Publication:

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

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.