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Aggressive osseous commitment result by keratocyst odontogenic tumour: case report, radiographic and clinical standpoints. | LitMetric

AI Article Synopsis

  • KCOT, previously known as odontogenic keratocyst, is a benign but locally aggressive dental lesion that often recurs and typically arises from the dental lamina.
  • It usually remains asymptomatic until significant swelling occurs, most commonly affecting the posterior mandible, and multiple cases can be linked to nevoid basal cell carcinoma syndrome.
  • This report details an aggressive case that caused major bone destruction and facial asymmetry, treated successfully through enucleation and rehabilitation, with a follow-up to monitor for recurrence and no complications observed post-surgery.

Article Abstract

Keratocystic odontogenic tumour (KCOT) previously known as odontogenic keratocyst was recently classified as a benign lesion characterized by an infiltrating pattern, local aggressiveness with the propensity to recurrence. It is thought to arise from the dental lamina. Pain is usually not associated with KCOT until swelling occurs, and it commonly affects the posterior mandible. Multiple KCOT are associated with nevoid basal cell carcinoma syndrome. This study reports an aggressive case of KCOT with destruction of the osseous tissue of the mandible, accentuated face asymmetry, dysphagia and dysphonia. It was managed with a defined protocol which entailed diagnosis, treatment with enucleation along with peripheral ostectomy and rehabilitation. A long-term follow-up schedule was provided to the patient to observe the recurrence behaviour of this cyst. In postoperative phase, no complication was noticed regarding wound healing and recurrence.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813488PMC
http://dx.doi.org/10.1093/jscr/rjt044DOI Listing

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