Marsupialization: An Understated and Underestimated Procedure to Prevent Major Morbidity to the Mandible: A Case Report
Abstract:
Unicystic ameloblastoma is a rare variation of ameloblastoma that presents as a cystic lesion in the jaw. Diagnosis can be challenging due to its radiographic similarities with other odontogenic cysts and tumors. This case report presents a 19-year-old female patient with a chief complaint of swelling in the left mandibular molar region for 7 months. Radiographic examination revealed a well-defined multilocular radiolucency with cortical bone thinning, lobulations, and resorption of tooth surfaces. Incisional biopsy confirmed the lesion to be a plexiform unicystic ameloblastoma. Due to the patient's young age, a conservative approach was followed with a two- stage treatment plan. Stage 1 involved marsupialization of the cystic cavity using a customized acrylic plug to maintain patency and promote bone formation. After three months, the lesion size reduced and enucleation was performed in Stage 2. Radiographs at 6 months showed reduced radiolucency, and complete bone formation was observed at 12 months. No recurrence was observed during the 18-month follow-up. This case report highlights the importance of accurate diagnosis and appropriate management of plexiform unicystic ameloblastoma to achieve successful treatment outcomes.
