scholarly journals Unusual treatment for calcifying odontogenic cyst using decompression tube to prevent pathological fracture

2021 ◽  
Vol 10 (1) ◽  
pp. e40410111819
Author(s):  
Natália Barbosa de Siqueira ◽  
João Roberto Trindade Costa Filho ◽  
João Victor Soares Rodrigues ◽  
Eduardo Hochuli-Vieira ◽  
Roberta Okamoto ◽  
...  

The calcifying odontogenic cyst (COC) is an uncommon lesion, with variable clinical and histopathological behavior. The cystic form is the most frequent and the most common histological characteristic is the presence of a variable number of phantom cells in the epithelial component. The standard treatment for this injury is enucleation followed by curettage or excision. However, when other factors are associated, this single-step approach can lead to complications such as pathological fractures. A common treatment for keratocysts and dentigerous cysts, but uncommon for COC has been showing high effectiveness. Thus, a two-stage approach using a tubular object to perform initial decompression of the lesion and later excision of the lesion can be performed in order to prevent complications. Here we report a two-stage treatment, through initial surgical decompression, of a COC associated with a lower second molar in the mandibular basilar region, using a tubular device, in which a pathological fracture was prevented. The results of this case corroborate the use of decompression applied to the treatment of COC.

2019 ◽  
Vol 25 (4) ◽  
pp. 36
Author(s):  
Xavier Lagarde ◽  
Julie Sturque ◽  
Mathilde Fenelon ◽  
Jean Marie Marteau ◽  
Jean Christophe Fricain ◽  
...  

Introduction: Cystic maxillary lesions are common. In 1962, Gorlin described a rare cystic form termed the calcifying odontogenic cyst (COC) or Gorlin's cyst. Two cases of this form were treated at Bordeaux University Hospital. Observation: The first case was a 17-year-old patient with mandibular odontoma, which had developed over the previous 6 months. Excision was performed under local anesthesia, and the diagnosis of COC was made following pathological analysis. A 6-month follow-up was planned. The second case was a 62-year-old patient with a post-extraction mandibular lesion, which had been evolving for 1 year. Enucleation under local anesthesia led to the diagnosis of COC. No recurrence was observed after 5 years of follow-up. Discussion: COCs are rare lesions affecting mainly the anterior aspect of the mandible. COCs are usually discovered in unforeseen circumstances, and they can be observed as a clinically painless and well-defined oral deformation. Radiological examination often reveals radiolucent and uniloculated lesions, sometimes associated with radiopaque lesions. Pathological analyses are required for final diagnosis. Management is based on complete excision, more or less associated with marsupialization, and requires an annual clinical radiographic monitoring over the next 5 years. Conclusion: COC are rare lesions, usually asymptomatic, whose treatment is based on complete excision. Clinical and radiological follow-up is necessary until complete reossification is achieved.


2018 ◽  
Vol 4 (2) ◽  
pp. 40-42
Author(s):  
Deepak Yadav ◽  
Shashank Tripathi ◽  
Ravish Mishra ◽  
Anuja Panthee ◽  
Santosh Kandel ◽  
...  

The calcifying odontogenic cyst (cocc) is a developmental odontogenic cyst,which was first categorized as a distinct entity by Gorlin in 1962.It is an unusual and unique lesion,which may show characteristics of both a solid neoplasm and a cyst. It usually occurs as an intraosseouslesion but may occasionally occur as an extraosseous or peripheral variant.It shows a newly equal distribution between the maxilla and mandible and is commonly seen anterior to the first molar.The clinical and radiographic features of this lesion are not pathognomic,and it is characterized by its histological diversity,with the most characteristic feature being the presence of a variable number of ghost cells within the epithelial component.Treatment of choice for COC is surgical enucleation which is done in a conservative mannerand recurrences are unlikely. This report describes a case of COC of a 26yrs old female in association with swelling on left side of maxilla since 2 years. Journal of Universal College of Medical Sciences (2016)Vol.04 No.02 Issue 14, page:40-42


Author(s):  
Jung Hoon Yoon ◽  
Hyung Jun Kim ◽  
Jong In Yook ◽  
In Ho Cha ◽  
Gary L Ellis ◽  
...  

2017 ◽  
Vol 3 (4) ◽  
pp. 116-121 ◽  
Author(s):  
Samuel Souza Moraes ◽  
Lucas Moura Sousa ◽  
Isadora Mello Vilarinho Soares ◽  
Lara Eunice Cândido Soares ◽  
Simone Souza Lobão Veras Barros ◽  
...  

2002 ◽  
Vol 29 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Giovanna Orsini ◽  
Massimiliano Fioroni ◽  
Carrado Rubini ◽  
Adriano Piattelli

2020 ◽  
Vol 10 (09) ◽  
pp. 250-257
Author(s):  
Dardo Menditti ◽  
Salvatore D’Amato ◽  
Luigi Laino ◽  
Antonio Mezzogiorno ◽  
Vittorio Salvatore Menditti ◽  
...  

2018 ◽  
Vol 8 (1) ◽  
pp. 108 ◽  
Author(s):  
Urvi Shah ◽  
Hiren Patel ◽  
Haren Pandya ◽  
Hitesh Dewan ◽  
Bijal Bhavsar ◽  
...  

Author(s):  
Glória França ◽  
◽  
Dáurea Sena ◽  
Juliana Pinheiro ◽  
Rodrigo Rodrigues ◽  
...  

A calcifying odontogenic cyst may be associated with odontogenic tumors, particularly odontomas. However, the association between calcifying odontogenic cysts and odontogenic cysts is rare. This study aims to report the first case of a calcifying odontogenic cyst associated with an antral pseudocyst. A male patient presented a tumor lesion in his right maxillary alveolar ridge with 6 months of evolution and painful symptoms . An excisional biopsy was performed, and a histopathological diagnosis of calcifying odontogenic cyst associated with an antral pseudocyst was issued. The treatment of choice was lesion enucleation and curettage. The patient has been under follow-up for about 3 years without lesion recurrence, which is typical indolent calcifying odontogenic cyst behavior.


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