Decompression obturator prostheses in the treatment of cystic odontogenic lesions: A case series and review of the literature Review


Authors: Vlock, M.; Singh, A.; Farmer, A. J.; Kronstadt, K.; Randazzo, J. D.; Halpern, J.; Tunick, S.; Huryn, J. M.
Review Title: Decompression obturator prostheses in the treatment of cystic odontogenic lesions: A case series and review of the literature
Abstract: BackgroundTo spare important anatomical structures from damage during treatment of cystic odontogenic lesions, decompression has become a conservative alternative to enucleation. Marsupialization, in combination with the use of a custom-made decompression prosthesis, is an effective method of inducing reduction and bony infill of cystic lesions of the jaw.MethodsIn this case series and review of the literature, we describe three patients with odontogenic cysts of the mandible who were treated with custom-made decompression obturator prostheses (DOP) at the Memorial Sloan Kettering Cancer Center Dental Service.ResultsAt the conclusion of treatment, all patients demonstrated complete resolution of their respective bony defects.ConclusionDOP provide effective means of keeping the cyst opening patent following marsupialization, which allows for adequate, if not complete, resolution of defects, often without need for subsequent enucleation.
Keywords: term-follow-up; cyst decompression; decompression prosthesis; marsupialization; odontogenic cyst; dentigerous cysts; keratocysts
Journal Title: Head & Neck
Volume: 47
Issue: 4
ISSN: 1043-3074
Publisher: John Wiley & Sons, Inc.  
Date Published: 2025-04-01
Start Page: 1269
End Page: 1276
Language: English
ACCESSION: WOS:001380711400001
DOI: 10.1002/hed.28040
PROVIDER: wos
PMCID: PMC11908946
PUBMED: 39707616
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Joseph M. Huryn -- Source: Wos
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MSK Authors
  1. Joseph M Huryn
    108 Huryn
  2. Jerry L Halpern
    13 Halpern
  3. Steven J Tunick
    9 Tunick
  4. Annu Singh
    22 Singh
  5. Maria Victoria Vlock
    1 Vlock
  6. Anthony Farmer
    1 Farmer