Conservative management of a large keratocystic odontogenic tumour

Padaki, Pavan; Laverick, Sean; Bounds, G.

doi:10.1093/jscr/rju091

Cited by 5 publications

(6 citation statements)

References 7 publications

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“…O Queratocisto Odontogênico é uma patologia que apresenta predileção por homens, entre a segunda e a quarta décadas de vida. Geralmente acomete a região de corpo e ângulo de mandíbula (Karaca et al, 2018) e na maioria dos casos é observado em grandes dimensões (Neville et al, 2016;Padaki et al, 2014) associada ao aumento volumétrico (Pazdera et al, 2014) e sintomas deparestesias (Park et al, 2019). No presente relato de caso, o paciente apresentou todas as características descritas na literatura, exceto em relação à idade, já que o paciente apresentava apenas 6 anos.…”

Section: Discussionunclassified

“…Nos trabalhos científicos estudados esta patologia apresenta as características histológicas como um tecido que possui uma delgada cápsula cística revestida por epitélio pavimentoso estratificado paraqueratinizado (Park et al, 2019), camada basal com células em formato cuboidal ou colunar em paliçada (Padaki et al, 2014), hipercromatismo nucleare infiltrado inflamatório (Oliveria et al, 2013). Envolvendo o cisto, observa-se uma parede de tecido conjuntivo fibroso e que pode apresentar conteúdo líquido queratinizado (Pazdera et al, 2014;Ribeiro-Júnior et al, 2017).…”

Section: Discussionunclassified

“…Apresenta característica invasivo-destrutiva, possui um potencial de atingir grandes dimensões e altas taxas de recidivas. Porém, apresenta crescimento lento na direção ântero-posterior, com uma incidência maior em homens, na proporção de 2:1 em relação ao gênero feminino (Neville et al, 2016;Peralta et al, Nogueira et al, 2015;Padaki et al, 2014). A idade com maior prevalência da lesão é entre a segunda e quarta décadas de vida e o sítio mais acometido é a mandíbula entre 60% a 80% dos casos, geralmente na região posterior e ramo da mandíbula (Carneiro et al, 2012;Oliveria et al, 2013;Pazdera et al, 2014;Pereira et al, 2012).…”

Section: Introductionunclassified

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Tratamento conservador de queratocisto mandibular: relato de caso de 1 ano de acompanhamento

Domingues

Marão

Roman-Torres

et al. 2020

RSD

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The keratocyst is a rare development cyst with high destructive power and can reach large dimensions and a high rate of recurrence. Most of this injury affects men aged 20 to 40 years, affecting the posterior region of the mandible. It can be asymptomatic when in small dimensions even with slow growth, the diagnosis can often be observed in radiographic control exams that are used in our daily clinical practice. The purpose of this case report was to demonstrate the conservative treatment of Odontogenic Keratocyst (OK) in a six-year-old child. The patient underwent an image exam (panoramic radiography) and a surgical procedure with the result of a pathological anatomy. It is important to inform that the objective was achieved with the surgical, but it is worth mentioning that the discomfort caused by the device and the difficulty of cleaning the patient was present. It is noted that the follow-up of this study was for one year and we believe that the patient should continue to attend preventive consultations, due to the high power of recurrence of this pathology. We conclude that decompression was a method used as a conservative treatment and this treatment option continues to be considered successful and much less invasive among the possibilities presented for this type of pathology.

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Section: Discussionunclassified

Section: Introductionunclassified

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Tratamento conservador de queratocisto mandibular: relato de caso de 1 ano de acompanhamento

Domingues

Marão

Roman-Torres

et al. 2020

RSD

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“…Simple enucleation is not a good treatment because of the high recurrence rate. Enucleation combined adjunctive therapy, such as Carnoy's solution, is best for accessing small KCOT; however, a large expanding KCOT is best treated with marsupialization and enucleation 26) . Radical treatment, such as marginal or segmental resection, is not a primary treatment modality.…”

Section: Selection Of Treatment Of the Kcotmentioning

confidence: 99%

Surgical therapy of keratocystic odontogenic tumors

Oh¹,

Kim²

2015

J Korean Soc Dent Hyg

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Objectives: Since World Health Organization reclassified the odontogenic keratocyst as a keratocystic odontogenic tumor(KCOT) in 2005, management of KCOT remains controversial. The purpose of the this study is to present a current concept of the treatment of the KCOT. Methods: Recent articles were focused on the method of the surgical therapy and the recurrence rate of KCOT. Results: The treatment modality is divided into conservative treatment-such as simple enucleation with or without curettage or marsupialization-and aggressive treatment including peripheral ostectomy, chemical curettage with Carnoy's solution, and resection. Conclusions: Keratocystic odontogenic tumors have higher recurrence rates than other odontogenic lesions; thus, the selected type of treatment is very important.

