Transnasal Marsupialization of Large Infected Radicular Cyst in Immunocompromised Patients: Case Report / 대한이비인후과학회지

ABSTRACT

Radicular cyst is the most common inflammatory odontogenic abnormality which is associated with the crown of unerupted or developing maxillary and/or mandibular teeth. There have been many reported cases where radicular cysts were removed by means of enucleation through Caldwell-Luc's approach. However, there has been only a few reports about marsupialization of radicular cyst. In patients, who are old, aged and immunocompromised are intolerable to complete enucleation and are prone to pathologic fractures and postoperative complications, marsupialization is the only alternative method. For the first time in Korea, we encountered a 64-year old immunocompromised female patient with a large infected radicular cyst which was managed by marsupialization with wide inferior meatal antrostomy under transnasal endoscope and obtained successful results.