scholarly journals Treatment of Odontogenic Keratocyst: A Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 13
Author(s):  
Mahmut Koparal ◽  
Ozkan Adiguzel
Keyword(s):  
Case Report ◽  
Histopathological Examination ◽  
Recurrence Risk ◽  
Odontogenic Keratocyst ◽  
Jaw Cysts ◽  
Dental Lamina ◽  
Second Molar ◽  
Area Of Interest ◽  
Odontogenic Keratocysts ◽  
Recurrence Risk Ratio

Aim: Odontogenic keratocysts are aggressive lesions characterised   by a high recurrence risk ratio due to dental lamina residues in mandibular and maxillary regions. Odontogenic keratocysts appear distinct from other jaw cysts. Methodology: In this report, a 35-year-old male patient was admitted to our clinic with numbness in the left mandible; the patient had also been admitted approximately 1 year previously complaining of paraesthesia, which subsequently progressed to complete numbness. During intraoral examination luxation was detected in the mandibular left second molar tooth. No carries or periodontal abnormalities were observed. In panoramic images a radiolucent lesion was detected, with regular boundaries, in the area of interest. Results: The mass was enucleated under local anaesthesia and second molar teeth were extracted. During histopathological examination the mass was determined as a keratocyst. Conclusions: In the present case, surgical treatment was performed.  How to cite this article: Koparal M, Adiguzel O.  Treatment of Odontogenic Keratocyst: A Case Report. Int Dent Res 2016;6:13-15. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Treatment of Odontogenic Keratocyst: A Case Report

2017 ◽  
Vol 7 (1) ◽  
pp. 17
Author(s):  
Mahmut Koparal ◽  
Ozkan Adiguzel
Keyword(s):  
Case Report ◽  
Histopathological Examination ◽  
Recurrence Risk ◽  
Odontogenic Keratocyst ◽  
Jaw Cysts ◽  
Dental Lamina ◽  
Second Molar ◽  
Area Of Interest ◽  
Odontogenic Keratocysts ◽  
Recurrence Risk Ratio

Aim: Odontogenic keratocysts are aggressive lesions characterised by a high recurrence risk ratio due to dental lamina residues in mandibular and maxillary regions. Odontogenic keratocysts appear distinct from other jaw cysts. Methodology: In this report, a 35-year-old male patient was admitted to our clinic with numbness in the left mandible; the patient had also been admitted approximately 1 year previously complaining of paraesthesia, which subsequently progressed to complete numbness. During intraoral examination luxation was detected in the mandibular left second molar tooth. No carries or periodontal abnormalities were observed. In panoramic images a radiolucent lesion was detected, with regular boundaries, in the area of interest. Results: The mass was enucleated under local anaesthesia and second molar teeth were extracted. During histopathological examination the mass was determined as a keratocyst. Conclusions: In the present case, surgical treatment was performed.  How to cite this article: Koparal M, Adiguzel O. Treatment of Odontogenic Keratocyst: A Case Report. Int Dent Res 2017;7:17-9. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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

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.

Odontogenic Keratocyst in a 9-Month-Old Patient: A Case Report

2021 ◽  
Vol 45 (3) ◽  
pp. 199-203
Author(s):  
Flávia Sirotheau Correa Pontes ◽  
Lucas Lacerda de Souza ◽  
Luiza Teixeira Bittencourt de Oliveira ◽  
Waqas Khan ◽  
Michelle Carvalho de Abreu ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinicopathological Characteristics ◽  
Odontogenic Cyst ◽  
Odontogenic Keratocyst ◽  
Basal Cells ◽  
Dental Lamina

Odontogenic Keratocyst (OKC) is a benign, intraosseous, odontogenic cyst which originates from the basal cells of overlying epithelium or from the dental lamina remnants. Clinically, they are presented as asymptomatic swellings, although can sometimes be associated with pain. Growth of an OKC leads to expansion and destruction of bone as it infiltrates the tissue around it. It is commonly seen in males between the second and fourth decades of life. The aim of this study is to report on the clinicopathological characteristics of an odontogenic keratocyst in a 9-month-old female patient and posterior rehabilitation with a removable maxillary expander.

