Case Report

Surgical management of a large maxillary non-odontogenic cyst using Le Fort I osteotomy: a short case report

Maxillo-Facial Surgery, Facial Plastic Surgery, Stomatology and Oral Surgery, Hospices Civils de Lyon, Croix-Rousse Hospital − Claude-Bernard Lyon 1 University, 103 Grande rue de la Croix Rousse, 69317 Lyon, France

^* Correspondence: lucie.grzelczyk@chu-lyon.fr

Received: 7 April 2024
Accepted: 9 October 2024

Abstract

Introduction: Non-odontogenic epithelial cysts are rare and are typically treated by enucleation. The choice of surgical approach is influenced by factors such as lesion size, location, and patient-specific anatomy. Observation: This case involves a 62-year-old male with a large (33 × 36 mm) maxillary epithelial cyst complicated by a history of cleft palate. A Le Fort I osteotomy was selected due to the lesion's size, posterior location, and the anatomical limitations imposed by the cleft. Alternative approaches, such as cyst decompression, marsupialization, or endoscopy, were considered but ruled out due to the lesion's posterior position and volume. The osteotomy provided optimal access for complete enucleation while minimizing the risk of complications. Conclusion: Despite being more invasive, the Le Fort I osteotomy offered superior visibility and access, ensuring complete removal of the cyst.