Conservative Treatment Protocol of Odontogenic Keratocyst: A Preliminary Study

2006 ◽  
Vol 64 (3) ◽  
pp. 379-383 ◽  
Author(s):  
Paul Edward Maurette ◽  
Jacks Jorge ◽  
Márcio de Moraes
Keyword(s):  
Conservative Treatment ◽  
Treatment Protocol ◽  
Odontogenic Keratocyst ◽  
Preliminary Study

Prospective Evaluation of a Treatment Protocol Based on Fracture Displacement for Pediatric Lateral Condyle Humerus Fractures: A Preliminary Study

2019 ◽  
Vol 40 (7) ◽  
pp. e541-e546
Author(s):  
Alexander Nazareth ◽  
Curtis D. VandenBerg ◽  
Natalya Sarkisova ◽  
Rachel Y. Goldstein ◽  
Lindsay M. Andras ◽  
...  
Keyword(s):  
Treatment Protocol ◽  
Lateral Condyle ◽  
Prospective Evaluation ◽  
Fracture Displacement ◽  
Humerus Fractures ◽  
Preliminary Study

scholarly journals Peripheral ostectomy with the use of Carnoy’s solution as a rational surgical approach to odontogenic keratocyst: A case report with a 5-year follow-up

2012 ◽  
Vol 69 (12) ◽  
pp. 1101-1105 ◽  
Author(s):  
Stevo Matijevic ◽  
Zoran Damjanovic ◽  
Zoran Lazic ◽  
Milka Gardasevic ◽  
Dobrila Radenovic-Djuric
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Third Molar ◽  
Treatment Protocol ◽  
Odontogenic Keratocyst ◽  
Radiographic Evidence ◽  
The Third ◽  
Cortical Perforation ◽  
Molar Region

Introduction. Odontogenic keratocyst (OKC) is a rare developmental, epithelial and benign cyst of the jaws of odontogenic origin with high recurrence rates. The third molar region, especially the angle of the mandible and the ascending ramus are involved far more frequently than the maxilla. The choice of treatment approach was based on the size of the cyst, recurrence status, and radiographic evidence of cortical perforation. Different surgical treatment options like marsupialization, decompression, enucleation, enucleation with Carnoy?s solution, peripheral ostectomy with or without Carnoy?s solution, and jaw resection have been discussed in the literature with variable rates of recurrence. Case report. We presented a 52-yearold male with orthokeratinized odontogenic keratocyst. Elliptical unilocular radiolucency located in the third molar region and the ascending ramus of the mandible, 40 ? 25 mm in diameter with radiographic evidence of cortical perforation at the anterior ramus border of the mandible 20 mm in diameter, was registrated on orthopantomographic radiography. Surgical treatment included enucleation of the cyst and peripheral ostectomy with the use of Carnoy?s solution and excision of the overlying attached mucosa. Postoperatively, no paresthesia in the inervation area of the inferior alveolaris nerve was registrated. Recurrences were not registrated within 5 years post-intervention. Coclusion. Treatment of odontogenic keratocyst with enucleation and peripheral ostectomy with the use of Carnoy?s solution and excision of the overlying attached mucosa had a very low rate of recurrence. Radical and more aggressive surgical treatments as jaw resection should be reserved for multiple recurrent cysts and when OKC is associated with nevoid basal cell carcinoma syndrome (NBCCS). Following the treatment protocol in the management of OKC and systematic and long-term postsurgical follow-up are considered key elements for successful results.

scholarly journals Significance of Addressal of Clinical Investigations of Kidney Functions in Recovery/Mortality of Certain COVID-19 Patients

2021 ◽  
Vol 14 (4) ◽  
pp. 1985-1991
Author(s):  
Bennet Angel
Keyword(s):  
Treatment Protocol ◽  
Chloride Ions ◽  
Present Observation ◽  
Potassium Ions ◽  
Clinical Investigations ◽  
Preliminary Study ◽  
Degree Of Association ◽  
Kidney Functions ◽  
Sodium And Potassium ◽  
Robust Protocol

Clinical management of COVID-19 patients through a robust protocol is key to the good recovery and reduced mortality of patients. Efficient kidney functions during treatment period can contribute for improvised recovery and reduced mortality of patients. Analysis of the kidney function among Recovered and Dead cases of COVID-19 was made to reveal the degree of association of kidney functions with the two categories of patients. 83.4% of recovered patients did not show hyper values of blood urea whereas 72.5% of dead patients showed hyper-urea level in blood. 88.8% of survivors showed non-hyper creatinine level of blood whereas only 40% of dead cases showed hyper creatine level. Strong degree of association of blood urea with recovery/mortality was observed. Sodium levels were seen to be low while potassium and chloride ions were seen to be high in COVID-19 individuals. Our preliminary study suggests that kidney functions especially the value of blood urea and creatinine need to be addressed during COVID-19 patients to ensure the best recovery and reduced mortality. After more number of case studies, the present observation could sensitize consideration for inclusion of addressal and treatment of kidney functions into treatment protocol against COVID-19. It was also interesting to observe that levels of sodium and potassium ions among Survivors and Dead cases have impacted function of the essential ion channels in patient’s physiology.

scholarly journals Odontogenic Keratocyst: Eight-Year Follow-Up After Conservative Treatment

2021 ◽  
Vol 15 (2) ◽  
pp. 520-525
Author(s):  
Daiana Cristina Pereira Santana ◽  
Juliana Jorge Garcia ◽  
Liliane Elze Falcão Lins Kusterer ◽  
Sandra de Cássia Santana Sardinha ◽  
Weber Ceo Cavalcante
Keyword(s):  
Conservative Treatment ◽  
Odontogenic Keratocyst

scholarly journals Surgical Treatment of Odontogenic Keratocyst with Application of Carnoy's Solution: Case Report