The orthodontic-surgical management of a patient with gorlin syndrome: a case report

Dental Update ◽  
2019 ◽  
Vol 46 (11) ◽  
pp. 1056-1061
Author(s):  
Madeleine Storey ◽  
Susi Caldwell ◽  
Simon Watkinson ◽  
Manu Patel
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Young Patients ◽  
Permanent Teeth ◽  
Gorlin Syndrome ◽  
Close Collaboration ◽  
Management Options ◽  
Jaw Cysts ◽  
Odontogenic Keratocysts ◽  
General Dental Practitioner

This case report describes the management of a patient following the incidental finding of multiple odontogenic keratocysts on an orthopantomogram by the patient's general dental practitioner (GDP). The cysts were extensive and had caused considerable displacement of the unerupted permanent teeth. Following marsupialisation, the teeth were aligned orthodontically. This article describes the features of odontogenic keratocysts, the associated Gorlin syndrome, and the management options available. The importance of close collaboration between the Oral and Maxillofacial Surgical and Orthodontic teams is highlighted. CPD/Clinical Relevance: Odontogenic keratocysts are benign but locally aggressive jaw cysts. They occur most commonly as solitary lesions in the jaws of healthy individuals, but may also be a feature of Gorlin syndrome. In young patients there is potential for severely displaced teeth to improve their position spontaneously and erupt.

scholarly journals Multiple Odontogenic Keratocysts in a Non-syndromic Young Patient: An Unusual Case Report

2021 ◽  
Vol 9 (01) ◽  
pp. 87-90
Author(s):  
Ravish Mishra ◽  
Laxmi Kandel ◽  
Deepak Yadav ◽  
Shashank Tripathi ◽  
Bijay Karki ◽  
...  
Keyword(s):  
High Recurrence Rate ◽  
Jaw Cysts ◽  
Dental Lamina ◽  
Odontogenic Keratocysts ◽  
Goltz Syndrome ◽  
Long Term Follow Up ◽  
Intraosseous Lesion ◽  
Unusual Case Report

Odontogenic keratocyst (OKC) is a benign intraosseous lesion with invasive and aggressive behavior. It comprises approximately 2-21.8% of all jaw cysts. Odontogenic keratocysts (OKCs) are believed to arise from remnants of the dental lamina most common site in the molar ramus area. OKCs have a specific histopathologic appearance and are found to be locally aggressive and have a high recurrence rate, thus requires close long-term follow-up. OKCs are one component of the Gorlin-Goltz syndrome and all patients with multiple OKCs should be evaluated for this syndrome. In this paper, we present a case of a 13-year old non-syndromic female patient with multiple OKCs located at symphysis and bilateral mandibular angle region who was treated surgically with no obvious post-operative complications during follow-up period.

scholarly journals 1537 Squamous Cell Carcinoma Arising in A Maxillary Odontogenic Keratocyst in Gorlin Goltz Syndrome - A Rare Case Report

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Sarai ◽  
S Raj ◽  
S Parmar ◽  
T Martin ◽  
M Idle ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Free Flap ◽  
Rare Case ◽  
Postoperative Radiotherapy ◽  
Odontogenic Keratocyst ◽  
Jaw Cysts ◽  
Odontogenic Keratocysts ◽  
Goltz Syndrome

Abstract Introduction Gorlin Goltz syndrome (GGS) is a rare, hereditary, AD condition with multiple BCCs, odontogenic keratocysts (Jaw cysts), calcification of falx cerebri, skeletal anomalies & a predisposition to neoplasms like medulloblastomas, fibromas and rhabdomyosarcomas. Aim We present a rare case of a Squamous cell carcinoma (SCC) developing in a Maxillary odontogenic keratocyst in a 32-year male with GGS. Discussion This patient was referred to the OMFS unit with a non-healing UL3 extraction socket and exophytic growth. Initial biopsies suggested an atypical squamo-proliferative lesion, however a repeat biopsy demonstrated an invasive SCC arising from a background odontogenic keratocyst of the maxilla. He was initially reluctant to undergo a staging CT scan to avoid risks of developing further BCCs due to IR exposure. This was eventually performed as per H&N MDT recommendation & showed a T4aN0M0 SCC of the left maxilla and bilateral multiple mandibular odontogenic keratocysts. He underwent a left maxillectomy, left neck dissection & reconstruction with a DCIA free flap, but did not want his mandibular keratocysts treated at the same time. Complete tumour clearance was achieved with no involved neck nodes & he remains disease-free at 4 months postoperatively. Although for a T4 tumour he would have needed postoperative radiotherapy, in view of the GGS, no adjuvant treatment was indicated. Conclusions SCC developing in a maxillary OKC is exceedingly rare with only two previous cases reported in GG syndrome. This is the first reported case of a GGS patient with oral SCC undergoing a complex free flap reconstruction.

