H U Brauer1, C Diaz, G Manegold-Brauer. 1. Centre for Dentistry, Implantology and Oral Surgery, Alte Bahnhofstr. 10/2, 77933, Lahr, Germany, info@dr-brauer-ma.de.
Abstract
BACKGROUND: The keratocystic odontogenic tumour (KCOT), formerly known as the odontogenic keratocyst, is a benign intra-osseous odontogenic tumour. The KCOT is characterised by a potential for locally destructive behaviour and a relatively high recurrence rate. Most KCOT are incidentally discovered as well-defined unilocular or multilocular radiolucencies on routine panoramic radiographs. CASE REPORT: A 15-year-old boy was referred to dental care with a non-syndromic KCOT in the right angle of the mandible. Using cone-beam computed tomography (CBCT) as a diagnostic instrument for precise assessment of the KCOT, the exact location of the lesion was determined. TREATMENT: The cystic formation was enucleated without peripheral ostectomy. FOLLOW-UP: At post-operative follow-up after 3 and 6 months, the boy reported no pain and there was no residual swelling or fracture. Imaging was planned after 1 year to decide whether further surgical treatment is indicated. CONCLUSION: The CBCT is considered beneficial in cases of cystic formations to determine the localisation and borders of the lesion in all three dimensions.
BACKGROUND: The keratocystic odontogenic tumour (KCOT), formerly known as the odontogenic keratocyst, is a benign intra-osseous odontogenic tumour. The KCOT is characterised by a potential for locally destructive behaviour and a relatively high recurrence rate. Most KCOT are incidentally discovered as well-defined unilocular or multilocular radiolucencies on routine panoramic radiographs. CASE REPORT: A 15-year-old boy was referred to dental care with a non-syndromic KCOT in the right angle of the mandible. Using cone-beam computed tomography (CBCT) as a diagnostic instrument for precise assessment of the KCOT, the exact location of the lesion was determined. TREATMENT: The cystic formation was enucleated without peripheral ostectomy. FOLLOW-UP: At post-operative follow-up after 3 and 6 months, the boy reported no pain and there was no residual swelling or fracture. Imaging was planned after 1 year to decide whether further surgical treatment is indicated. CONCLUSION: The CBCT is considered beneficial in cases of cystic formations to determine the localisation and borders of the lesion in all three dimensions.
Authors: H Myoung; S P Hong; S D Hong; J I Lee; C Y Lim; P H Choung; J H Lee; J Y Choi; B M Seo; M J Kim Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Date: 2001-03
Authors: Nilza N F Lopes; Eliana M Caran; Maria Lucia Lee; Nasjla Saba Silva; André Caroli Rocha; Carla R D Macedo Journal: J Clin Pediatr Dent Date: 2010 Impact factor: 1.065
Authors: Panasaya Charenkavanich Buckley; Edward B Seldin; Thomas B Dodson; Meredith August Journal: J Oral Maxillofac Surg Date: 2011-07-20 Impact factor: 1.895
Authors: D Geneviève; E Walter; P Gorry; M L Jacquemont; L Dupic; V Layet; A Munnich; V Cormier-Daire; M Dommergues; S Lyonnet; D Mitanchez Journal: Prenat Diagn Date: 2005-11 Impact factor: 3.050