Maxillary sinus odontogenic keratocyst presenting with orbital pain and inferior rectus dysfunction

Year 2017, Volume: 27 Issue: 5, 237 - 240, 13.11.2017

Mahmut Özkırış Zeliha Kapusuz Gencer Levent Saydam

Abstract

Keratocystic odontogenic tumor KCOT is a benign odontogenic tumor with a potentially aggressive and infiltrative behavior. In this article, we report a 22-year-old male patient with swelling over the right side of cheek and over the palate on the same side and orbital pain since two months. Medical history of the patient was not significant. Computed tomography scan showed a well-defined cystic mass occupying anterior and superior wall of maxilla from premolar region to the incisor region of opposite side and destruction of palate and inferior orbital wall. Cyst was excised via lateral rhinotomy incision completely with intact wall. Histopathological examination showed features of KCOT. Keratocystic odontogenic tumor is well-known for its tendency to recur, potential aggressive behavior, and defined histopathological feature. Keratocystic odontogenic tumor occurrence in the maxilla is unusual and its appearance in the maxillary sinus is very rare.

Keywords

Diagnosis, keratocystic odontogenic tumors, treatment

Orbital ağrı ve inferior rektus işlevsizliği ile seyreden maksiller sinüs odontojenik keratokist

Abstract

Keratokistik odontojenik tümör KOT olasılıkla agresif ve infiltratif davranışlı bir benign odontojenik tümördür. Bu yazıda, yanağın sağ tarafında ve aynı tarafta damağın üzerinde şişkinlik ve iki aydır orbital ağrısı olan 22 yaşında bir erkek hasta bildirildi. Hastanın tıbbi geçmişi anlamlı değildi. Bilgisayarlı tomografi taraması maksillanın anterior ve superior duvarını karşı tarafın küçük azı dişi bölgesinden kesici diş bölgesine kadar kaplayan, sınırları belli bir kistik kitle ve damakta ve inferior orbital duvarda tahribat olduğunu gösterdi. Kist lateral rinotomi ile duvar sağlam kalacak şekilde tamamen eksize edildi. Histopatolojik inceleme KOT nitelikleri gösterdi. Keratokistik odontojenik tümörün nüksetme eğilimi, olası agresif davranışı ve tanımlanmış histopatolojik niteliği iyi bilinmektedir. Maksillada KOT oluşumu olağandışıdır ve maksiller sinüste görünümü çok nadirdir

Keywords

Tanı, keratokistik odontojenik tümörler, tedavi

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