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• W3037818320 abstract "Dentigerous, follicular, cysts are developmental odontogenic cysts of reduced adamantine epithelium origin, associated with an impacted tooth. They are the second most frequent cystic pathology after inflammatory cysts. Although the frequency of dentigerous cysts associated with upper third molars is far lower than the mandibular ones, their complications are nothing but ordinary. Most of the times asymptomatic, being discovered during routine x-ray examinations, maxillary follicular cysts can grow to important size, altering the position of adjacent teeth, producing osteolysis of the nearby bone structures, as well as infectious complications, antral and orbital pathology.The present manuscript describes the clinical, radiological, pathological and therapeutical aspects of a giant follicular cyst with antral and pterygomaxillary extension, associated with an impacted upper third molar.The most efficient treatment of maxillary follicular cysts consists in the surgical removal of the lesion along with the involved tooth. Complete excision is mandatory to prevent recurrence. Extension into adjacent structures might complicate the surgery Preoperative evaluation and rigorous planning are essential, especially in large-sized lesions. Pathological examination is outmost importance in order to exclude aggressive transformations.Dentigerous follicular cyst, Maxillary sinus extension, Pterygomaxillary space.Le cisti dentigene, follicolari, sono cisti odontogene di origine epiteliale da riduzione dello sviluppo adamantino, associate al dente affetto. Rappresentano la seconda patologia cistica più frequente dopo le cisti infiammatorie. Sebbene la frequenza delle cisti dentigene associate ai terzi molari superiori sia molto più bassa di quelle mandibolari, le loro complicanze sono ordinarie. Il più delle volte asintomatiche, essendo scoperte durante gli esami radiografici di routine, le cisti follicolari mascellari possono raggiungere dimensioni importanti, alterando la posizione dei denti adiacenti, producendo osteolisi delle strutture ossee vicine, nonché complicanze infettive, patologia sinusale e orbitale. Qui si descrivono presentano gli aspetti clinici, radiologici, patologici e terapeutici di una cisti follicolare gigante con estensione antrale e pterigomaxillare, associata a un terzo molare superiore. Il trattamento più efficace delle cisti follicolari mascellari consiste nella rimozione chirurgica della lesione insieme al dente interessato. L’escissione completa è obbligatoria per prevenire il ripetersi di uno sviluppo cistico. L’estensione in strutture adiacenti potrebbe complicare l’intervento chirurgico. La valutazione preoperatoria e una pianificazione rigorosa sono essenziali, specialmente nelle lesioni di grandi dimensioni. L’esame patologico è della massima importanza per escludere trasformazioni aggressive." @default.
• W3037818320 created "2020-07-02" @default.
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• W3037818320 date "2020-06-24" @default.
• W3037818320 modified "2023-10-18" @default.
• W3037818320 title "Giant follicular cyst with maxillary sinus and pterygomaxillary space extension." @default.
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