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

关键词: odontogenic cysts;    mandible;    oral surgical procedures;    recurrence;   

DOI  :  10.2298/VSP1212101M

来源: DOAJ

【 摘 要 】

Introduction. Odontogenic keratocyst (OKC) is a rare developmental,epithelial and benign cyst of the jaws of odontogenic origin with highrecurrence rates. The third molar region, especially the angle of themandible and the ascending ramus are involved far more frequently than themaxilla. 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 orwithout Carnoy’s solution, and jaw resection have been discussed in theliterature with variable rates of recurrence. Case report. We presented a52-yearold male with orthokeratinized odontogenic keratocyst. Ellipticalunilocular radiolucency located in the third molar region and the ascendingramus of the mandible, 40 × 25 mm in diameter with radiographic evidence ofcortical perforation at the anterior ramus border of the mandible 20 mm indiameter, was registrated on orthopantomographic radiography. Surgicaltreatment included enucleation of the cyst and peripheral ostectomy with theuse of Carnoy’s solution and excision of the overlying attached mucosa.Postoperatively, no paresthesia in the inervation area of the inferioralveolaris nerve was registrated. Recurrences were not registrated within 5years post-intervention. Coclusion. Treatment of odontogenic keratocyst withenucleation and peripheral ostectomy with the use of Carnoy’s solution andexcision of the overlying attached mucosa had a very low rate of recurrence.Radical and more aggressive surgical treatments as jaw resection should bereserved for multiple recurrent cysts and when OKC is associated with nevoidbasal cell carcinoma syndrome (NBCCS). Following the treatment protocol inthe management of OKC and systematic and long-term postsurgical follow-up areconsidered key elements for successful results.

【 授权许可】

Unknown