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“…The odontogenic keratocyst is a cystic lesion of odontogenic origin, derived from the dental lamina [1]. The World Health Organization (WHO) recent classification of head and neck tumors reclassified the keratocyst as a benign neoplasm recommending the term keratocystic odontogenic tumor (KCOT) [2]. The incidence of keratocysts varied from 3%-12% (mean 7%) of all odontogenic cysts [3].…”

Section: Introductionmentioning

confidence: 99%

Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi

Okkesim¹,

Adışen²,

Mısırlıoğlu³

et al. 2017

TURKISH JOURNAL of CLINICS and LABORATORY

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Keratocystic odontogenic tumor (KCOT) is a cystic lesion of odontogenic origin, which is classified as a developmental tumor derived from the dental lamina. KCOT may occur in any part of both maxillaries, most commonly in the angle and the ramus region of the mandible. It has an aggressive behavior and high recurrence rate. Radiographically, lesions may appear as round or ovoid in shape, often with a scalloped, multilocular appearance that may involve an impacted tooth. In this case report, a unilocular radiolucent large lesion with relatively well-circumscribed margins involving the left mandibular impacted third molar was detected incidentally on panoramic radiographic examination. Cone beam computed tomography (CBCT) was used for advanced imaging. The radiographic appearance of the lesion resembled a dentigerous cyst. Patient was consulted to Oral and Maxillofacial Surgery Department for possible treatment options. Initially an intraoral surgical operation with marsupialization was made under local anesthesia. After four months, the dimension of the lesion was reduced, previous marsupialization followed by surgical enucleation. The histopathological report revealed a parakeratinized epitel surrounding the lesion that means a KCOT.Key words: Keratocyst, dentigerous cyst, cone-beam computed tomography. ÖZKeratokistik odontojenik tümör (KKOT) odontojenik kaynaklı, dental laminadan gelişen ve tümör olarak sınıflandırılan kistik bir lezyondur. KKOT orofasiyal bölgede maxilla ve mandibulada, sıklıkla da mandibulanın ramus ve angulus bölgelerinde görülür. Agresif davranış gösteren ve nüksetme oranı yüksek benign bir neoplazmdır. Radyografik olarak lezyonlar yuvarlak veya oval şekilli, bazen de tarak şeklinde multiloküler görüntü sergiler ve gömülü bir diş ile ilişkili olabilir. Bu vaka raporunda, sol alt gömülü üçüncü molar diş ile ilişkili, iyi sınırlı ve geniş uniloküler radyolüsent bir lezyon rutin panoramik radyografik incelemede tesadüfen tespit edildi. İleri görüntüleme amacıyla bölgeden konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri alındı. Lezyonun radyografik özelliklerine göre dentigeröz kist ön tanısı kondu. Hasta olası tedavi seçenekleri için Ağız Diş ve Çene Cerrahisi Anabilim Dalı'na konsülte edildi. Tedavide ilk olarak lokal anestezi altında marsupializasyon işlemi gerçekleştirildi. İlk operasyondan 4 ay sonra lezyon boyutları küçüldüğünde, cerrahi olarak enükleasyon yapıldı. Histopatolojik incelemede lezyonun parakeratinize epitel ile çevrili olmasından dolayı kesin teşhis olarak KKOT olduğu rapor edildi.Anahtar kelimeler: Keratokist, dentigeröz kist, konik ışınlı bilgisayarlı tomografi. Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi Turkısh Journal of Clinics and Laboratory 28To cite this article: Okkesim A, Adışen MZ, Mısırlıoğlu M, Tekin U. Diagnosis and treatment of keratocystic odontogenic tumor mimicking a dentigerous cyst in panaromic radiography. Turk J Clin Lab 2017; 8(1): 28-31.

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Conservative management of a large keratocystic odontogenic tumour

Cited by 5 publications

References 7 publications

Tratamento conservador de queratocisto mandibular: relato de caso de 1 ano de acompanhamento

Tratamento conservador de queratocisto mandibular: relato de caso de 1 ano de acompanhamento

Surgical therapy of keratocystic odontogenic tumors

Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi

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