title: Minimally invasive surgical approach in a large mandibular solitary cyst: case report and review of the literature.
abstract: Solitary bone cyst (SBC) is an intraosseus radiolucent lesions that defers from real cysts for the fact that peripheral epithelial lining is totally absent. It could be classified as a psudocyst and occurs most frequently in young patients. In most cases SBC doesn't cause symptoms and it is often diagnosed accidentally during routine radiographic examination. A right diagnosis of this disease is also complicated because there are no pathognomonic radiographic signs and symptoms: so this form of pseudocyst is often misdiagnosed as a common odontogenic cyst. Despite numerous studies, the pathogenesis of the SBC is not yet established: the most widely accepted theory is that it could be the result of an intramedullary necrosis determined by a trauma. In this article we report a case of SBC in child treated with a minimal surgical approach. This new kind of treatment is much more conservative than the traditional one, it can be performed as outpatients, under local anesthesia and with few postoperative discomfort: For these reasons this minimal invasive technique appears to be particulary suitable for pediatric patients.
authors.affiliation: School of Oral Surgery, University of Milan, Italy.
authors.forename: A E
authors.initials: AE
authors.lastname: Borgonovo
authors.forename: C M
authors.initials: CM
authors.lastname: Tafuro
authors.forename: R
authors.initials: R
authors.lastname: Censi
authors.forename: P
authors.initials: P
authors.lastname: Poli
authors.forename: C
authors.initials: C
authors.lastname: Maiorana
mesh_terms: D000293:Adolescent; D003731:Dental Caries / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008336:Mandibular Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures; D008963:Molar / Q000000981:diagnostic imaging / Q000601:surgery; D009631:Nonodontogenic Cysts / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D009807:Odontogenic Cysts / Q000175:diagnosis; D019647:Oral Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D014081:Tooth Extraction