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Vallejo-Rosero KA, Camolesi GV, de Sá PLD, et al. Conservative management of odontogenic keratocyst with long-term 5-year follow-up: Case report and literature review. Int J Surg Case Rep. 2019;66:8-15doi: 10.1016/j.ijscr.2019.11.023.
Vallejo-Rosero, K. A., Camolesi, G. V., de Sá, P. L. D., & Bernaola-Paredes, W. E. (2020). Conservative management of odontogenic keratocyst with long-term 5-year follow-up: Case report and literature review. International journal of surgery case reports, 668-15. https://doi.org/10.1016/j.ijscr.2019.11.023
Vallejo-Rosero, Kleber A, et al. "Conservative management of odontogenic keratocyst with long-term 5-year follow-up: Case report and literature review." International journal of surgery case reports vol. 66 (2020): 8-15. doi: https://doi.org/10.1016/j.ijscr.2019.11.023
Vallejo-Rosero KA, Camolesi GV, de Sá PLD, Bernaola-Paredes WE. Conservative management of odontogenic keratocyst with long-term 5-year follow-up: Case report and literature review. Int J Surg Case Rep. 2020;66:8-15. doi: 10.1016/j.ijscr.2019.11.023. Epub 2019 Nov 20. PMID: 31785568; PMCID: PMC6889737.
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Int J Surg Case Rep. 2020;66:8-15. doi: 10.1016/j.ijscr.2019.11.023. Epub 2019 Nov 20.

Conservative management of odontogenic keratocyst with long-term 5-year follow-up: Case report and literature review.

International journal of surgery case reports

Kleber A Vallejo-Rosero, Gisela Vianna Camolesi, Pedro Luiz Duarte de Sá, Wilber E Bernaola-Paredes

Affiliations

  1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador. Electronic address: [email protected].
  2. Department of Oral Diagnosis, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil. Electronic address: [email protected].
  3. Department of Oral Diagnosis, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil. Electronic address: [email protected].
  4. Department of Oral Diagnosis, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil; Department of Stomatology, A.C. Camargo Cancer Center, Sao Paulo, Brazil. Electronic address: [email protected].

PMID: 31785568 PMCID: PMC6889737 DOI: 10.1016/j.ijscr.2019.11.023

Abstract

INTRODUCTION: Odontogenic Keratocyst (OKC) is a benign lesion recently considered an odontogenic cyst in the present World Health Organization (WHO) classification of Head and Neck tumors (2017) mainly based on its clinical and histopathological features. Several studies, systematic reviews and meta-analyses have shown a multimodal approach to reducing the high recurrence rates inherently exhibited by this pathological condition after long-term periods of follow-up.

PRESENTATION OF CASE: The patient, a 67-years-old woman, was submitted to conservative surgical management of an odontogenic keratocyst. Initially this consisted of decompression and subsequent enucleation, with a long-term period of follow-up to ensure that there was no recurrence.

DISCUSSION: Conservative surgical management is the first choice and might be considered the gold standard, but combined therapy such as marsupialization, application of Carnoy's solution, enucleation of the remnant lesion and an extensive follow-up period would considerably reduce recurrence rates.

CONCLUSION: Therefore, an appropriate long-term follow-up must be done after the treatment performed in order to ensure clinical success, which in this case was described as an absence of signs of recurrent disease.

Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Odontogenic cyst; Odontogenic keratocyst; Recurrence; Surgical treatment; Therapeutic approaches

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