The 10 Minute Marsupialization Procedure

Marsupialization and decompression have been described in the OMS literature for decades for the treatment of various jaw cystic lesions. It has especially gained popularity for the treatment of odontogenic keratocysts. Complete resolution of cystic lesions has been reported after marsupialization and daily irrigation(1). However, there is convincing evidence that secondary enucleation or further treatment may be necessary(2).

Surgical techniques vary. Commonly, the overlying mucosa is excised and a bony window is removed overlying the lesion. The fistula is usually maintained by suturing the cyst lining to the oral mucosa or by insertion of various constructed devices such as drains, catheters, or nasopharyngeal airways.

Here we present the authors’ technique for a rapid and effective marsupialization procedure of jaw cysts. This method utilizes a Blom-Singer speaking valve to create and maintain the fistula. The device has a one-way valve for irrigation with a monoject syringe. The dumbbell soft silicone rubber plug functions painlessly in the mouth for months.

1. Pogrel, MA, and RCK Jordan. "Marsupialization as a definitive treatment for the odontogenic keratocyst." JOMS 62.6 (2004): 651-655.
2. Tabrizi, R, et al. "Marsupialization as a treatment option for the odontogenic keratocyst." J Craniofacial Surg 23.5 (2012): e459-e461.