Odontogenic keratocyst in the mandibular condyle base region: A case report.

Odontogenic keratocyst in the mandibular condyle base region: A case report.
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DOI:
10.3892/etm.2023.11840
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发表时间:
2023-03
影响因子:
2.7
通讯作者:
Nakamura, Hiroyuki
Nakamura, Hiroyuki
中科院分区:
医学4区
文献类型:
--
作者:
Miyamoto, Sho;Goto, Takahiro;Shirakawa, Jumpei;Kawano, Toshihiro;Murahashi, Makoto;Ide, Kentaro;Maruyama, Nobuyuki;Matayoshi, Akira;Nishihara, Kazuhide;Nakamura, Hiroyuki

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牙源性角化囊肿(OKCs)常见于下颌支磨牙;它们通常无症状地发展,只有在广泛发展后才被发现。部分OKC进展至下颌髁;然而,很少病例只存在于髁状突。据我们所知,在所有先前报道的病例中,OKCs发生在下颌骨分支,并进行了切除。本研究报告了一例31岁男性患者,其髁突基部离散发生OKC (13x12x6 mm),其中髁突头部成功保存。在全身麻醉下,采用刮除下颌骨前表面的方法切除肿瘤。拔牙腔采用填充开放技术和封闭器进行管理。术后约20个月,患者无复发。本报告提出了一个罕见的病例OKC在下颌髁基部区域。在全身麻醉下切除,成功地保留了髁突。
Odontogenic keratocysts (OKCs) often occur in the molars in the mandibular ramus; they often progress asymptomatically and are discovered only after widespread development. Some cases of OKC progress to the mandibular condyle; however, very few cases exist only in the condyle. To the best of our knowledge, in all of the previously reported cases, OKCs occurred in the mandibular ramus, which underwent resection. The present study reports the case of a 31-year-old man in whom an OKC (13x12x6 mm) occurred discretely in the base of the condyle, in which the condylar head was successfully preserved. The tumor was removed under general anesthesia using the approach of shaving the anterior surface of the mandible. The extraction cavity was managed using the packed open technique and with an obturator. Approximately 20 months post-operation, the patient remained recurrence-free. This report presents a rare case of an OKC in the mandibular condyle base region. Resection was performed under general anesthesia and the condylar process was successfully preserved.
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