Keratocystic odontogenic tumor associated with impacted maxillary third molar extending to the antrum: A challenging diagnosis

Pahlevan, Roozbeh; Keyhanlou, Farnaz; Fazel, Sahar; Shahsavari, Fatemeh

doi:10.1016/j.ehpc.2018.11.001

Cited by 2 publications

(4 citation statements)

References 31 publications

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“…It rarely associated with impacted molar area. This accordance to our case with involvement of lateral incisor and canine area and not related with unerupted teeth [1,2,4,5,8].…”

Section: Discussionsupporting

confidence: 93%

“…Sublabial incision approach can provide direct view to the sinus ensuring the clear enucleation and curettage. One-piece enucleation with eradication of whole epithelium will give lower recurrence compared to several pieces [8].…”

Section: Discussionmentioning

confidence: 99%

“…Involvement of maxillary sinus must be carefully assessed because the risk of orbital damage and infection spreading that could lead to the local and/or systemic complication. Lesion can easily expand bigger in the maxillary sinus due to the less dense structure [8]. This could lead to underdiagnosis and improper treatment and resulting high chance of recurrences [2,4].…”

Section: Discussionmentioning

confidence: 99%

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Maxillary Sinus Odontogenic Keratocyst: Role of Radiology and Surgical Approach

Adham¹,

Moulanda²

2021

Advances in Health Sciences Research

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Odontogenic keratocytes (OKC) is a benign cystic lesion of odontogenic origin with aggressive and infiltrative behavior. Maxillary sinus involvement is reported rare in OKC with <1% cases and could mimic symptoms of other Sino nasal neoplasm. Recurrence rate was high between 25-60% that attributed to surgical technique. We present a case of a 14year-old female presented with swelling at lateral side of left nose extended to the left cheek for 3 months. It was tender on palpation without pain nor hyperemic. There was no discharge from both nasal and oral cavity. Computerized tomography (CT) scan showed cystic mass with destruction of maxillary wall suspected as mucocele. Sub labial surgical approach was performed. Large cystic mass seen occupied left maxillary sinus with destruction of its anteroinferior wall. Displacement of several teeth roots was seen with canine root was attached in the lesion. Whole mass was completely enucleated without affected external appearance. Patient has been asymptomatic for 3 months follow up. Patient was referred to the dentist for teeth prosthetic treatment, however patient was felt satisfied with the cosmetic and functional result. Diagnosis of maxillary OKC is challenging. CT scan and/or Magnetic Resonance Imaging (MRI) were important to differentiate the cyst with other sin nasal neoplasms. Panoramic radiography can give important information related teeth involvement. Site and size of lesion, aggressive nature and high risk of recurrence in OKC contributed in choosing the best surgical technique. Surgical approach chosen should ensure the wide surgical field for complete resection while preserving cosmetic appearance.

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“…It rarely associated with impacted molar area. This accordance to our case with involvement of lateral incisor and canine area and not related with unerupted teeth [1,2,4,5,8].…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Maxillary Sinus Odontogenic Keratocyst: Role of Radiology and Surgical Approach

Adham¹,

Moulanda²

2021

Advances in Health Sciences Research

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show abstract

“…The complications of this surgery as already mentioned in the previous sections may be different and more or less long term. It is possible to use instruments that allow the clinician to be more conservative and more respectful towards the tissues, especially with respect to the anatomical structures [35,36,37,38].…”

Section: Discussionmentioning

confidence: 99%

Antibiotic Prophylaxis on Third Molar Extraction: Systematic Review of Recent Data

et al. 2019

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The aim of this paper was to highlight the most widely antibiotic protocols applied to the dental field, especially in the surgical treatment of impacted wisdom teeth. Once these protocols were screened, all the possible advantages or disadvantages for each drug and each posology were recorded in this review. In recent years, the need to use these protocols has been debated in the literature. The data obtained by this review underlined how antibiotic protocols applied to oral surgery treatments only included surgeries performed on patients who did not present other systemic pathologies. The first literature review obtained 140 results, and then after the application of the inclusion criteria, 12 papers were selected. The results showed that the most commonly used protocol involved the use of penicillin and clavulanate, obtaining safe clinical and prophylactic results in the management of infections. This widely used protocol seems to guarantee high predictability and safety. The presented review highlights the current possibility of antibiotic resistance affecting patients due to drug misuse. Further clinical studies are required to state specific guidelines; however, oral surgeons involved in third molar surgery should evaluate the local and general health conditions of the patients before suggesting any drug measures for patients.

show abstract

Keratocystic odontogenic tumor associated with impacted maxillary third molar extending to the antrum: A challenging diagnosis

Cited by 2 publications

References 31 publications

Maxillary Sinus Odontogenic Keratocyst: Role of Radiology and Surgical Approach

Maxillary Sinus Odontogenic Keratocyst: Role of Radiology and Surgical Approach

Antibiotic Prophylaxis on Third Molar Extraction: Systematic Review of Recent Data

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