Abstract
KCOT
(Keratocystic Odontogenic Tumor) accounts for 7.8% of all jaw cysts and is more
common in the mandible. Usually progresses without finding. However, pain and
swelling secondary to infection may occur. Maxillary KCOT presents with 30%
oral mucosal expansion. In this study, we present a rare case of keratocystic
odontogenic tumor and its treatment approach that covered the maxillary sinus
and eroded the anterior wall of the maxillary sinus. A 37-year-old male patient
had a history of 3x3 cm in the right malar region for approximately 6 months. swelling
and intraoral expansion. The removed cyst was sent for histopathological
examination with its wall and the result was determined as odontogenic
keratocyst.
As
a result, keratocystic odontogenic tumors may occur in the maxillary sinus with
or without a tooth. The most important information in the management of the
patient is the correct information and follow-up on the choice of appropriate
treatment method and the high recurrence rate.
References
- 1. Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med. 2006; 35(8):500-7.
- 2. Al-Bodbaij MH, Al-Ateyah A, Chopra R, Al-Marzooq N, Al-Qassab G. Keratocystic odontogenic tumor in the maxillary sinus: A case report. Oral Health Care, 2016;1:1-3.
- 3. Jafaripozve S, Allameh M, Khorasgani MA, Jafaripozve N. Keratocyst odonogenic tumor in the anterior of the maxilla: A case report and literature review. J Oral Maxillofac Radiol 2013;1:90-2.
- 4. Mendes RA, Carvalho JF, van der Waal I. Biological pathways involved in the aggressive behavior of the keratocystic odontogenic tumor and possible implications for molecular oriented treatment - an overview. Oral Oncol 2010;46:19-24.
- 5. William TP, Connor F. Surgical management of the odontogenic keratocysts, Agresive approach., j. Oralmaksillofac. Surg. 1994;52: 964-966.
- 6. Bataineh AB, Rawashdeh MA, Al Qudah MA.The prevalence of inflammatory and developmental odontogenic cysts in a Jordanian population: a clinicopathologic study. Quintessence Int. 2004; 35(10):815-9.
- 7. Özkırış, M, Gencer ZK, Saydam L. Maxillary sinus odontogenic keratocyst presenting with orbital pain and inferior rectus dysfunction. Kulak Burun Bogaz Ihtis Derg 2017;27(5):237-240.
- 8. Naveen F, Tippu SR, Girish K, Kalra M, Desai V. Maxillary keratocystic odontogenic tumor with calcifications: A review and case report. J Oral Maxillofac Pathol 2011;15:295-8.
- 9. Maurette PE, Jorge J, de Moraes M. Conservative treatment protocol of odontogenic keratocyst: A preliminary study. J Oral Maxillofac Surg 2006;64:379-83.
- 10. Yildirim G, Ataoglu H, Kalayci A, Özkan BT, Kucuk K, Esen A. Conservative Treatment Protocol for Keratocystic Odontogenic Tumour: a Follow-up Study of 3 Cases. J Oral Maxillofac Res 2010;1(3):e7.
Abstract
KCOT (Keratokistik Odontojenik tümör) tüm
çene kistlerinin %7,8 ‘ini oluşturmaktadır ve mandibulada daha sık
gözlenmektedir. Genellikle bulgu vermeden ilerler. Ancak enfeksiyona sekonder
ağrı ve şişlik ortaya çıkabilir. Maksilla yerleşimli KCOT, % 30 oranında oral
mukoza ekspansiyonu ile karşımıza çıkar. Çalışmada, nadir bir olgu olarak, sağ
yanakta şişlik dışında şikayeti olmayan, tüm maksiller sinüsü kaplamış ve
maksillar sinüs anterior duvarının erode etmiş, keratokistik odontojenik tümör
ve tedavi yaklaşımımız sunulmaktadır. 37 yaşında erkek hasta yaklaşık 6 aydır sağ
malar bölgede 3x3 cm. lik şişlik ve intraoral ekspansiyon nedeniyle opera
edildi. Çıkartılan kist duvarı ile histopatolojik imcelemeye gönderildi ve
sonuç odontojenik keratokist olarak tespit edildi.
Sonuç olarak, Keratokistik odontojenik
tümöler, maksiller sinüs içerisinde, bir diş ile birlikte veya diş olmadan
ortaya çıkabilir. Hastanın yönetiminde
önemli olan, uygun tedavi yönteminin seçimi ve nüks oranı yüksekliği konusunda
doğru bilgilendirme ve takiptir.
Keywords
References
- 1. Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med. 2006; 35(8):500-7.
- 2. Al-Bodbaij MH, Al-Ateyah A, Chopra R, Al-Marzooq N, Al-Qassab G. Keratocystic odontogenic tumor in the maxillary sinus: A case report. Oral Health Care, 2016;1:1-3.
- 3. Jafaripozve S, Allameh M, Khorasgani MA, Jafaripozve N. Keratocyst odonogenic tumor in the anterior of the maxilla: A case report and literature review. J Oral Maxillofac Radiol 2013;1:90-2.
- 4. Mendes RA, Carvalho JF, van der Waal I. Biological pathways involved in the aggressive behavior of the keratocystic odontogenic tumor and possible implications for molecular oriented treatment - an overview. Oral Oncol 2010;46:19-24.
- 5. William TP, Connor F. Surgical management of the odontogenic keratocysts, Agresive approach., j. Oralmaksillofac. Surg. 1994;52: 964-966.
- 6. Bataineh AB, Rawashdeh MA, Al Qudah MA.The prevalence of inflammatory and developmental odontogenic cysts in a Jordanian population: a clinicopathologic study. Quintessence Int. 2004; 35(10):815-9.
- 7. Özkırış, M, Gencer ZK, Saydam L. Maxillary sinus odontogenic keratocyst presenting with orbital pain and inferior rectus dysfunction. Kulak Burun Bogaz Ihtis Derg 2017;27(5):237-240.
- 8. Naveen F, Tippu SR, Girish K, Kalra M, Desai V. Maxillary keratocystic odontogenic tumor with calcifications: A review and case report. J Oral Maxillofac Pathol 2011;15:295-8.
- 9. Maurette PE, Jorge J, de Moraes M. Conservative treatment protocol of odontogenic keratocyst: A preliminary study. J Oral Maxillofac Surg 2006;64:379-83.
- 10. Yildirim G, Ataoglu H, Kalayci A, Özkan BT, Kucuk K, Esen A. Conservative Treatment Protocol for Keratocystic Odontogenic Tumour: a Follow-up Study of 3 Cases. J Oral Maxillofac Res 2010;1(3):e7.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Olgu Sunumları |
| Authors | |
| Publication Date | November 15, 2019 |
| Submission Date | November 12, 2018 |
| Acceptance Date | March 22, 2019 |
| Published in Issue | Year 2019 Volume: 14 Issue: 3 |
