Anesthesia Management of an Anxietic Patient with Huge Odontogenic Keratocyst

Year 2020, Ağız Kanserleri Özel Sayısı, 205 - 210, 28.09.2020

Necmiye Şengel Mehmet Emin Toprak

https://doi.org/10.20515/otd.771893

Abstract

Odontogenic keratocyst (OKC); is a developmental benign, locally aggressive odontogenic cyst originating from remnants of the dental lamina or the basal cells from the oral epithelium. OKC affects the mandible more often. Most lesions are located in the posterior mandible and generally occur at the angle, show a predominant mesio-distal expansion.Due to local aggressive propagation, internal growth potential and satellite cysts being prone to recurrence, it was named as ‘keratocystic odontogenic tumor’ between 2005-2017, and was evaluated in the class of neoplasm but is stil included in the classification of cysts. In this case report, we wanted to talk about the anesthetic management of an anxiety patient who was previously operated under local anesthesia, and local anesthesia could not be achieved due to the chronic infection and the location of the lesion.

Keywords

Odontogenic keratocyst, anesthesia, sedation, Gow-Gates, biopsy

Anksiyetik Hastada İleri Boyutlardaki Odontojenik Keratokist İçin Anestezi Yaklaşımı

Abstract

Odontojenik keratokist (OK); ağız epitelinin bazal hücrelerinden veya dental lamina artıklarından meydana gelen gelişimsel, benign, lokal agresif davranışta bir odontojenik kisttir. Mandibulada daha sık görülmektedir. Lezyonlar sıklıkla posterior mandibular angulusta görülmekte ve mezio-distal yayılım göstermektedir. Lokal agresif yayılımı, internal büyüme potansiyeli ve uydu kistlerin nükse meyilli olmasından dolayı WHO tarafından 2005-2017 yılları arasında ‘keratokistik odontojenik tümör’ olarak adlandırılmış ve neoplazm sınıfında değerlendirilmiş ancak günümüzde tekrar kist sınıflamasına dahil edilmiştir. Bu olgu sunumunda daha önce lokal anestezi altında opere edilmeye çalışılmış, kronik enfeksiyondan ve lezyonun sinirin yerini de değiştirmesinden dolayı lokal anestezi sağlanamamış anksiyetik hastanın anestezi yönetiminden bahsedilmiştir.

Keywords

Odontojenik keratokist, anestezi, sedasyon, Gow-Gates, biyopsi

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