712, 2011
Eyre J, Zakrzewska JM: The conservative management of large odontogenic keratocysts. Br J Oral Maxillofac Surg 23:195, 1985
Gardner DG, Corio RL: Plexiform unicystic ameloblastoma: a variant of ameloblastoma with a low recurrence rate after enucleation. Cancer 53:1730, 1984 Hopper FE: Bilateral cysts of the mandible. A unique opportunity. Br Dent J 153:306, 1982 Kirtaniya BC, V Sachdev, A Singla, AK Sharma: Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. J of Indian Society of Pedodontists and Preventive Dentistry 28(3):203-208, 2010
Κολόμβος Ν, Καραμπά-Στυλογιάννη Ε, Σκλαβούνος Α, Αρσενόπουλος Α: Ευμεγέθεις οδοντογενείς κύστεις της κάτω γνάθου. Εκπυρήνιση ή μαρσιποποίηση; Στοματολογία 62(2): 87-94, 2005
Λαζαρίδης Ν, Καρακάσης Δ.: Στοματική και Γναθοπροσωπική Χειρουργική. Θεσσαλονίκη. Εκδ. Α. Αλτιντζή. 2009: 73, 1ος τόμος. σελ: 73-74
Lizio G, Corinaldesi G, Bianchi A, Marchetti C: Successful resolution of juvenile paradental cysts after marsupialization in five consecutive patients. Aust Dent J 56(4): 427-32, 2011
Lucas RB: Pathology of Tumors of the Oral Tissues. Churchill Livingstone (ed 4), Edinburgh, Scotland, 1984, pp 31-60
Marx R, Stern D: Oral and Maxillofacial Pathology. A Rationale for diagnosis and treatment. Leaf Hauffman 2nd ed. Miami Florida, 2012, pp 612 Morgan TA, Burton CC, Qian F: A Retrospective Review of Treatment of the Odontogenic Keratocyst. J Oral and Maxillofac Surg 63(5): 635-9, 2005
Nakamura N, Higuchi Y, Mitsuyasu T, Sandra F, Ohishi M: Comparison of long -term results between different approaches to ameloblastoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93(1): 13-20, 2002
Nomifuri N, Yoshinori H, Hideo T, Masamichi O: Marsupialization of cystic ameloblastoma: a clinical and histopathologic study of the growth characteristics before and after marsupialization. J Oral Maxillofac Surg 53:748-754, 1995
Partsch C: Uber Kiefercysten. Dtsch Mschr Zahnheilkd 10:271, 1892
Partsch C: Zur Behandlung der Kieferzysten. Dtsch Mschr Zahnheilkd 28:252, 1910
Phillipsen H: On keratocysts in the jaws. Tandleagebladet 60:963, 1956
Pogrel MA, Jordan RC: Μarsupialization as a definitive treatment for the odontogenic keratinocyst. J Oral and Maxillofac Surg 62(6):651-5, 2004
Pogrel MA: Treatment of keratinocysts: the case for decompression and marsupialization. J Oral and Maxillofac Surg 63:1667-1673, 2005
Robinson L, Martinez MG: Unicystic ameloblastoma:A prognostically distinct identity. Cancer 40:2278, 1977
Seward MH, Seward GR: Observations on Snawdon’s technique for the treatment of cysts in the maxilla. Br J Oral Surg 6:149, 1969
Stoelinga PJ: Long-term follow up on keratinocysts treated according to a defined protocol. Int J Oral Maxillofac Surg 30:14, 2001
Tabrizi R, Ozkan BT, Dehgani A, Langner Nj: Marsupialization as a treatment option for the odontogenic keratocyst. J Craniofac Surg 23(5):459-61, 2012
Yi Zhao, Bing Liu, Qi-Bing Han, Shi-Ping Wang, Yi-Ning Wang: Changes in bone density and cyst volume after marsupialization of mandibular odontogenic keratinocysts (Keratocystic odontogenic tumors). J Oral Maxillofac Surg 69:1361-136, 2011
Yokoyabashi Y, Yokoyabashi T, Nakajima T, et al: Marsupialization as a possible diagnostic aid in cystic ameloblastoma. Case report. J Maxillofac Surg 11:137, 1983
Zhao YF, Liu B, Jiang ZQ: Marsupialization or decompression of the cystic lesions of the jaws. Sanghai Kou Qiang Yi Xue 14(4):325-9, 2005
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