2019 ◽  
Vol 21 (2) ◽  
pp. 108
Author(s):  
Adriano Lima Garcia ◽  
Marden José Pereira Ramos Júnior ◽  
Eduvaldo Campos Soares Júnior ◽  
Bruno Reinoso Noronha ◽  
Thiago Iafelice dos Santos ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Protocol ◽  
Odontogenic Keratocyst ◽  
Histopathological Diagnosis ◽  
Squamous Cells ◽  
Carnoy’S Solution ◽  
Neoplastic Lesions ◽  
Mandibular Body ◽  
Teeth Development

AbstractOdontogenic cysts are benign non-neoplastic lesions that originate from epithelial cells Arachnida-Araneae) community in the process of the teeth development. Among them, the odontogenic keratocyst is a developmental cyst characterized by its epithelium of parakeratinized stratified and aggressive squamous cells as well as infiltrative behavior. Thus, the objective of this study was to describe a clinical case of surgical treatment of odontogenic keratocysts in a 52-year-old female patient, who presented for the treatment of a large lesion in a region of the left mandibular body and angle. After incisional biopsy and installation of a decompression device, the histopathological diagnosis of odontogenic keratocyst was obtained. Subsequently to a period of 9 months with the decompression device in place, a decrease of the lesion was noticed, thus allowing intervention to be performed the excision of the lesion. Thus, the patient was subjected, under general anesthesia, to enucleation of the lesion as the main treatment, with complementary maneuvers of peripheral ostectomy and application of Carnoy solution over the remaining bone bed. After an outpatient follow-up of 16 months, no signs of recurrence of the lesion were observed. The proposed treatment was efficient in removing the keratocyst with minimal surgical morbidities. In conclusion, the treatment protocol was effective and conservative in the surgical management of the lesion, allowing rapid recovery and return of the  function.       Keywords: Bone Cysts. Decompression. Dental Care. ResumoCistos odontogênicos são lesões benignas não-neoplásicas que tem por origem células remanescentes epiteliais do processo de formação do órgão dental. Dentre elas, o queratocisto odontogênico é um cisto de desenvolvimento caracterizado por seu epitélio de células escamosas estratificadas paraqueratinizadas, pelo comportamento agressivo e infiltrativo. Sendo assim, o objetivo desse estudo foi descrever um caso clínico de tratamento cirúrgico do queratocisto odontogênico em uma paciente do gênero feminino de 52 anos de idade, que compareceu para o tratamento de uma lesão de grande porte em região de corpo e ângulo mandibulares à esquerda. Após biópsia incisional e instalação de um dispositivo descompressivo, obteve-se o diagnóstico histopatológico de queratocisto odontogênico. Posteriormente a um período de 9 meses com o dispositivo de descompressão em posição, notou-se uma diminuição da lesão, permitindo assim a execução de intervenção para exérese da lesão. Assim, a paciente foi submetida, sob anestesia geral, à enucleação da lesão como tratamento principal, com manobras complementares de ostectomia periférica e aplicação de solução de Carnoy sobre o leito ósseo remanescente. Após um acompanhamento ambulatorial de 16 meses, não foi observado nenhum sinal de recorrência da lesão. O tratamento proposto foi eficiente em remover o queratocisto com as mínimas morbidades cirúrgicas. Concluindo, o protocolo de tratamento foi efetivo e conservador no manejo cirúrgico da lesão, permitindo rápida recuperação e retorno da função. Palavras-chave: Cistos Ósseos. Descompressão. Assistência Odontológica.

The Jumper’s Knee – a New Look at Non-surgical Treatment. Pilot Study

2020 ◽  
Vol 22 (5) ◽  
pp. 353-362
Author(s):  
Bartłomiej Kacprzak ◽  
Natalia Siuba ◽  
Marek A. Synder ◽  
Marek Synde
Keyword(s):  
Conservative Treatment ◽  
Treatment Protocol ◽  
Return To Sport ◽  
Patellar Ligament ◽  
Jumper’S Knee ◽  
Treatment Techniques ◽  
Pain At Rest ◽  
No Gold Standard ◽  
Methods Of Treatment ◽  
Joint Evaluation

Background. There are many opinions and views regarding the methods of treatment of patellar ligament enthesopathy. No gold standard of treatment exists. This paper presents our approach involving conservative treatment and an appropriate rehabilitation regime. Our aim was to assess the effectiveness of a combination of various conservative treatment techniques and the time needed to return to sport. Material and methods. The study enrolled 14 patients treated in 2019 and 2020. Knee joint evaluation was based on clinical and radiological examination (sonography and MR). All patients were treated conservatively according to a specially prepared treatment protocol. Patients were evaluated at two-week intervals until the symptoms subsided completely. The KOOS, Kujala and SF36 questionnaires were used to evaluate the results. Results. All of the patients returned to painless physical activity within 3-4 weeks from the start of treatment. In the group of professional athletes, 100% returned to sport. The return to sport took slightly longer for pa­tients with bilateral (5-6 weeks) in comparison to unilateral jumper’s knee (3-4 weeks). The longest period of return to sport, in a patient who had severe pain at rest before starting treatment, was 7 weeks. Statistically significant improvement was noted in all of the questionnaires used and in all subdomains at 6 months after the beginning of the treatment. Conclusions. 1. The conservative approach proposed by us generated promising results in the treatment of the jumper’s knee. 2. A 100% rate of return to sport was recorded among our patients.

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