ODONTOGENIC KERATOCYST WITH A SINUS TRACT: A CASE REPORT

Odontogenic keratocysts are locally aggressive, benign, developmental odontogenic cysts. It occurs commonly in mandible and has high recurrence rate. It is the third most common odontogenic cyst. Various modalities of treatment are described in the literature which includes enucleation, marsupulization, (marsupialization) liquid nitrogen cryotherapy, chemical/ cryo-cauterization, resection etc. Though resection remains the gold standard of treatment in preventing recurrence, conservative methods are the first line of choice to prevent the morbidity associated with resection. However close follow up is necessary to identify any recurrence at an early stage. Here we present a case of odontogenic keratocyst of mandible in a 30 years old female patient.

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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

Vojnosanitetski pregled ◽

10.2298/vsp1212101m ◽

2012 ◽

Vol 69 (12) ◽

pp. 1101-1105 ◽

Cited By ~ 4

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.

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Rare presentation of a testicular angiofibroma treated with testis sparing surgery

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2016.4.330 ◽

2016 ◽

Vol 88 (4) ◽

pp. 330 ◽

Cited By ~ 1

Author(s):

Luca Leone ◽

Paola Fulvi ◽

Giulia Sbrollini ◽

Alessandra Filosa ◽

Enrico Caraceni ◽

...

Keyword(s):

Case Report ◽

Malignant Tumor ◽

Gold Standard ◽

Conservative Surgery ◽

Pathological Examination ◽

Benign Tumors ◽

Frozen Sections ◽

Rare Presentation ◽

Final Histology

Introduction: Testicular benign tumors are very rare (< 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear. Case report: A 47 years-old man with only one functioning testis was referred to our clinic for a palpable right testicular mass and atrophic contralateral testis. Patient underwent testis-sparing surgery with inguinal approach and intraoperative frozen sections examination with diagnosis of AF. Final histology confirmed AF. Post-operative follow-up was uneventful. Clinical and ultrasonographic follow-up was negative after 8 months. Conclusion: We report a conservative surgery in a patient with AF of the solitary testis. AF is a benign para-testicular fibrous neoplasm that could be misinterpreted as malignant tumor and treated with orchiectomy. Testis-sparing surgery is recommended in this case with intraoperative pathological examination. The excision of the mass is enough but in front of a possible recurrence a long follow-up is advisable.

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Multiple, Multiloculated, and Recurrent Keratocysts of the Mandible and Maxilla in Association with Gorlin-Goltz (Nevoid Basal-Cell Carcinoma) Syndrome: A Pediatric Case Report and Follow-up over 5 Years

Case Reports in Dentistry ◽

10.1155/2018/7594840 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8

Author(s):

P. Santander ◽

E. M. C. Schwaibold ◽

F. Bremmer ◽

S. Batschkus ◽

P. Kauffmann

Keyword(s):

Case Report ◽

Basal Cell Carcinoma ◽

Cell Carcinoma ◽

Basal Cell ◽

Radiographic Finding ◽

Permanent Teeth ◽

High Recurrence Rate ◽

Surgical Removal ◽

Dental Maturation

Background. We report a case of multiple keratocysts first diagnosed in an 8-year-old boy. Case report. The incidental radiographic finding of a cystic lesion in an 8-year-old boy led to the surgical enucleation and further diagnosis of a keratocyst associated with a tooth crown. In the course of dental maturation from deciduous to permanent teeth, the boy presented new lesions, always associated with the crowns of teeth. Gorlin-Goltz (nevoid basal-cell carcinoma) syndrome was suspected, and the genetic analysis detected a previously undescribed germline variant in the PTCH1 gene. Treatment. This included a surgical removal of the cystic lesions, as well as the affected teeth. Follow-up. Due to the high recurrence rate of the keratocysts, frequent radiological checks were performed over a 5-year period.

