Successful removal and reconstruction of cystic lesion in lower jaw

​A 28 year-old man came to our hospital with a complaint of pain in his lower jaw. A digital X-ray and 3DCT scan was taken revealed a large cystic lesion extending from canine to canine of the mandible with complete erosion of the labial plate.
 Maxillofacial surgeon Dr. S.M. Balaji expertly removed the entire cystic lesion along with the lining with affected teeth in toto. Reconstruction of the bone defect was done using bone graft obtained from the retromolar region.  Following surgery the wound healed well and the patient was happy to be cured of his ailment.

Preoperative digital orthopantomogram showing osteolytic cystic lesion involving lower anterior region of mandible

3DCT view showing buccal cortex erosion in lower anterior region of mandible

Intraoperative view showing surgical exposure of cystic lesion

Cystic lesion removed along with the lining and prepared for HPE

Bone defect after removal of the cystic lesion

Bone graft obtained from the impacted teeth region

Removed of affected mandibular anterior teeth and impacted third molars

Bone graft fixed into the defective region of mandible

Immediately after suturing