An Unusual Case of an Odontogenic Keratocyst Associated With an Ungrafted Alveolar Cleft: A Case Report and Review of the Literature

Radia, Sapna; Cash, Alexander C; Moar, Kanwalraj

doi:10.1177/1055665618770053

Cited by 3 publications

(5 citation statements)

References 26 publications

(39 reference statements)

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“…Tendo em consideração que o diagnóstico diferencial do queratocisto pode ser feito em relação a outras patologias como cisto dentígero, cisto periapical, cisto residual e ameloblastoma unilocular ou multilocular; 11,4 biópsia para a confirmação da hipótese diagnóstica através de um exame histopatológico é indicada, sendo imperativo na complementação do exame clínico e de imagem, além do tratamento adequado para cada caso. 2,1 Brazilian Journal of Health Review, Curitiba, v.4, n.6, p. 23893-23911 nov./dec.…”

Section: Discussionunclassified

“…Atualmente é classificado como cisto odontogênico. 2,9 O diagnóstico do queratocisto odontogênico é realizado por exame clínico, exame de imagem e confirmado através da análise histopatológica 6,11,13 . Os sintomas do queratocisto odontogênico podem ser discretos e por isso, muitas vezes, são diagnosticados apenas em exames imaginológicos de rotina, mas podem evoluir, causando sinais e sintomas clínicos como: atraso na erupção dentária, tumefação, dor, obstrução nasal, exoftalmia, limitação de abertura bucal, infecção secundária, rompimento de cortical óssea.…”

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“…Os sintomas do queratocisto odontogênico podem ser discretos e por isso, muitas vezes, são diagnosticados apenas em exames imaginológicos de rotina, mas podem evoluir, causando sinais e sintomas clínicos como: atraso na erupção dentária, tumefação, dor, obstrução nasal, exoftalmia, limitação de abertura bucal, infecção secundária, rompimento de cortical óssea. 7,11,14,15 Dentre as opções de tratamento para os queratocistos odontogênicos apresentadas na literatura, encontramos: marsupialização, descompressão, ressecções e enucleação, que pode ser associada a métodos de remoção óssea periférica por meios mecânicos, químicos ou físicos. Essas técnicas são selecionadas levando em consideração fatores primordiais como: localização, dimensão da lesão, recorrência patológica e experiência do cirurgião.…”

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Tratamento de queratocisto maxilar em paciente pediátrico: Relato de caso

Júnior¹,

Zenatti²,

Silva³

et al. 2021

BJHR

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Especialista, Mestre e Doutor em Cirurgia e Traumatologia Bucomaxilofacial -Professor do Programa de Residência em Cirurgia e Traumatologia Bucomaxilofacial -HUOP/UNIOESTE. RESUMOO objetivo deste trabalho é apresentar o tratamento de um queratocisto em paciente pediátrico, localizado no osso maxilar. O queratocisto odontogênico possui comportamento mais agressivo e taxas de recidivas maiores do que os outros cistos odontogênicos, acometendo frequentemente a mandíbula. Dentre as opções de tratamento encontram-se a enucleação, marsupialização e descompressão. A enucleação, quando indicada, é considerada o melhor padrão de tratamento por necessitar apenas de um tempo cirúrgico. Paciente sexo masculino, 13 anos, atendido no programa de Residência em

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Tratamento de queratocisto maxilar em paciente pediátrico: Relato de caso

Júnior¹,

Zenatti²,

Silva³

et al. 2021

BJHR

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“…The cartilaginous or bony cap of the iliac crest was reflected superiorly based on the external oblique muscle to maintain its blood supply [Figure 9]. Cancellous bone grafts were harvested with curette and osteotomies then are preserved in blood-soaked gauze [ Figures 10,11]. After repositioning the cartilaginous cap with [0 vicryl] sutures with good hemostasis, the wound was closed in layers after placement of vacuum assisted closed suction drains [Figure 12].…”

