Odontogenic cyst in a 45-year-old female: a case of enucleation under general anaesthesia

Riya Thakral; Dishant Chhabra; Bhushan Kathuria; Vikas Kakkar; Amit Arora

doi:10.18203/issn.2454-5929.ijohns20252259

Authors

Riya Thakral Department of ENT, Head and Neck Surgery, Santosh Advance ENT Healthcare, Hisar, Haryana, India
Dishant Chhabra Department of ENT, Head and Neck Surgery, Santosh Advance ENT Healthcare, Hisar, Haryana, India
Bhushan Kathuria Department of ENT, Head and Neck Cancer, We Care Hospital, Rohtak, Haryana, India
Vikas Kakkar Department of ENT, Head and Neck Cancer, We Care Hospital, Rohtak, Haryana, India
Amit Arora Department of Orodental Surgery, Santosh Advance ENT Healthcare, Hisar, Haryana, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20252259

Keywords:

Odontogenic cyst, Dentigerous cyst, Mandibular ramus lesion, Surgical enucleation, CBCT imaging, Histopathological diagnosis

Abstract

In a 45-year-old female presented with a recurrent swelling in the right mandibular region, reporting a history of marsupialization for an odontogenic cyst 12 years prior, though no medical records were available. Clinical examination revealed a significant swelling in the right mandibular ramus, accompanied by mild tenderness, discomfort, pain, and intraoral pus discharge. Radiographic imaging, including X-ray and cone beam computed tomography (CBCT) scans, identified a well-defined, expansile, osteolytic lesion in the right mandibular ramus, consistent with a dentigerous cyst. Given the lesion's recurrence and the lack of prior treatment records, surgical enucleation under general anesthesia was performed. Histopathological analysis confirmed the diagnosis of a pus-filled odontogenic cyst. The patient's postoperative recovery was uneventful, and she was scheduled for regular follow-up to monitor for any further recurrence. This case underscores the importance of long-term follow-up in patients with odontogenic cysts and highlights the potential for recurrence even after initial treatment.

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