Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient

Abstract EN

Background.

A solitary bone cyst or simple bone cyst is a nonneoplastic osseous lesion, with no epithelial lining, also considered as a pseudocyst.

These lesions, with an intact bony wall and fluid-filled, are frequently discovered by chance in radiological studies.

The etiopathogenesis has not been studied in depth, and the management remains controversial.

Case Presentation.

We present a clinical case of a 15-year-old boy who underwent an orthopantomography to assess the development and position of the third molars during a routine postorthodontic check-up.

By chance, the X-ray identified an asymptomatic radiolucent image in the left jaw, measuring 12.0 mm×17.8 mm and compatible with a solitary bone cyst involving teeth 35 and 36.

We describe our technique for performing minimally invasive decompression of the lesion using a microperforated catheter.

We describe the entire course of the follow-up, both clinical and radiological, until complete cure.

Conclusions.

This straightforward continuous decompression technique poses no problems for the patient, has a low risk of sequelae, and is clearly cost-effective.

In view of the highly satisfactory evolution, whenever possible, we favor this minimally invasive technique for the treatment of solitary bone cysts in the jaw.