FIBROSIS THAT OCURRED AFTER CONSERVATIVE THERAPY OF LARGE ODONTOGENIC KERATOCYST

광범위한 치성각화낭종의 보존적 치료후 발생한 섬유증

  • Kwon, Taek-Kyun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Byun, June-Ho (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Yong-Deok (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Uk-Kyu (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Chung, In-Kyo (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University)
  • 권택균 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 변준호 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김욱규 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 정인교 (부산대학교 치과대학 구강악안면외과학교실)
  • Published : 2004.04.30

Abstract

Odontogenic keratocysts are developmental odontogenic cysts which derived from rests of dental laminas and often found in posterior area of mandible. Because this lesion has tendency of frequent recurrence, treatment of choice is often radical removal of the lesion. Sometimes in case of large cysts, however, conservative therapy like marsupialization is often selected in treatment plan. A 39-years old woman referred to our department for evaluation of large radiolucent lesion that occupies the areas from mandible angle to upper part of ramus and condyle. In cytology, the lesion was identified as odontogenic keratocyst. Marsupialization was our treatment of choice, and the result was so favorable. 2 years later, there was small radiolucent lesion on upper part of mandibular ramus on panoramic view. It was suspected as recurred lesion, and excisional biopsy was done. On biopsy result, it was not a cystic lesion but fibrosis.

Keywords

References

  1. Kramer IRH, Pindborg JJ. Shear M. Histological typing of odontogenic tumor. Berlin : Springer-Verlag 1992
  2. Shear M. Developmental odontogenic cyst : an update. J Oral Pathol Med 1994;23:1-11 https://doi.org/10.1111/j.1600-0714.1994.tb00246.x
  3. Pindborg JJ, Hansen J. Studies on odontogenic cyst epithelium : 2. Clinical and roentgenological aspects of ododntogenic keratocysts. Acta Pathol Microbiol Scand 1963;58:283-94
  4. Bramley P. The odontogenic keratocyst : an approach to tratment. Int J Oral Surg 1974;3:337-41 https://doi.org/10.1016/S0300-9785(74)80074-8
  5. Ephors H, Lee HY. Treatment of a large odontogenic keratocyst using the Brosch procedure. J Oral Macillofacial Surg 1991;49:871-4 https://doi.org/10.1016/0278-2391(91)90019-I
  6. Voorsmit RACA. The incredible keratocyst. Naarden : Los Printers, Nijmegen, The Netherlands : University of Nijmegen : 1984. Thesis
  7. Voorsmit RACA. Stoelinga PJW, van Haelst VJGM. The management of the keratocyst. J macillofacial Surg 1981;9:228-36 https://doi.org/10.1016/S0301-0503(81)80049-5
  8. Williams TP, Connor FA Jr. Surgical management of the dodntogenic keratocyst: aggressive apprach. J Oral Macillofac Surg 1994;52:964-6 https://doi.org/10.1016/S0278-2391(10)80081-3
  9. Webb KJ, Brockbank J. Treatment of the dodntogenic keratocyst by combined enucleation and cryosurgery. Int J Oral Surg 1984;13:506-10 https://doi.org/10.1016/S0300-9785(84)80021-6
  10. Jensin j, Sindet-Pedersin S, Simonsin EK. A comparative study of treatment of keratocysts by enucleation or enucleation combined with cryotherapy. J Cranio-Max-Fac Surg 1998;16:362-5
  11. Marker P, Br¨endum N, Clausen PP, Bastian HL. Treatment of large odontogenic keratocysts by decompression and later cystectomy: a long-term follow-up of forty-four cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1991;72:265-69 https://doi.org/10.1016/0030-4220(91)90211-T
  12. Nakamura N, Taketomi T, Ohishi M. Malsupialization for odontogenic keratocysts : Long-term follow-up analysis of the effects and changes in growth characteristics. Oral Surg Oral Med Oral Pathol 2002;94(5):543-53 https://doi.org/10.1067/moe.2002.128022