Mandibular odontojenik keratokistin kişiye özel çıkarılabilir bir aparey yardımıyla dekompresyon tedavisi: Vaka sunumu ve literatür derlemesi

Yıl 2018, Cilt: 5 Sayı: 2, 171 - 176, 01.08.2018

Bilal Ege , Metin Çalışır

https://doi.org/10.15311/selcukdentj.343732

Öz

Keratokistik odontojenik tümör (KCOT) odontojenik orijinli
nadir görülen iyi huylu intraosseöz bir tümör olup agresif davranışı ve çevre dokulara
infiltratif özelliğine sahiptir. Spesifik histopatolojik özellikler gösterirler
ve yüksek bir nüks oranına sahiptirler. Bu sunumda 17 yaşında bayan hastada sağ
mandibula ramus bölgesinde gömülü yirmi yaş dişiyle ilişkili, geniş boyutlu
keratokistik odontojenik tümör vakası ve dekompresyon tedavisini sunulmaktadır.
Dekompresyon, boşluğun kapanmasını önlemek için kişiselleştirilmiş
çıkarılabilir alet yardımı ile uygulanmıştır. Hastanın 3. ve 6. ay kontrol radyografilerinde
kalsifikasyon odaklarının görülmeye başlandığı ve lezyonun hacminin küçülmesi sonucu
gömülü dişin sürmeye devam ettiği görüldü. 18 ay sonrasında ise alınan
tomografide bölgenin tamamında normal kontrast bir görüntü mevcuttu ve ağız
içinde iyileşme sorunsuzdu. 

Anahtar
Kelimeler: Kişisel çıkarılabilir aparey, dekompresyon tedavisi,
keratokistik odontojenik tümör

Anahtar Kelimeler

Kişisel çıkarılabilir aparey, dekompresyon tedavisi, keratokistik odontojenik tümör

Treatment of mandibular odontogenic keratocyst by decompression with a customized removable device: A case report and literature review

Öz

Keratocystic
odontogenic tumor (KCOT) is a rare, bening intraosseous tumor of odontogenic
origin with a potential of aggressive and infiltrative behavior. It shows
specific histopathological features, and has a high recurrence rate. In this report,
we present a case of 17 year old female patient with large-sized KCOT associated
with impacted third molar in the mandibular ramus region and its decompression
treatment. Decompression was applied by a customized removable appliance to
prevent the closing of the cyst cavity. On the 3rd and 6th months of the
control radiography, it was seen that the calcification foci began to be seen
and erupting the impacted teeth as a result of shrinkage of the lesion volume. After
18 months, there was a normal contrast image on the tomography and the
intraoral healing was uneventfully.

Keywords: Customized
removable aparey, decompression
treatment, keratocystic odontogenic tumor.

Anahtar Kelimeler

Customized removable aparey, decompression treatment, keratocystic odontogenic tumor

Kaynakça

• Referans 1. Kebede B, Dejene D, Teka A, Girma B, Aguirre EP, Guerra NEP. Big Keratocystic Odontogenic Tumor of the Mandible: A Case Report. Ethiop J Health Sci 2016;26:491–6.
• Referans 2. Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization classification of tumors: pathology and genetics of head and neck tumours. Lyon: IARC Publishing Group; 2005. p. 306–7.
• Referans 3. Byun JH, Kang YH, Choi MJ, Park BW. Expansile keratocystic odontogenic tumor in the maxilla: immunohistochemical studies and review of literature. J Korean Assoc Oral Maxillofac Surg 2013;39:182–7.
• Referans 4. Abdullah WA. Surgical treatment of keratocystic odontogenic tumour: A review article. Saudi Dent J 2011;23:61–5.
• Referans 5. Pogrel A. The history of odontogenic keratocyst. Oral and Maxillofacial Surg Clinics of North America 2003;15:311-5.
• Referans 6. Kolokythas A, Schlieve T, Miloro M. Simple method for securing a decompression tube for odontogenic cysts and tumors: A technical note. J Oral Maxillofac Surg 2011;69:2392-5.
• Referans 7. Swantek JJ, Reyes MI, Grannum RI, Ogle OE. A Technique for Long Term Decompression of Large Mandibular Cysts. J Oral Maxillofac Surg 2012;70:856-9.
• Referans 8. Pogrel MA, Jordan RC. Marsupialization as a definitive treatment for the odontogenic keratocyst. J Oral Maxillofac Surg 2004;62:651-5.
• Referans 9. Tolstunov L. Marsupialization catheter. J Oral Maxillofac Surg 2008;66:1077-9. Referans 10. 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.
• Referans 11. Catunda IS, Catunda RB, Vasconcelos BCE, Oliveira HFL. Decompression device for cavitary bone lesions using Luer syringe. J Oral Maxillofac Surg 2013;71:723-5.
• Referans 12. Costa FWG, Carvalho FSR, Chaves FN, Soares ECS. A Suitable Device for Cystic Lesions Close to the Tooth-Bearing Areas of the Jaws. J Oral Maxillofac Surg 2014;72:96-8.