Single-session surgical management of cystic lesions with secondary purulent inflammation

Abstract

The purpose of this study is to assess the safety and effectiveness of single-session surgery for cystic lesions in the oral and maxillofacial region that are complicated by secondary purulent inflammation.

Methods: A case series of patients with suppurated cystic lesions was carried out. Every patient received a single surgical procedure that included complete debridement, cyst enucleation, and prompt reconstruction with "Sticky Bone" composite and Advanced Platelet-Rich Fibrin (A-PRF). In an ambulatory setting, procedures were carried out under local anesthesia.

Results: Every case with primary healing (per primam) had a full resolution. During follow-up periods of six to eighteen months, no significant complications or recurrences were noted. Bone regeneration and optimal tissue healing were made possible by the incorporation of regenerative materials. Conclusion: single-session surgical management is a practical and effective alternative to traditional staged protocols, significantly reducing treatment duration, medical expenses, and patient morbidity while preserving superior clinical outcomes.