Management of cysts

Question 1

Cyst definition

Answer 1

Pathologic cavity lined by epithelium. Contains fluid/semi fluid/gaseous substance, not created by accumulation of pus

Question 2

Behaviour of ranula

Answer 2

Formed under tongue or on floor of mouth

Rupture spontaneously but recurrence high du to blocked duct

Question 3

Lateral periodontal cyst is associated with vital/non vital tooth

Answer 3

Vital tooth

Question 4

Ddx for radicular cyst

Answer 4

Ant: PCOD
Post: Traumatic bone cyst

Question 5

How to describe a cyst

Answer 5

Size
Colour
Overlying mucosa
Well circumscribed
Location 
Tender on palpation 
Fluctuant

Question 6

Surgical methods to manage cysts

Answer 6

1. Marsupialisation
2. Surgical enucleation
3. Resction

Question 7

What is marsupialisation

Answer 7

Remove roof of cyst to empty contents. Stitch mucosal lining with mucosal layer to prevent collapse

(Recurrence possible, would need to remove entire gland)

Question 8

What is enucleation

Answer 8

Entire removal of tumour/structure without rupture; remove cystic lining below it

Question 9

Factors determining recurrence of cyst

Answer 9

Ability to remove cyst completely

Proliferation ability of cysts

Question 10

Factors determining treatment choice for cyst

Answer 10

Recurrence of cyst
Size 
Location (ability to reconstruct)
Age (young patient avoid extensive reconstruction)
Syndromic?