Early reconstruction of bone defect created after initial surgery of a large keratocystic odontogenic tumor: A case report

Vojnosanitetski Pregled

卷:70

关键词: odontogenic cysts;    oral surgical procedures;    recurrence;    reconstructive surgical procedures;    mandible;    treatment outcome;   

DOI  :  10.2298/VSP1308789M

来源: DOAJ

【 摘 要 】

Introduction. Keratocystic odontogenic tumor (KCOT) is defined as a benigncystic neoplasm of the jaws of odontogenic origin with a high rate ofrecurrence. The most lesions occur in the posterior part of the mandible.Treatment of KCOT remains controversial, but the goals of treatment shouldinvolve eliminating the potential for recurrence while minimizing surgicalmorbidity. However, another significant therapeutic problem related to themanagement of KCOT is an adequate and early reconstruction of the existingjaw defect, as well as appropriate aesthetic and functional rehabilitation ofa patient, especially in cases of a very large destruction of the jaws bone.Case report. We presented a 65-year-old female patient with very large KCOTof the mandible. Orthopantomographic radiography showed a very largeelliptical multilocular radiolucency, located on the right side of themandible body and the ascending ramus of the mandible, with radiographicevidence of cortical perforation at the anterior border of the mandibularramus and the superior border of the alveolar part of the mandible. Thesurgical treatment included two phases. In the first phase, the tumor wasremoved by enucleation and additional use of Carnoy solution, performingperipheral ostectomy and excision of the affected overlying mucosa, while inthe second phase, restorative surgery of the existing mandibular defect wasperformed 6 months later. Postoperatively, we did not register any ofpostoperative complications, nor recurrence within 2 years of the follow-up.Conclusion. Adequate and early reconstruction of the existing jaw defect andappropriate aesthetic and functional rehabilitation of the patient should bethe primary goal in the treatment of KCOT, having in mind the need for along-term post-surgical follow-up.

【 授权许可】

Unknown