Le Fort I osteotomy to enucleation of grand proportions fissural cyst-presentation of case report.
Fissural cysts (FC) are caused by entraped epithelium between nasal and maxilar processes. They are commonly treated with surgical enucleation precedded or not by marsupialization depending on the cyst size. Biopsy of lesion is recommended due to confirm radiographic evaluation. It is rare to observe Le Fort I surgical approach to this type of injury. This study reports the case of an uncommon grand proportions fissural cyst in a female patient, 53, that was referred to the Oral and Maxillofacial Surgery Departament of Hospital XV presenting volume increase in maxilla associated with numbness of palate. Radiograph examination showed an intimate relationship between incisors apexes and FC. Expansion of both buccal and palate cortical was then confirmed as well as its unusual size, approximately 25 millimeters. Due to the abnormal size of lesion and possible impairment of upper incisors, LeFort I osteotomy associated with downfracture to cystic enucleation was the chosen treatment. After enucleation, the remaining space was filled with BIOSs and bioguide (lyophilized bone and collagen membrane). Patients' twelve months follow-up demonstrate no relapses and maintenance of teeth involved.
Oral and Maxillo-Facial Surgery Resident at Programa de Pós-Graduação em Odontologia, Av. Pref. Lothário Meissner, 3400, Jardim Botânico, Curitiba, PR, Brazil. Electronic address: rafaelcorreia14@gmail.com.
Rafael Correia
RC
Cavalcante
Mastering Degree Student at Programa de Pós- Graduação em Odontologia, R. Prof. Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Brazil. Electronic address: durskifernanda@yahoo.com.br.
Fernanda
F
Durski
Professor at Programa de Pós- Graduação em Odontologia, R. Prof. Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Brazil. Electronic address: tdeliberador@gmail.com.
Tatiana Miranda
TM
Deliberador
Professor at Programa de Pós- Graduação em Odontologia, R. Prof. Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Brazil. Electronic address: afgiovanini@gmail.com.
Allan Fernando
AF
Giovanini
Professor at Programa de Pós- Graduação em Odontologia, R. Prof. Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Brazil. Electronic address: rebelato@ufpr.br.
Nelson Luís Barbosa
NLB
Rebellato
Professor at Programa de Pós- Graduação em Odontologia, R. Prof. Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Brazil. Electronic address: d.j.c@uol.com.br.
Delson João
DJ
da Costa
Professor at Programa de Pós- Graduação em Odontologia, R. Prof. Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Brazil. Electronic address: lekluppel@hotmail.com.
Leandro Eduardo
LE
Klüppel
Professor at Programa de Pós- Graduação em Odontologia, R. Prof. Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Brazil. Electronic address: Rafaela_scariot@yahoo.com.br.
Rafaela
R
Scariot
Case report; Le Fort; Maxillofacial abnormalities; Non-odontogenic cysts; Osteotomy