Quão conservadores podemos ser no tratamento do cisto odontogênico glandular? Relato de caso com enfoque cirúrgico

• Autor(a) principal: Almeida, Julio Menezes Viana de
• Data de Publicação: 2020
• Outros Autores: Azevedo, Taigor Alves
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: http://ri.ufs.br/jspui/handle/riufs/13606
• topic: Boca; Cirurgia; Patologia bucal; Tumores odontogênicos; Cistos (Patologia); Cistos maxilomandibulares; Cirurgia Bucal; Cistos odontogênicos; Maxillomandibular cysts; Oral surgery; Odontogenic cysts; Oral pathology

The glandular odontogenic cyst (GOC) is a rare maxillary cyst, marked by an accelerated growth rate and a potentially recurrent behavior. Hence, treating GOC conservatively remains a controversy among oral and maxillofacial surgeons and oral pathologists. Here, we report on a case in which GOC decompression was used with fairly good results in a male Brazilian patient. After initial clinical and radiographic examination, we performed an incisional biopsy with concomitant placement of a decompression device. With the histological diagnosis of GOC confirmed, decompression was maintained for 8 months, which resulted in a significant volumetric reduction of the lesion verified by a series of radiographic examinations. Since complete regression did not occur, we opted for curettage of the residual pathological tissue at a second surgical opportunity. Thus, decompression associated with curettage appears to be a feasible conservative treatment for GOC. Still, it is important to secure a longer follow-up to detect and intervene at the first signs of recurrence.