Conservative Surgery As First- Line Treatment For Keratocyst
A Case Report

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.12541
Dibujo elaborado por Sara Sofía Espinosa Méndez

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Published: Sep 1, 2023
Issue: Vol. 21 No. 3 (2023): Revista Ciencias de la Salud
Section Case Study


Keywords: Diagnosis , Oral surgery , odontogenic cysts , odontogenic keratocyst , biopsy diagnóstico , cirugía bucal , quistes odontogénicos , queratoquiste odontogénico , biopsia diagnóstico , cirurgia oral , cistos odontogênicos , queratocisto odontogênico , biópsia

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Authors

  Samuel Enrique Urbano del Valle Universidad de Cartagena
Leidy Giraldo Rendón Fundación Universitaria Visión De Las Américas
Jarlinson Córdoba Mosquera Fundación Universitaria Visión De Las Américas
  Eilien Gisek Tovio Martínez Fundación Universitaria Visión De Las Américas
Abstract

Introduction: Keratocyst is a developmental odontogenic cyst originating from dental lamina residues. Its biological behavior is similar to that of a benign neoplasm. Furthermore, it is aggressive and has a high recurrence rate, causing massive bone destruction. It can appear in any area of the jaw and is associated with impacted teeth. On imaging, it appears as a multilocular or polycystic radiolucent lesion with a thin cortical border. Objective: To show the importance of a precise diagnosis, an early and accurate detection, and to determine the use and appropriate time of the application of Carnoy’s solution as first-line treatment. Case presentation: A 34-year-old man, with no relevant personal history, who 3 years ago presented with a radiolucent lesion located at the level of teeth 34 and 35. He underwent endodontic treatment and lesion removal. Approximately 8 months later, cone-beam computed tomography revealed a hypodense lesion larger than the initial lesion at the level of the lower left hemiarch. Conclusion: Marsupialization; enucleation along with adjuvant therapy; and correct evaluation of clinical, radiographic, and histopathological characteristics enabled a  conservative surgical treatment to be performed without using Carnoy’s solution; nevertheless, postoperative follow-up is recommended. However, in the long term, the use of Carnoy’s solution is not eliminated in isolated cases and will be based on the operator’s criteria.

How to Cite
Urbano del Valle, S. E., Giraldo Rendón, . L., Córdoba Mosquera, J., & Tovio Martínez, E. G. (2023). Conservative Surgery As First- Line Treatment For Keratocyst: A Case Report. Revista Ciencias De La Salud, 21(3), 1–12. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.12541
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