Quão conservadores podemos ser no tratamento do cisto odontogênico glandular? Relato de caso com enfoque cirúrgico

Abstract

The glandular odontogenic cyst (GOC) is a rare maxillary cyst, marked by an accelerated growth rate and a potentially recurrent behavior. Hence, treating GOC conservatively remains a controversy among oral and maxillofacial surgeons and oral pathologists. Here, we report on a case in which GOC decompression was used with fairly good results in a male Brazilian patient. After initial clinical and radiographic examination, we performed an incisional biopsy with concomitant placement of a decompression device. With the histological diagnosis of GOC confirmed, decompression was maintained for 8 months, which resulted in a significant volumetric reduction of the lesion verified by a series of radiographic examinations. Since complete regression did not occur, we opted for curettage of the residual pathological tissue at a second surgical opportunity. Thus, decompression associated with curettage appears to be a feasible conservative treatment for GOC. Still, it is important to secure a longer follow-up to detect and intervene at the first signs of recurrence.