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Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1140 ◽

2016 ◽

Vol 6 (1) ◽

pp. 45-51

Author(s):

Deepa Das Achath ◽

Abhishek Sanjay Ghule ◽

Preeti Kanchan-Talreja ◽

Sunanda Bhatnagar

Keyword(s):

Case Report ◽

Rare Case ◽

Histological Analysis ◽

High Recurrence Rate ◽

Ossifying Fibroma ◽

Appropriate Treatment ◽

Juvenile Ossifying Fibroma ◽

Rare Case Report

ABSTRACT Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment, and, especially, follow-up the patient over the long term. How to cite this article Ghule AS, Achath DD, Kanchan- Talreja P, Bhatnagar S. Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report. J Contemp Dent 2016;6(1):45-51.

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Tratamento cirúrgico do ceratocisto odontogênico por meio de enucleação e osteotomia periférica: relato de caso

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i6.4776 ◽

2020 ◽

Vol 9 (6) ◽

pp. 531-534

Author(s):

Diogo Henrique Marques ◽

Maylson Alves Nogueira Barros ◽

Vitor Bruno Teslenco ◽

Cláudio Marcio Santana Junior ◽

Lucas Marques Meurer ◽

...

Keyword(s):

Case Report ◽

Meta Analysis ◽

Benign Lesion ◽

Dentigerous Cyst ◽

Case Series ◽

Odontogenic Keratocyst ◽

Imaging Features ◽

Retrospective Case ◽

Odontogenic Keratocysts

Introdução: Os ceratocistos odontogênicos (CCA) são considerados raros cistos de desenvolvimento, derivados dos remanescentes da lâmina dentária, com atividade intraóssea benigna, porém localmente invasivo e agressivo. O tratamento para o ceratocisto odongênico é variado, podendo-se encontrar modalidades tais como:enucleação, isolada ou associada a curetagem, com osteotomia periférica, aplicação da solução de Carnoy ou crioterapia, descompressão, marsupialização e ressecções. Objetivo: O presente trabalho tem como objetivo relatar um caso de ceratocisto odontogênico, onde foi escolhida abordagem conservadora por curetagem e osteotomia periférica. Relato de caso: Paciente de 68 anos, leucoderma, referiu ao exame clínico dor espontânea em região retromolar esquerda e parestesia em lábio inferior. A paciente foi submetida a biopsia por aspiração e excisional, após confirmação histopatológica foi proposto uma enucleação associada a osteotomia periférica sob anestesia geral. A paciente permanece em acompanhamento clínico e radiográfico, sem sinais de recidiva da lesão. Conclusão: Embora apresentem um comportamento agressivo, os ceratocistos odontogêncios podem ser tratados com segurança, de forma conservadora, por meio de enucleação seguida de osteotomia periférica com mínimo de morbidade. Descritores: Osteotomia; Curetagem; Cistos Odontogênicos. Referências Borghesi A, Nardi C, Giannitto C, Tironi A, Maroldi R, Di Bartolomeo F, Preda L. Odontogenic keratocyst: imaging features of a benign lesion with an aggressive behaviour. Insights Imaging. 2018 Oct;9(5):883-897. Park JH, Kwak EJ, You KS, Jung YS, Jung HD. Volume change pattern of decompression of mandibular odontogenic keratocyst. Maxillofac Plast Reconstr Surg. 2019 Jan 7;41(1):2. Karaca C, Dere KA, Er N, Aktas A, Tosun E, Koseoglu OT, Usubutun A. Recurrence rate of odontogenic keratocyst treated by enucleation and peripheral ostectomy: Retrospective case series with up to 12 years of follow-up. Med Oral Patol Oral Cir Bucal. 2018 Jul 1;23(4):e443-e448. Guerra LAP, Silva PS, Dos Santos RLO, Silva AMF, Albuquerque DP. Tratamento conservador de múltiplos tumores odontogênicos ceratocístico em paciente não sindrômico. Rev cir traumatol. buco-maxilo-fac. 2013; 13(2):43-50. Sundaragiri KS, Saxena S, Sankhla B, Bhargava A. Non syndromic synchronous multiple odontogenic keratocysts in a western Indian population: A series of four cases. J Clin Exp Dent. 2018;10(8):e831-6. Freitas AD, Veloso DA, Santos ALF, Freitas VA. Maxillary odontogenic keratocyst: a clinical case report. RGO Rev Gaúch Odontol. 2015; 63(4):484-88. Madhireddy MR, Prakash AJ, Mahanthi V, Chalapathi KV. Large Follicular Odontogenic Keratocyst affecting Maxillary Sinus mimicking Dentigerous Cyst in an 8-year-old Boy: A Case Report and Review. Int J Clin Pediatr Dent. 2018 Jul-Aug;11(4):349-351. Moura BS, Cavalcante MA, Hespanhol W. Tumor odontogênico ceratocistico. Rev Col Bras Cir., 2016;43(6):466-71. Valori FP, Costa E, Buscatti MY, Oliveira JX, Costa C. Tumor odontogênico queratocístico: características intrínsecas e elucidação da nova nomenclatura do queratocisto odontogênico. J Health Sci Inst. 2010;28(1):80-3. Slusarenko da Silva Y, Stoelinga PJW, Naclério-Homem MDG. The presentation of odontogenic keratocysts in the jaws with an emphasis on the tooth-bearing area: a systematic review and meta-analysis. Oral Maxillofac Surg. 2019;23(2):133-47.

