Ciltte Fistülizasyona Sebep Olmuş Radiküler Kist: Vaka Sunumu

Year 2023, Volume: 12 Issue: 3, 445 - 449, 25.09.2023

Elif Betül Yıldırım Turan Kazan Yeliz Kılınç İpek Atak Seçen

https://doi.org/10.54617/adoklinikbilimler.1270474

Abstract

Radiküler kistler en sık görülen odontojenik kistlerdir ve çenelerde görülen bütün kistlerin yaklaşık %70’ini oluştururlar.Radiküler kistler sıklıkla maksilla anterior bölgede ve 30 -50 yaş aralığında görülürler. Radiküler kistler sıklıkla devital pulpalı sürmüş dişlerin apeksleriyle ilişkilidir. Yavaş büyüyen bu kistler, büyük boyutlara ulaşana ve enfekte olana kadar sıklıkla asemptomatiktir.Kutanöz deri fistülleri radiküler kistlerden köken alabilmektedir. Bu vaka raporunda kutanöz fistülün eşlik ettiği geniş radiküler kistin enükleasyon ile tedavisi ve fistül yolu rekonstrüksiyonu anlatılmaktadır.

Keywords

fistülizasyon, mandibula, radiküler kistler

Radicular Cyst Causing Fistulization On The Skin: A Case Report

Abstract

Radicular cysts are the most common odontogenic cysts, accounting for approximately 70% of all cysts in the jaw . Radicular cyst commonly occurs in maxillary anterior region in between 30th and 50th year of age . Radicular cysts are usually associated with the apex of erupted teeth with a devitalized pulp. These cysts, which tend to grow slowly, are usually asymptomatic untill they reach large sizes and are infected. Cutaneous skin fistula may originate from large radicular cysts. In the present case report management of a large mandibular radicular cyst with cutaneous fistula that was treated by enucleation, followed by sinus tract reconstruction is described.

Keywords

fistulization;, mandible, radicular cyst

References

• 1. Kolari V, Rao HTA, Thomas T. Maxillary and mandibular unusually large radicular cyst: A rare case report. Natl J Maxillofac Surg 2019;10:270-3.
• 2. Noda A, Abe M, Shinozaki-Ushiku A, Ohata Y, Zong L, Abe T et al. A bilocular radicular cyst in the mandible with tooth structure components inside. Case Rep Dent 2019;2019:6245808.
• 3. Krishnamurthy V, Haridas S, Garud M, Vahanwala S, Nayak CD, Pagare SS. Radicular cyst masquerading as a multilocular radiolucency. Quintessence Int 2013;44:71-3.
• 4. Shivhare P, Singh A, Haidry N, Yadav M, Shankarnarayan L. Multilocular Radicular Cyst - A Common Pathology with Uncommon Radiological Appearance. J Clin Diagn Res 2016;10:13-5.
• 5. Bava FA, Umar D, Bahseer B, Baroudi K,: Bilateral radicular cyst in mandible: an unusual case report. J Int Oral Health 2015;7:61-3.
• 6. Yıldırım Ö. , Barış E. Sağ Maksiller Sinüste Gelişim Gösteren Radiküler Kist: Vaka Raporu. ADO Klinik Bilimler Dergisi 2023;12: 119-23.
• 7. Mass E, Kaplan I, Hirshberg A. A clinical and histopathological study of radicular cysts associated with primary molars. J Oral Pathol Med 1995;24:458-61.
• 8. Xiao X, Dai JW, Li Z, Zhang W. Pathological fracture of the mandible caused by radicular cyst: A case report and literature review. Medicine (Baltimore) 2018;97:e13529.
• 9. Mahesh B, Shastry SP, Murthy PS, Jyotsna T. Role of cone beam computed tomography in evaluation of radicular cyst mimicking dentigerous cyst in a 7-year-old child: A case report and literature review. Int J Clin Pediatr Dent 2017;10:213-26.
• 10. Hahn HM, Lee YJ, Park DH. Huge radicular cyst of the maxilla treated with complete resection and immediate reconstruction by rib bone graft. J Maxillofac Oral Surg 2019;18:378-81
• 11. Riachi F, Tabarani C: Effective management of large radicular cysts using surgical enucleation vs. marsupialization–Two cases report. Int Arab Journal of Dentistry (IAJD) 2010;1:44-51.
• 12. Swantek JJ, Reyes MI, Grannum RI, Ogle O. : A technique for long term decompression of large mandibular cysts. J Oral Maxillofac Surg 2012;70:856-9.
• 13. Matijević S, Jovivić B, Bubalo M, Dukić S, Cutović T. Treatment of a large radicular cyst-enucleation or decompression?. Vojnosanit Pregl 2015;72:372-4.
• 14. AboulHosn M, Noujeim Z, Nader N, Berberi A, : Decompression and enucleation of a mandibular radicular cyst, followed by bone regeneration and implant-supported dental restoration. Case Rep Dent 2019:2019:9584235.
• 15. Kajjari S, Gowtham A, Meharwade P, Uppin C, Hugar SM, Badakar C. Infected Radicular Cyst of Deciduous Second Molar Mimicking Dentigerous Cyst of Second Premolar in a Young Child: A Rare Entity. Int J Clin Pediatr Dent 2021;14:434-7
• 16. Koprowicz A, Pietrzycka K: Odontogenic cutaneous fistula in area of the patient's chin: a case report. ENDO-Endodontic Practice Today 2020;14:151-5.
• 17. Sadeghi S, Dibaei M: Prevalence of odontogenic sinus tracts in 728 endodontically treated teeth. Med Oral Patol Oral Cir Bucal 2011;16:e-296-9.
• 18. Guevara-Gutiérrez E, Riera-Leal L, Gómez-Martínez M, Amezcua-Rosas G, Chávez-Vaca CL, Tlacuilo-Parra A. Odontogenic cutaneous fistulas: clinical and epidemiologic characteristics of 75 cases. Int J Dermatol 2015;54:50-5.
• 19. Qazi SS, Manzoor MA, Qureshi R, Arjumand B, Hussain SM, Afridi Z. Nonsurgical endodontic management of cutaneously draining odontogenic sinus. J Ayub Med Coll Abbottabad 2006;18:88-9.
• 20. Scott MJ Jr, Scott MJ Sr. Cutaneous odontogenic sinus. J Am Acad Dermatol 1980;2:521-4.