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Paper Details

Managing Odontogenic Keratocysts: An Enygma? Considerations to Choose the Correct Approach

Managing Odontogenic Keratocysts: An Enygma? Considerations to Choose the Correct Approach

Lopez Jondalys, Solano Nicolás, Rivera Ejusmar, Castrillo Ariamay and Chirinos Yenielis

Journal Title:Acta Scientific Otolaryngology
Abstract


Purpose: The aim of this study is to propose a protocol for the appropriate management and treatment of odontogenic keratocysts. Materials and Methods: A longitudinal descriptive study on patients with odontogenic keratocysts surgically treated in the Oral and Maxillofacial Surgery Unit of the University Hospital of Maracaibo, Venezuela during the period between January 2015 and January 2020. Using a management algorithm, the treatment modality for each patient was described based on clinical, radiographic charac- teristics and biological behavior of the lesion. Results: 10 patients were included in the study. The average age was 44.7 ± 21 years and 60% of the patients were female. All lesions were located in the mandible, 2 of the lesions had radiographic evidence of cortical perforation. The average radiographic diameter of the lesions was 6.3 ± 2.2 cm. Regarding the surgical variables, 7 patients received decompression + residual cystectomy, 1 patient enucleation and curettage and 2 patients received marginal or en-bloc resection. Conclusion: It is necessary to unify different variables, like biological behavior and surgical and radiographic characteristics, since they are widely scattered in the literature and thus being able to protocolize the management of these lesions to obtain better results and decrease the recurrence rate. Keywords: Odontogenic Keratocyst; Decompression; Enucleation; Resection; Recurrence