Complete removal of huge infected cyst involving entire anterior maxilla followed by reconstruction

A 26 year-old boy form West Bengal came to our hospital with a complaint of swelling with occasional pain in his upper jaw. A digital X-ray took revealed a large cystic lesion extending anterior teeth to premolar of the maxilla with complete erosion of the labial plate.
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Histopathological examination of the specimen showed it to be a huge infected dental cyst due to continuous trauma from occlusion resulting from anterior deep bite. Maxillofacial surgeon Dr. S. M. Balaji successfully removed the entire cystic lesion along with the lining in toto. Followed by defective region of the upper jaw was reconstructed using costochondral rib graft. Following surgery the wound healed well and the patient was happy to be cured of his ailment. After complete bone formation, fixed dental replacement of the missing teeth will be done using dental implants. 

Preoperative digital orthopantomogram showing huge osteolytic lesion in anterior region of maxilla

Preoperative 3DCT view showing huge osteolytic lesion involving entire anterior and extending to the molar region of upper jaw

Axial view showing expansile osteolytic lesion involving entire left side of maxilla

Sagittal view showing buccopalatal expansion of cyst with bodily displacement of involving teeth

Costochondral graft obtained from 7th rib to reconstruct the defective portion of upper jaw

After raising gingivomucoperiosteal flap elevated and cystic lesion exposed

Removal of infected cyst in toto

After removal of cyst bone cavity debrided and diathermy applied

Costochondral graft used to augment the defective portion of upper jaw

Immediately after suturing