Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Odontojenik Keratokistlerde Tedavi Yaklaşımı ve Uzun Dönem Takip Sonuçları
The Treatment Approach for Odontogenic Keratocysts and Long Term Follow-up Results
Necip Fazıl ERDEMa, Zeynep GÜMÜŞERa, Gülcan BERKELa
aMarmara Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2020;26(2):159-65
doi: 10.5336/dentalsci.2019-66672
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, insizyonel biyopsi ile odontojenik keratokist (OKK) tanısı konan 10 hastanın, cerrahi tedavileri sonrasında uzun dönem klinik ve radyolojik takip sonuçları ile nüksetme risklerini değerlendirmektir. Gereç ve Yöntemler: Yaşları 19-44 yıl arasında değişen 10 hastaya, cerrahi tedavi olarak enükleasyon ve küretaj veya ilk aşama olarak marsüpyalizasyon ve sonrasında enükleasyon ve küretaj uygulanmıştır. Lezyonları büyük olan iki hastaya, tedavilerinin ilk aşaması olarak 12 ay süreyle marsüpyalizasyon uygulanmıştır. Bu iki hastada marsüpyalizasyon tedavileri boyunca, haftada iki gün normal salin solüsyonu ile lezyonun içi yıkanmıştır. Hastalardan enükleasyon ve küretaj cerrahisi sonrası 6. ayda ve sonrasında senede bir defa olmak üzere takip amaçlı panoramik film alınmıştır. Bulgular: Hastalar, 14-120 ay arasında değişen sürelerde takip edilmiştir. Yaş ortalaması 29,7 yıl olan hastaların 3'ünde maksillada, kalan 7'sinde ise mandibulada OKK tespit edilip tedavileri yapılmıştır. On hastanın 1'inde OKK multiloküler formda olup, kalanları uniloküler tarzdadır. Hastaların 2 (%20)'sinde 23 ve 27. aylarda nüks tespit edilmiş ve tekrar ameliyat edilmiştir. Bu 2 hastadan 1'i ikinci enükleasyon operasyonundan sonra 32 ay, diğeri ise 93 ay daha klinik ve radyolojik olarak takip edilmiştir. Sonuç: OKK'lerin tedavileri esnasında doğru cerrahi tedavi protokolünü seçmek önemlidir. Bununla birlikte bu hastaların uzun dönem klinik ve radyolojik takiplerinin yapılması ve nüksetmesi durumunda tekrar ameliyat edilmesi başarıyı direkt olarak etkileyen faktörlerdendir.

Anahtar Kelimeler: Odontojenik kistler; oral cerrahi işlemleri
ABSTRACT
 Objective: The aim of this study is to evaluate the postoperative recurrence risk by long term radiological and clinical follow ups of 10 patients, who were diagnosed with odontogenic keratocyst (OKC) by the incisional biopsy. Material and Methods: The patients, who were between the age of 19 and 44, were offered a surgical procedure consisting of enucleation and curettage or first marsupialisation followed by secondary enucleation and curettage of the lesion. Marsupialisation was offered to the 2 patients with large lesions for a period of 12 month. During the marsupialisation treatment of these patients, twice-weekly irrigations with normal saline solution were performed. After enucleation and curettage procedure, all of the patients were evaluated at the 6th month and first year postoperatively, and annually thereafter by panoramic radiographs. Results: Patients were postoperatively follow-up for a period of 14 to 120 months. Three of the patients had OKC in maxilla and seven in mandible with a mean age of 29.7. One of the patient' OKC was in multilocular and others were unilocular form. Postoperatively, 2 (20%) of the cases, one at the 23. and other at the 27. months, were diagnosed with recurrent OKC and treated by a second enucleation and curettage procedure. One of these 2 cases were follow-up for further 32 months and the other for 93 months clinically and radiographically. Conclusion: It is important to choose the right surgical treatment method for OKC. Also long term clinic and radiographic follow-up of these patients and re-operate them in case of recurrence is mandatory for a successful treatment.

Keywords: Odontogenic cysts; oral surgical procedures
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Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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