Section: Methodsmentioning

confidence: 99%

“…Bone grafting materials are variable including autografts, isografts, allografts, alloplastic grafts, xenografts along with bone graft substitute. The most commonly used bone grafting material is autogenic cortical, cancellous or corticocancellous bone grafts [11] . Iliac crest is the most common donor source for alveolar cleft autogenous grafting because it is easy to harvest, provides a large amount of cancellous bone and more advantageous than other sources of autologous bone grafts like the cranium, mandible, ribs and tibia [12] .…”

Section: Introductionmentioning

confidence: 99%

Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

Makharita

Sayouh

Amin

2021

International Journal of Medical Arts

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Background: Orofacial clefts are common congenital malformations, with alveolar cleft as the most common [75%] of all anomalies.Many treatment modalities are available. However, our clinical experience with bone graft modality is not well addressed. The aim of the work:To evaluate the effectiveness of early [2 to 12 years; before complete eruption of the cleft canine] versus late [> 12 years; after complete eruption of the cleft canine] cancellous anterior iliac bone grafting for alveolar cleft reconstruction.Patients and Methods: Twenty-three patients with alveolar clefts who were admitted for alveolar cleft reconstruction surgery were included. They were categorized into early and late secondary grafting groups. All patients inquired about their history. Submitted to full clinical examination, laboratory and radiological examinations. The imaging studies include two-dimensional orthopantomogram for all patients, while 3-D fascial computed tomography and cone-beam computed tomography were done for selected patients. Both intraoperative and postoperative data were collected, any complications were registered and patients followed up regularly up to 6 months.Results: Both groups were comparable as regarding patient characteristics except younger age in early group, and there was a statistically significant difference between early and late groups regarding cleft side and cleft permanent canine full eruption. Males represented 69.9%. The cleft was on the left side in 56.4%. Seven patients [30.4%] had maternal risk factor [five in early and two in late group]. Blood loss was less than 80 ml in all patients in both groups. All oronasal fistulas were sealed off successfully in all patients [100%] and all had normal healthy gingival contour with vital teeth adjacent to the cleft. All showed evidence of good bone filling in the alveolar defect after 6 months postoperatively. Only one patient developed hypertrophic scars at each group. Conclusion:Alveolar cleft reconstruction is preferred to perform autologous cancellous bone grafting harvested from the iliac crest bone to repair the cleft with excellent outcome on short-term follow-up.

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Nonsyndromic Examples of Odontogenic Keratocysts: Presentation of Interesting Cases with a Literature Review

Hadziabdic

Dzinovic²,

Udovicic-Gagula

et al. 2019

Case Reports in Dentistry

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The odontogenic keratocyst (OKC) may occur at any age. However, it mostly occurs during the second and third decades of life. Compared to other odontogenic cysts, this type occurs with a frequency of 5-15%. It is more common in the mandible region and in the male sex. Histologically, odontogenic keratocysts are characterized by the presence of an external connective tissue capsule, with keratinizing lining of the epithelium consisting of 5-8 cell layers with marked palisadisation of polarized basal cells and a corrugated parakeratin layer. The objective of this study is to present cases of odontogenic keratocysts, with reference to the latest classification and dilemmas in therapeutic doctrine. This project was realized in the form of descriptive studies, specifically in a series of cases. A collection of four individual cases was found at the Department of Oral Surgery. Due to the proper approach towards diagnosis, adequate and detailed histopathological analysis, and suitable therapeutic procedures, all cases of odontogenic keratocysts were successfully treated without complications. Enucleation of OKC, with a regular follow-up, proved to be the effective therapeutic choice for the patients described in this paper. Only in the case of recurrence would we consider other therapeutic options, primarily enucleation in combination with Carnoy’s solution.

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An Unusual Case of an Odontogenic Keratocyst Associated With an Ungrafted Alveolar Cleft: A Case Report and Review of the Literature

Cited by 3 publications

References 26 publications

Tratamento de queratocisto maxilar em paciente pediátrico: Relato de caso

Tratamento de queratocisto maxilar em paciente pediátrico: Relato de caso

Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

Nonsyndromic Examples of Odontogenic Keratocysts: Presentation of Interesting Cases with a Literature Review

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