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Case Report: Dilemma To Save Or Not To Save A Tooth

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v16i2.1054 ◽

2017 ◽

Vol 16 (2) ◽

Author(s):

Yee Woo Yap ◽

Azillah Mohd Ali

Keyword(s):

Case Report ◽

Root Formation ◽

Dentigerous Cyst ◽

Permanent Teeth ◽

Treatment Modalities ◽

Successful Outcome ◽

Odontogenic Cysts ◽

Standard Assessment ◽

Good Healing

Introduction: Dentigerous cyst is the most common odontogenic cysts that are associated with the crowns of permanent teeth. Treatment modalities normally include enucleation or marsupialization of the cyst. However, currently there are no standard assessment criteria to dictate which kind of treatment for certain cases. The purpose of this report is to describe the successful outcome of conservative surgical management of a large dentigerous cyst associated with an unerupted right maxillary permanent canine in an 8-year-old boy. The cyst was enucleated partially but leaving the cystic lining surrounding the unerupted canine in order to preserve the tooth. 3-year follow up revealed good healing with significant root formation and tooth eruption.

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Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature

Case Reports in Otolaryngology ◽

10.1155/2015/739019 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

A. Giotakis ◽

F. Kral ◽

H. Riechelmann ◽

M. Freund

Keyword(s):

Case Report ◽

Cavernous Sinus ◽

Gold Standard ◽

State Of The Art ◽

Low Flow ◽

Digital Subtraction ◽

Review Of The Literature ◽

Therapeutic Procedures ◽

Carotid Cavernous Sinus Fistula

We report a case of a 90-year-old patient with intractable posterior epistaxis presenting as the only symptom of a nontraumatic low-flow carotid-cavernous sinus fistula. Purpose of this case report is to introduce low-flow carotid-cavernous sinus fistula in the differential diagnosis of intractable posterior epistaxis. We provide a literature review for the sequence of actions for the confrontation of posterior epistaxis. We also emphasize the significance of the radiological diagnostic and therapeutic procedures in the management of posterior epistaxis due to pathology of the cavernous sinus. The gold-standard diagnostic procedure of carotid-cavernous sinus fistula is digital subtraction angiography (DSA). DSA with coils is also the state-of-the-art therapy. By failure of DSA, neurosurgery or stereotactic radiosurgery (SRS) may be used as alternatives. SRS may also be used as enhancement procedure of the DSA. Considering the prognosis of a successfully closed carotid-cavernous sinus fistula, recanalization occurs only in a minority of patients. Close follow-up is advised.

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Juvenile granulosa cell tumour in the third trimester of pregnancy

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200395 ◽

2020 ◽

Vol 9 (2) ◽

pp. 861

Author(s):

Jonathan Gaughran ◽

Argha Datta ◽

Judith Hamilton ◽

Tom Holland ◽

Ahmad Sayasneh

Keyword(s):

Case Report ◽

Granulosa Cell ◽

Cell Tumour ◽

Granulosa Cell Tumour ◽

Third Trimester ◽

Rare Finding ◽

Histopathological Findings ◽

The Third ◽

In Pregnancy

This case report describes the rare finding of a granulosa cell tumour in the third trimester of pregnancy. The presentation, investigation, management, histopathological findings and subsequent follow up are detailed. The difficulties associated with such diagnoses in pregnancy are explored.

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