Cystectomy surgery: retrospective epidemiological study, a ten-year experience

BACKGROUND The aim of this study is to analyze the ep- idemiological features and determine the frequency of different types of cyst of the jaw diagnosed at the Maxillofacial and Odontostomatology Clinic of the Mag- giore Hospital in Trieste (Italy). MATERIALS AND METHODS A retrospective observational study was performed on 238 patients, 117 treated as out-patients and 121 that underwent sur- gery in the operating room. nificantly lower than those removed un- der general anesthesia (14.3 ±5.01 mm and 23.7 ± 11.3 mm, respectively, p <0.05). Complications occurred in 19,7% of all cases. Paresthesia of the third branch of the trigeminal nerve was the most com- mon complication observed, more than a half of those cases show a complete re- mission in the first year of follow-up. The positive association was underscored with the simultaneous extraction of one or more impacted teeth. in the advanced stages cysts could be- come a clinical issue. Surgical procedure can be performed under local anesthesia or general anesthesia. In the latter option a greater surgical difficulty (given primar- ily by the size of the lesions) and greater morbidity was reported highlighting the need of greater surgical skills beyond the competence of a non-specialist dentist. require general anesthesia and carry higher perioperative and postoperative complications, including inferior alveolar nerve paresthesia. Awareness of these risks enables oral surgeons to plan treat- ment more effectively, minimize nerve injury, and provide optimal patient care. Early intervention may reduce lesion size, simplify surgery, and improve long-term outcomes. RESULTS The mean major diameter of the lesions removed under local anesthesia was sig- CONCLUSIONS The incidence of this pathologic condi- tion is probably underestimated because of its scarce symptomatology; however, CLINICAL SIGNIFICANCE This study highlights the importance of early detection and appropriate manage- ment of jaw cysts. Smaller cystic lesions can often be treated under local anesthesia with min- imal risk, while larger lesions typically