Vaka Raporu: Odontojenik Keratokist Sebepli Parestezinin Marsupyalizasyonla Tedavisi ve Uzun Dönem Takibi

Serap Keskin Tunç; Volkan Kaplan; Mehmet Güzel

doi:10.52976/vansaglik.894334

Case Report

BibTex

RIS

Cite

Vaka Raporu: Odontojenik Keratokist Sebepli Parestezinin Marsupyalizasyonla Tedavisi ve Uzun Dönem Takibi

Year 2021, Volume: 14 Issue: 3, 346 - 351, 30.12.2021

Serap Keskin Tunç Volkan Kaplan Mehmet Güzel

https://doi.org/10.52976/vansaglik.894334

Abstract

Odontojenik keratokist (OKK) dental lamina artıklarından oluştuğu düşünülen, asemptomatik, ilerleme eğilimli gelişimsel bir kisttir. Nüks oranı yüksektir. Uniloküler ve multiloküler olabilen, sınırlı belirgin radyolüsent lezyon olarak görüntü veren OKK, küçük lezyonlarda rutin radyografilerde fark edilirken, ilerlemiş olgularda ağrı, şişlik, enfeksiyon gibi bulgularla fark edilir. En çok 2. ve 3. dekatlarda, erkeklerde ve mandibula posterior bölgede görülür. Gerçek tanı histopatolojik olarak konur. Tedavisi konservatif olabileceği gibi radikal cerrahi tedavilerde vardır. Şişlik, ağrı ve parestezi şikâyeti ile kliniğe başvuran 32 yaşında erkek hastanın yapılan muayenesinde ağız açmada kısıtlılık, palpasyonda ağrı, şişlik ve dudak ile yanakta hafif parestezi tespit edilmiştir. İnferior alveolar sinir hasarı ve olası mandibular fraktür riski gözetilerek marsupyalizasyon ve sonrasında enükleasyon yapılan hastanın takiplerinde parestezi ve diğer şikayetlerin düzeldiği görülmüştür.

Keywords

Odontojenik Keratokist, Marsupyalizasyon, KIBT

References

Blanas N, Freund B, Schwartz M, Furst IM. Systematic review of the treatment and prognosis of the odontogenic keratocyst. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2000;90(5):553-558.
Blanchard SB. Odontogenic keratocysts: review of the literature and report of a case. J Periodontol 68: 306-311, 1997.
BRANNON RB: The odontogenic keratocyst: A clinicopathologic study of 312 cases, part I, Clinical features. Oral Surg, 42: 54-72, 1976.
Cansız E, Isler SC, Gültekin BA. Removal of Deeply Impacted Mandibular Molars by Sagittal Split Osteotomy. Case Rep Dent 2016; 2016: 1902089.
Cunha JF, Gomes CC, de Mesquita RA, Andrade Goulart EM, de Castro WH, Gomez RS. Clinicopathologic features associated with recurrence of the odontogenic keratocyst: a cohort retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(6):629-35.
Duman ŞB, Yaşa Y, Ocak A. Keratokistik odontojenik tümör: panoramik, tomografik ve ultrasonografik değerlendirme. EÜ Dişhek Fak Derg. 2015; 36:52-55.
Keskin, Cengizhan. "KERATOKİSTLERİN TEDAVİSİ."
Kuroyanagi N, Sakuma H, Miyabe S, Machida J, Kaetsu A, Yokoi M, et al. Prognostic factors for keratocystic odontogenic tumor (odontogenic keratocyst): analysis of clinico-pathologic and immunohistochemical findings in cysts treated by enucleation. J Oral Pathol Med. 2009;38(4):386-92.
Lee CA, Damm DD, Neville BW et al. (2008),Oral and maxillofacial pathology. 3th ed. St.Louis: SaundersPhilipsen HP. On keratocysts in the jaw. Tandlaegebladet. 1956;60:963-80.
MacDonald-Jankowski DS, Li TK. Keratocystic odontogenic tumour in a Hong Kong community: the clinical and radiological features. Dentomaxillofac Radiol. 2010; 39: 167–175.
Maurette PE, Jorge J, de Moraes M. Conservative treatment protocol of odontogenic keratocyst: A preliminary study. J Oral Maxillofac Surg 2006; 64: 379-83.
Mendes RA, Carvalho JF, van der Waal I. Biological pathways involved in the aggressive behavior of the keratocystic odontogenic tumor and possible implications for molecular oriented treatment - an overview. Oral Oncol 2010; 46: 19-24.
Morgan TA, Burton CC and Qian F. A retrospective review of treatment of the odontogenic keratocyst. J Oral Maxillofac Surg. 2005; 63: 635-639.
NEVİLLE, BW. DAMM, DD. ALLEN, CM. BOUQUOT, JE. Oral and Maxillofacial Pathology. 3rd ed. Missouri: Saunders Elsiever Inc; 2009.
Neyaz Z, Gadodia A, Gamanagatti S, Mukhopadhyay S. Radiographical approach to jaw lesions Singapore Med J 2008; 49(2) : 165.
Özgenel GY, Özbek S, Akın S, Kahveci R. Üç Kuşakta Görülen Odontojenik Keratokist. Turk Plast Surg. 2010;18: 116-19.
Öztan M. Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J 2002; 35: 73-8.
Philipsen HP. Tumours of the oral cavity and oropharynx. In: Barnes L, Eveson JW, Reichart P, Sidransky D, eds. World Health Organization Classification of Tomours. Pathology and Genetic of Head and Neck Tumours. 3rd ed. Lyon, France: IARC; 2005. p.308-9.
POGREL, A. The history of odontoenic keratocyst. Oral Maxillofac Surg Clin North Am, 15:311-315, 2003. Robinson RA. Diagnosing the most common odontogenic cystic and osseous lesions of the jaws for the practicing pathologist. Modern Pathol 2017; 30: S96.
Siqua-Rodriquez EA, Goulart DR, Sverzut A, Asprino L, de Moraes M. Is surgical treatment based on a 1-Step or 2-Step protocol effective in managing the odontogenic keratocyst? J Oral Maxillofac Surg. 2019;77(6):1210.e1- 1210.e7.
Soluk-Tekkeşin M, Wright JM. The World Health Organization Classification of Odontogenic Lesions: a summary of changes of the 2017 (4th) edition. Turk Patoloji Derg. 2018;34(1). doi:10.5146/tipath.2017.01410.
Sun R, Cai Y, Wu Y, Zhao JH. Marsupialization facilitates movement of the cystic lesion-associated deeply impacted mandibular third molar in spite of its mature roots. Med Oral Patol Oral Cir Bucal 2017; 22:625-629.
Tabrizi R, özkan BT, Dehgani A, Langner JN. Marsupialization as a treatment option for the odontogenic keratocyst. J Craniofac Surg. 2012;23(5):e459-61
Yildirim G, Ataoglu H, Kalayci A, Özkan BT, Kucuk K, Esen A. Conservative Treatment Protocol for Keratocystic Odontogenic Tumour: a Follow-up Study of 3 Cases. J Oral Maxillofac Res 2010; 1:e7.