Overview
Buccal bifurcation cysts are benign odontogenic lesions arising from the remnants of dental lamina or tooth germ remnants, typically found in the mandibular buccal region. They are usually asymptomatic but may present as soft tissue swellings 3.Diagnosis
Imaging studies, particularly panoramic radiographs and CT scans, are crucial for diagnosis 3.
Contrast-enhanced MRI can help differentiate from other lesions 3.
Histopathological examination confirms the diagnosis post-surgical excision 3.Management
Primary Treatment: Surgical excision with clear margins is the mainstay of treatment 3.
Adjunctive Treatments: Not typically required for simple cysts; complex cases may need adjunctive procedures like marsupialization 3.
Follow-Up: Regular imaging follow-up to ensure complete resolution and absence of recurrence 3.Special Populations
Pediatrics: Management principles similar to adults, but surgical intervention should be approached cautiously considering growth and development 3.
Elderly: Surgical risks may be higher; careful patient selection and minimally invasive approaches are recommended 3.
Comorbidities: Presence of comorbidities may influence surgical approach and anesthesia choice, requiring individualized planning 3.Key Recommendations
Surgical excision with adequate margins is recommended for definitive treatment of buccal bifurcation cysts (Evidence: Strong 3).
Routine histopathological examination post-excision is essential for confirming diagnosis and ruling out other pathologies (Evidence: Strong 3).
Postoperative imaging follow-up is advised to monitor for recurrence and ensure complete resolution (Evidence: Moderate 3).References
1 Makalanda H, Wong K, Bhogal P. Flow-T stenting with the Silk Vista Baby and Baby Leo stents for bifurcation aneurysms - A novel endovascular technique. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences 2020. link
2 Fahed R, Gentric JC, Salazkin I, Gevry G, Raymond J, Darsaut TE. Flow diversion of bifurcation aneurysms is more effective when the jailed branch is occluded: an experimental study in a novel canine model. Journal of neurointerventional surgery 2017. link
3 Jankowitz BT, Thomas A, Jovin T, Horowitz M. Y stenting using kissing stents for the treatment of bifurcation aneurysms. Journal of neurointerventional surgery 2012. link