Mandibular Ramusa ve Koronoid Çıkıntıya Uzanan Geniş Odontojenik Keratokist: Olgu Raporu

Yıl 2024, Cilt: 13 Sayı: 3, 537 - 542, 24.09.2024

Büşra Şen , Nesrin Dündar , Elif Aslan , Gözde Işık , Dilara Özyiğit Büyüktalancı

https://doi.org/10.54617/adoklinikbilimler.1395313

Öz

Odontojenik keratokistler, odontojenik epitelden köken alan, minimal ekspansiyon ve yüksek nüks oranı ile karakterize gelişimsel kistlerdir. Odontojenik keratokistler, genellikle asemptomatik olmaları ve sıklıkla rutin diş muayenelerinde rastlantısal olarak tespit edilmeleri nedeniyle büyük boyutlara ulaşına kadar gözden kaçabilmektedir. Odontojenik keratokistlerin tedavisine dair farklı görüşler mevcut olup konservatif yaklaşımlardan daha invaziv prosedürlere kadar çeşitli cerrahi yaklaşımlar aracılığıyla tedavi gerçekleştirilmektedir. Bu vaka raporunda, 16 yaş kadın hastada saptanan, gömülü mandibular üçüncü molar diş ile birlikte izlenen ve mandibular ramus, angulus ve koronoid çıkıntı bölgelerine uzanım gösteren geniş bir odontojenik keratokist lezyonu klinik, radyolojik, histopatolojik bulguları ve cerrahi tedavi planı ile birlikte sunulmaktadır.

Anahtar Kelimeler

Gömülü üçüncü molar, Mandibula, Odontojenik keratokist

Etik Beyan

Gerekli değil.

Large Keratocyst Extending to Mandibular Ramus and Coronoid Process: A Case Report

Öz

Odontogenic keratocysts are odontogenic epithelial-originated developmental cysts characterized by minimal expansion, high recurrence rate, and aggressive nature. They are usually asymptomatic and detected in routine dental examinations so can be overlooked until the lesions reach large sizes. The treatment of odontogenic keratocyst is controversial, and there are various surgical approaches ranging from conservative approaches to more invasive procedures. In this case report, a 16-year-old female patient with an enlarged odontogenic keratocyst associated with an impacted third molar and extending through the mandibular angle, ramus, and coronoid process regions is presented with the clinical, radiological, and histopathological findings and the surgical treatment plan.

Anahtar Kelimeler

Impacted third molar, Mandible, Odontogenic keratocyst

Etik Beyan

Not applicable

Kaynakça

• Chirapathomsakul D, Sastravaha P, Jansisyanont P. A review of odontogenic keratocysts and the behavior of recurrences. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101:5-9.
• Odell EW. Cawson’s Essentials of Oral Pathology and Oral Medicine. 9th Ed. London: Elsevier; 2017. p.23-234
• Mallya S, Lam EWN, editors. White and Pharoah’s Oral Radiology: Principles and Interpretation. 8th Ed. London: Elsevier; 2019. p.391-393
• Al-Moraissi EA, Kaur A, Gomez RS, Ellis E 3rd. Effectiveness of different treatments for odontogenic keratocyst: a network meta-analysis. Int J Oral Maxillofac Surg 2023; 52:32-43.
• Mendes RA, Carvalho JFC, van der Waal I. Characterization and management of the keratocystic odontogenic tumor in relation to its histopathological and biological features. Oral Oncol 2010; 46:219-25.
• Kimura T, Ohba S, Yoshimura H, Fujita S, Imamura Y, Kitagawa Y, et al. Keratocystic odontogenic tumor arising at the mandibular ramus with an impacted tooth: a case report and mimic lesions. Cranio 2016; 34:58-63.
• Tsukamoto G, Makino T, Kikuchi T, et al. A comparative study of odontogenic keratocysts associated with and not associated with an impacted mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94:272-5.
• Caixeta Guimarães A, Dutra de Cassia Ferreira Santos M, Machado de Carvalho G, Takahiro Chone C, Nizam Pfeilsticker L. Giant keratocystic odontogenic tumor: three cases and literature review. Iran J Otorhinolaryngol 2013; 25:245–52
• Sembronio S, Albiero AM, Zerman N, Costa F, Politi M. Endoscopically assisted enucleation and curettage of large mandibular odontogenic keratocyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107:193-6.
• Pahlevan R, Keyhanlou F, Fazel S, Shahsavari F. Keratocystic odontogenic tumor associated with impacted maxillary third molar extending to the antrum: A challenging diagnosis. Hum. Pathol.: Case Rep 2019;15:59–63.
• Cakur B, Miloglu O, Yolcu U, Göregen M, Gürsan N. Keratocystic odontogenic tumor invading the right maxillary sinus: a case report. J Oral Sci 2008; 50:345-9.
• Enislidis G, Fock N, Sulzbacher I, Ewers R. Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. Br J Oral Maxillofac Surg 2004; 42:546-50.
• Dammer R, Niederdellmann H, Dammer P, Nuebler-Moritz M. Conservative or radical treatment of keratocysts: a retrospective review. Br J Oral Maxillofac Surg 1997; 35:46–8.
• Chye CH, Singh B. Rapid cystic development in relation with an impacted lower third molar: a case report. Ann Acad Med Singapore 2005; 34:130–3.
• Poonja P, Maryam H, Ratnakar H, Rithul P, Majumder B, Varghese A, et al. Odontogenic keratocyst with horizontal impaction of third molar. Arch Med Health Sci 2021; 9:113.
• Pitak-Arnnop P, Chaine A, Oprean N, Dhanuthai K, Bertrand JC, Bertolus C. Management of odontogenic keratocysts of the jaws: a ten-year experience with 120 consecutive lesions. J Craniomaxillofac Surg 2010; 38:358-64.
• Gupta G, Gupta D K, Gupta P, Rana K S, Chandra N. An Unusual Odontogenic Keratocyst Associated with Third Molar Crypt Near Condyle in an Adolescent: A Case Report. J Res Dent Maxillofac Sci 2023; 8:57-61.
• Tan B, Yan TS, Shermin L, Teck KC, Yoke PC, Goh C, Balakrishnan A. Malignant transformation of keratocystic odontogenic tumor: Two case reports. American Journal of Otolaryngology-Head and Neck Medicine and Surgery 2013; 34(4): 357-61.
• Arshad F. Syndromic odontogenic keratocyst: A case report and review of literature. J Int Soc Prev Community Dent 2016; 6(1):84-8.
• Kumar NN, Padmashree S, Jyotsna TR, Shastry SP. Gorlin‑Goltz syndrome: A rare case report. Contemp Clin Dent 2018; 9(3):478‑83.