Glandular Odontogenic Cyst Extending Bilaterally in the Anterior Maxilla: A Rare Case Report and Management of Complications

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Şarkışla T. O., Çoban E., Yalınkılıç M. R., Çakmakoğlu A. H., Arıbalı E. N., Acar G., ...Daha Fazla

19. Uluslararası Ağız ve Çene-Yüz Cerrahisi Birliği Derneği (AÇBİD) Kongresi, Antalya, Türkiye, 8 - 12 Nisan 2026, ss.154, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.154
  • Gazi Üniversitesi Adresli: Evet

Özet

Objective: Glandular odontogenic cyst (GOC) is a rare developmental lesion with aggressive behavior and recurrence potential. Most cases occur in the mandible; involvement of the anterior maxilla is uncommon. This study presents the two-stage treatment of a large maxillary GOC and the management of postoperative healing complications.

Case: Treatment was planned for a 53-year-old male with an incidental, bilateral radiolucent lesion in the anterior maxilla. Radiology revealed a 40×30×20 𝑚𝑚3 lesion extending from tooth #14 to #26 with vital associated teeth. The lesion caused perforation of the nasal floor, maxillary sinus walls, and palatal cortex, along with marked expansion. Due to anatomical proximity to vital structures, incisional biopsy and marsupialization were performed initially. Histopathology showed epithelial proliferations lined by non-keratinized epithelium with mucous cells and gland-like structures, confirming GOC. After six months of marsupialization, enucleation and curettage were carried out. Postoperatively, wound dehiscence and secondary healing impairment developed due to inadequate oral hygiene. To manage this, a custom-made rigid acrylic surgical plate was applied to protect the defect from food accumulation and support tissue closure. With the plate’s protection, complete mucosal closure was achieved after a six-month healing period. No recurrence was observed during the 12-month followup.

Conclusion: While enucleation is the standard treatment for GOC, marsupialization combined with patient-specific approaches provides favorable outcomes in anatomically complex regions. This case highlights that individualized treatment planning and prosthetic support play a significant role in managing postoperative complications and improving clinical outcomes beyond standard protocols.

Keywords: Glandular odontogenic cyst, Marsupialization, Wound dehiscence