Vaka Raporu: Odontojenik Keratokist Sebepli Parestezinin Marsupyalizasyonla Tedavisi ve Uzun Dönem Takibi

Yıl 2021, , 346 - 351, 30.12.2021

Serap Keskin Tunç , Volkan Kaplan , Mehmet Güzel

https://doi.org/10.52976/vansaglik.894334

Öz

Odontojenik keratokist (OKK) dental lamina artıklarından oluştuğu düşünülen, asemptomatik, ilerleme eğilimli gelişimsel bir kisttir. Nüks oranı yüksektir. Uniloküler ve multiloküler olabilen, sınırlı belirgin radyolüsent lezyon olarak görüntü veren OKK, küçük lezyonlarda rutin radyografilerde fark edilirken, ilerlemiş olgularda ağrı, şişlik, enfeksiyon gibi bulgularla fark edilir. En çok 2. ve 3. dekatlarda, erkeklerde ve mandibula posterior bölgede görülür. Gerçek tanı histopatolojik olarak konur. Tedavisi konservatif olabileceği gibi radikal cerrahi tedavilerde vardır. Şişlik, ağrı ve parestezi şikâyeti ile kliniğe başvuran 32 yaşında erkek hastanın yapılan muayenesinde ağız açmada kısıtlılık, palpasyonda ağrı, şişlik ve dudak ile yanakta hafif parestezi tespit edilmiştir. İnferior alveolar sinir hasarı ve olası mandibular fraktür riski gözetilerek marsupyalizasyon ve sonrasında enükleasyon yapılan hastanın takiplerinde parestezi ve diğer şikayetlerin düzeldiği görülmüştür.

Anahtar Kelimeler

Odontojenik Keratokist, Marsupyalizasyon, KIBT

Kaynakça

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