title: A minimally invasive surgical approach for large cyst-like periapical lesions: a case series.
abstract: Various conservative approaches have been utilized to manage large periapical lesions. This article presents a relatively new, very conservative technique known as surgical fenestration which is both diagnostic and curative. The technique involves partially excising the cystic lining, gently curetting the cystic cavity, performing copious irrigation, and closing the surgical site. This technique allows for decompression and allows the clinician the freedom to take a biopsy of the lesion, as well as perform other procedures such as root resection and retrograde sealing, if required. As the procedure does not perform a complete excision of the cystic lining, it is both minimally invasive and cost-effective. The technique and the concepts involved are reviewed in 4 cases treated with this novel surgical approach.
authors.forename: Naseem
authors.initials: N
authors.lastname: Shah
authors.forename: Ajay
authors.initials: A
authors.lastname: Logani
authors.forename: Vijay
authors.initials: V
authors.lastname: Kumar
mesh_terms: D000293:Adolescent; D000328:Adult; D003362:Cost-Benefit Analysis; D006801:Humans; D008297:Male; D008439:Maxillary Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000191:economics / Q000379:methods; D011842:Radicular Cyst / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D014076:Tooth Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D014092:Tooth Root / Q000000981:diagnostic imaging / Q000601:surgery; D055815:Young Adult
keywords: decompression; periapical cyst; radicular cyst; surgical fenestration