Rare Located Wide Volume Keratocistic Odontojenic Tumor

Yıl 2019, Cilt: 14 Sayı: 3, 148 - 150, 15.11.2019

Fatma Bilgen , Alper Ural , Mehmet Bekerecioğlu

https://doi.org/10.17517/ksutfd.481727

Öz

KCOT
(Keratocystic Odontogenic Tumor) accounts for 7.8% of all jaw cysts and is more
common in the mandible. Usually progresses without finding. However, pain and
swelling secondary to infection may occur. Maxillary KCOT presents with 30%
oral mucosal expansion. In this study, we present a rare case of keratocystic
odontogenic tumor and its treatment approach that covered the maxillary sinus
and eroded the anterior wall of the maxillary sinus. A 37-year-old male patient
had a history of 3x3 cm in the right malar region for approximately 6 months. swelling
and intraoral expansion. The removed cyst was sent for histopathological
examination with its wall and the result was determined as odontogenic
keratocyst.

As
a result, keratocystic odontogenic tumors may occur in the maxillary sinus with
or without a tooth. The most important information in the management of the
patient is the correct information and follow-up on the choice of appropriate
treatment method and the high recurrence rate.

Nadir Yerleşimli Geniş Hacimli Keratokistik Odontojenik Tümör

Öz

KCOT (Keratokistik Odontojenik tümör) tüm
çene kistlerinin %7,8 ‘ini oluşturmaktadır ve mandibulada daha sık
gözlenmektedir. Genellikle bulgu vermeden ilerler. Ancak enfeksiyona sekonder
ağrı ve şişlik ortaya çıkabilir. Maksilla yerleşimli KCOT, % 30 oranında oral
mukoza ekspansiyonu ile karşımıza çıkar. Çalışmada, nadir bir olgu olarak, sağ
yanakta şişlik dışında şikayeti olmayan, tüm maksiller sinüsü kaplamış ve
maksillar sinüs anterior duvarının erode etmiş, keratokistik odontojenik tümör
ve tedavi yaklaşımımız sunulmaktadır. 37 yaşında erkek hasta yaklaşık 6 aydır sağ
malar bölgede 3x3 cm. lik şişlik ve intraoral ekspansiyon nedeniyle opera
edildi. Çıkartılan kist duvarı ile histopatolojik imcelemeye gönderildi ve
sonuç odontojenik keratokist olarak tespit edildi.

Sonuç olarak, Keratokistik odontojenik
tümöler, maksiller sinüs içerisinde, bir diş ile birlikte veya diş olmadan
ortaya çıkabilir.  Hastanın yönetiminde
önemli olan, uygun tedavi yönteminin seçimi ve nüks oranı yüksekliği konusunda
doğru bilgilendirme ve takiptir.

Anahtar Kelimeler

maksilla, keratokist, tedavi

Kaynakça

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