Conservative Treatment Protocol for Keratocystic Odontogenic Tumour: a Follow-up Study of 3 Cases.
Conservative Treatment Protocol for Keratocystic Odontogenic Tumour: a Follow-up Study of 3 Cases.
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DOI：
10.5037/jomr.2010.1307
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发表时间：
2010-01-01
期刊：
影响因子：
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通讯作者：
Esen, Alparslan
中科院分区：
文献类型：
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作者：
Yildirim, Gulsun;Ataoglu, Hanife;Esen, Alparslan
背景：角化囊性牙源性肿瘤是一种起源于成釉器或牙板的发育性囊肿。颌骨角化囊性牙源性肿瘤的治疗仍存在争议。本研究的目的是报告的结果，我们的保守治疗方案角化囊性牙源性tumor.METHODS：3例不同的投诉提到口腔颌面外科诊所，牙科学院，塞尔丘克大学。在所有患者中进行了初步活检，并在组织病理学检查后诊断为角化囊性牙源性肿瘤。牙源性角化囊性肿瘤患者采用眼球摘除术后开放填塞治疗。选择这种保守治疗方案是因为现有的年轻患者。结果：3例患者中，下颌骨2例，上颌骨1例。随访期间无复发迹象。所有的情况下，连续监测与全景X线片，计算机断层扫描和临床evaluations.Conclusions：这种保守的治疗方案角化囊性牙源性肿瘤，根据开放包装的基础上，剜出将是一个可能的选择，提供低复发率和低发病率，特别是在年轻患者。
BACKGROUND: The keratocystic odontogenic tumour is classified as a developmental cyst derived from the enamel organ or from the dental lamina. The treatment of keratocystic odontogenic tumour of the jaw remains controversial. The aim of this study was to report the outcome of our conservative treatment protocol for keratocystic odontogenic tumour.METHODS: Three patients with different complaints referred to Oral and Maxillofacial Surgery Clinic, Faculty of Dentistry, Selcuk University. Initial biopsy was carried out in all patients and keratocystic odontogenic tumours was diagnosed subsequent to histopathological examination. The patients with keratocystic odontogenic tumours were treated by enucleation followed by open packing. This conservative treatment protocol was selected because of existing young aged patients. The average follow-up duration of the cases was 2 years.RESULTS: Out of 3 cases, 2 lesions were present in mandible and 1 lesion in maxilla. There was no evidence of recurrence during follow-up. All the cases were monitored continuously with panoramic radiographs, computed tomography and clinical evaluations.CONCLUSIONS: This conservative treatment protocol for keratocystic odontogenic tumours, based on enucleation followed by open packing would be a possible choice with a view of offering low recurrence rate and low morbidity rate particularly in young patients.