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2010 Jul-Sep; Vol 1, No 3:e7 ____________________________________________________________________________
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Conservative Treatment Protocol for Keratocystic Odontogenic Tumour: a Follow-up Study of 3 Cases
Gülsün Yildirim1, Hanife Ataoglu1, Abdullah Kalayci1, Birkan Taha Özkan1, Korhan Kucuk1, Alparslan Esen1
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Selçuk, Konya, Turkey
Corresponding author: Birkan Taha Özkan Yuzuncuyıl Üniversitesi, Dishekimligi Fakultesi Ağız, Dis, Cene Hastalıkları ve Cerrahisi Bölümü 65080, Kampus/Van Turkey Phone: + 90 532 616 91 63 Fax: + 90 432 225 17 47 E-mail: btozkan@hotmail.com
Copyright © Yildirim G, Ataoglu H, Kalayci A, Özkan BT, Kucuk K, Esen A.. Accepted for publication in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH (http://www.ejomr.org), 12 June 2010.
This is an open-access article, first published in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH, distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 Unported License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work and is properly cited. The copyright, license information and link to the original publication on (http://www.ejomr.org) must be included.
ABSTRACT
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, Selçuk 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.
J Oral Maxillofac Res 2010 (Jul-Sep);1(3):e7 doi: 10.5037/jomr.2010.1307 Accepted for publication: 12 June 2010
Keywords: keratocysts; odontogenic cyst; jaw cysts; jaw neoplasms.
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