Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Protocol for management of odontogenic keratocysts considering recurrence according to treatment methods

  • Titinchi, Fadi (Department of Maxillo-Facial and Oral Surgery, Faculty of Dentistry and WHO Collaborating Centres, University of the Western Cape)
  • Received : 2020.05.28
  • Accepted : 2020.08.10
  • Published : 2020.10.31
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Abstract

The management of odontogenic keratocysts (OKC) remains a hotly debated topic in oral and maxillofacial surgery. Despite numerous studies and systematic reviews on treatment options, there is a lack of consensus and no accepted protocol on the management of OKC. Hence, the aim of this study was to briefly summarize all large systematic reviews in the literature on the management of OKC and formulate an evidence-based management protocol. Data from five large systematic reviews were combined to calculate the mean recurrence rate for each technique. Decompression followed by enucleation along with adjuvant methods such as application of Carnoy's solution and peripheral ostectomy can result in very low recurrence and is an acceptable first line treatment. The surgical approach should be determined by lesion size, patient age, proximity to vital structures, accessibility, soft tissue/cortical perforation, and if the lesion is recurrent.

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References

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  1. Changes in Cellular Regulatory Factors before and after Decompression of Odontogenic Keratocysts vol.10, pp.1, 2020, https://doi.org/10.3390/jcm10010030
  2. Deep Learning-Based Microscopic Diagnosis of Odontogenic Keratocysts and Non-Keratocysts in Haematoxylin and Eosin-Stained Incisional Biopsies vol.11, pp.12, 2020, https://doi.org/10.3390/diagnostics11122184