scholarly journals Maxillary odontogenic keratocyst: a clinical case report

2015 ◽  
Vol 63 (4) ◽  
pp. 484-488
Author(s):  
Daniel Antunes FREITAS ◽  
Daniela Araújo VELOSO ◽  
Alisson Luís D'Afonseca SANTOS ◽  
Vinícius Antunes FREITAS
Keyword(s):  
Clinical Case ◽  
Basal Layer ◽  
Bone Destruction ◽  
Growth Potential ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Oral Epithelium ◽  
Dental Lamina ◽  
Odontogenic Keratocysts ◽  
Anatomical Point

Odontogenic keratocysts are benign lesions of the maxillomandibular region with high growth potential resulting in huge bone destruction. The presence of multiple Odontogenic keratocysts can be associated with the Gorlin-Goltz syndrome. There are two accepted theories of their origin: remnants of dental lamina and proliferation of cells from the basal layer of oral epithelium into the mandible or maxilla. Odontogenic keratocysts are usually asymptomatic and are diagnosed incidentally on routine periapical or panoramic radiographs. The type of treatment is related to their high recurrence rate. The objective of the present study is to report a clinical case of a surgical treatment of a parakeratinized odontogenic keratocyst by enucleation in a fourteen-year old girl. This technique was used since the complete removal of the cyst posed no risks of complications from a dental and/or anatomical point of view. Furthermore, it facilitated the comprehensive anatomohistopathological analysis of the lesion including its clinical, histopathological, and radiological aspects.

scholarly journals Odontogenic Keratocyst in Anterior Mandible: A Case Report

2021 ◽  
Vol 5 (4) ◽  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Age Groups ◽  
Odontogenic Cyst ◽  
Odontogenic Keratocyst ◽  
Dental Lamina ◽  
The Third ◽  
Rare Location ◽  
Anterior Mandible ◽  
Posterior Area

Odontogenic Keratocyst (OKC) is a non-inflammatory developmental odontogenic cyst arises from cell rest of the dental lamina and most commonly occurs in the posterior of the mandible. OKC may be detected in patients of various age groups, from infants to seniors, and usually occurs in the third and fourth decades of the patient’s life. Female to male prevalence is 2:1 respectively. Mandible makes up 60% to 80% of cases and shows a specific tendency to involve the ramus and posterior area. Detection of OKC through clinical exams and radiography is to be suspected, and thus, confirmation via histopathology is needed. This study describes the occurrence of this lesion in a rare location in a 36 years old female patient.

scholarly journals Odontogenic Keratocyst finding with Cone Beam Computed Tomography (CBCT): a case report

2021 ◽  
Vol 5 (2) ◽  
pp. 60
Author(s):  
Phimatra Jaya Putra ◽  
Hutomo Mandala Hartoyo ◽  
Mellisa Sim
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Treatment Plan ◽  
Panoramic Radiograph ◽  
Odontogenic Keratocyst ◽  
Cone Beam ◽  
Impacted Tooth

Objectives: The purpose of this case report is to analyze the incidental finding of an odontogenic keratocyst on cone beam computed tomography (CBCT) examination for the case of an impacted tooth 48. Case Report: A 48-year-old man came with a consul letter to perform a CBCT examination with complaints of loose teeth on the right posterior mandible starting from the premolars. Coincidentally found on a sagittal view showed a wide radiolucency lesion on the internal part of the jaw and not related to the impacted tooth. The treatment plan is to remove the lesion and perform a biopsy and perform postoperative panoramic radiograph. Conclusion: The characteristics of the odontogenic keratocyst lesion can be visualized clearly on CBCT. The use of CBCT in analyzing the type and size of the lesion is very helpful in planning surgical treatment. Odontogenic keratocysts can be well-diagnosed using a combination of CBCT examination with histopathological examination to determine the most effective management and prevent a recurrence.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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