Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report

Detalhes bibliográficos
Autor(a) principal: Figueiredo Neto , Félix Augusto
Data de Publicação: 2024
Outros Autores: Silva , Ana Júlia Carla de Oliveira, Souto, Elmano Marques Martins da Costa, Pereira, Mateus José Carvalho, Soares, Betânia Maria, Grandinetti, Helenice de Andrade Marigo, Castro, Carlos Henrique Bettoni Cruz de, Resende, Renata Gonçalves
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/44863
Resumo: The Odontogenic Keratocyst (OK) is a lesion that affects the bones of the mandible and maxilla, of slow growth and asymptomatic. It originates from the odontogenic tissue by the proliferation of mesenchymal tissue, epithelial tissue, or both, with keratin production inside. OK treatment takes place in different stages and therapeutic approaches, therefore, the objective of this article is to describe, through a case report, the treatment performed for an OK from the completion of marsupialization, the surgical approach performed, and the two-year postoperative follow-up in a 15-year-old male patient. The lesion was radiolucent, unilocular, with a radiopaque halo, and anteroposterior growth without destruction of the cortical bone and the initial clinical approach consisted of performing an aspiration puncture and incisional biopsy whose histopathological analysis confirmed the diagnosis of OK. Therefore, marsupialization was performed with a cannula to stimulate the bone neoformation process and reduce the size of the lesion to be favorable to completely remove it, in addition to providing a safety margin to the adjacent noble structures. Six months after the decompression of the lesion, the patient underwent surgical enucleation of the lesion associated with peripheral osteotomy. The radiographic aspect, 2 years after the surgery, shows locais bone neoformation, the integrity of noble structures such as the mandibular canal, and no evidence of lesion recurrence. The patient will be followed up for another 3 years, every 6 months.
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spelling Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report Tratamiento quirúrgico del queratoquiste dental y análisis de imagen y características histopatológicas: Reporte de casoTratamento cirúrgico para o ceratocisto odontogênico e análise das suas características imaginológicas e histopatológicas: Relato de casoQueratoquistesQuistes odontogénicosPatología bucal.CeratocistosCistos odontogênicosPatologia bucal.KeratocystsOdontogenic cystsPathology, oral.The Odontogenic Keratocyst (OK) is a lesion that affects the bones of the mandible and maxilla, of slow growth and asymptomatic. It originates from the odontogenic tissue by the proliferation of mesenchymal tissue, epithelial tissue, or both, with keratin production inside. OK treatment takes place in different stages and therapeutic approaches, therefore, the objective of this article is to describe, through a case report, the treatment performed for an OK from the completion of marsupialization, the surgical approach performed, and the two-year postoperative follow-up in a 15-year-old male patient. The lesion was radiolucent, unilocular, with a radiopaque halo, and anteroposterior growth without destruction of the cortical bone and the initial clinical approach consisted of performing an aspiration puncture and incisional biopsy whose histopathological analysis confirmed the diagnosis of OK. Therefore, marsupialization was performed with a cannula to stimulate the bone neoformation process and reduce the size of the lesion to be favorable to completely remove it, in addition to providing a safety margin to the adjacent noble structures. Six months after the decompression of the lesion, the patient underwent surgical enucleation of the lesion associated with peripheral osteotomy. The radiographic aspect, 2 years after the surgery, shows locais bone neoformation, the integrity of noble structures such as the mandibular canal, and no evidence of lesion recurrence. The patient will be followed up for another 3 years, every 6 months.El Queratoquiste Odontogénico (QO) es una lesión que afecta los huesos de la mandíbula y el maxilar, de crecimiento lento y asintomática. Se origina a partir del tejido odontogénico por proliferación de tejido mesenquimal, tejido epitelial o ambos, con producción de queratina en su interior. El tratamiento de los QO se desarrolla en diferentes etapas y abordajes terapéuticos, por lo que el objetivo de este artículo es describir, a través de un reporte de caso, la tratamiento realizado a un QO desde la finalización de la marsupialización, el abordaje quirúrgico realizado y el seguimiento postoperatorio a los dos años en un período de 15 años. anciano paciente masculino. La lesión era radiolúcida, unilocular, con halo radiopaco, crecimiento anteroposterior sin destrucción del hueso cortical y el abordaje clínico inicial consistió en realizar punción aspiración y biopsia incisional cuyo análisis histopatológico confirmó el diagnóstico de QO. Por lo tanto, se realizó la marsupialización con cánula con el fin de estimular el proceso de neoformación ósea y reducir el tamaño de la lesión para que sea favorable para eliminarla por completo, además de brindar un margen de seguridad a las estructuras nobles adyacentes. Seis meses después de la descompresión de la lesión, el paciente fue sometido a enucleación quirúrgica de la lesión asociada a osteotomía periférica. El aspecto radiológico, 2 años después de la cirugía, muestra neoformación ósea local, integridad de estructuras nobles como el canal mandibular y no hay evidencia de recurrencia de la lesión. El paciente será seguido durante otros 3 años, cada 6 meses.O Ceratocisto Odontogênico (CO) é uma lesão que acomete os ossos da mandíbula e maxila, de crescimento lento e assintomático. Se origina do tecido odontogênico por proliferação do tecido mesenquimal, epitelial, ou de ambos, com produção de ceratina em seu interior. O tratamento do CO acontece em diferentes etapas e abordagens terapêuticas, portanto, o objetivo desse artigo é descrever, através de um relato de caso, o tratamento realizado para um CO desde a conclusão da marsupialização, abordagem cirúrgica realizada e acompanhamento pós-operatório de dois anos em um paciente masculino de 15 anos. A lesão apresentava-se radiolúcida, unilocular, com halo radiopaco, crescimento anteroposterior sem destruição da cortical óssea e a abordagem clínica inicial consistiu na realização de punção aspirativa e biopsia incisional cuja análise histopatológica confirmou o diagnóstico de CO. Sendo assim, realizou-se a marsupialização com cânula a fim de estimular o processo de neoformação óssea e reduzir o tamanho da lesão para ser favorável removê-la completamente, além de conferir uma margem segurança às estruturas nobres adjacentes. Com seis meses de descompressão da lesão, o paciente foi submetido a enucleação cirúrgica da lesão associada a osteotomia periférica. O aspecto radiográfico, dois anos após a cirurgia, mostra neoformação óssea local, integridade de estruturas nobres como o canal mandibular e sem evidência de recidiva da lesão. O paciente será acompanhado por mais três anos, a cada seis meses.Research, Society and Development2024-01-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4486310.33448/rsd-v13i1.44863Research, Society and Development; Vol. 13 No. 1; e11813144863Research, Society and Development; Vol. 13 Núm. 1; e11813144863Research, Society and Development; v. 13 n. 1; e118131448632525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/44863/36247Copyright (c) 2024 Félix Augusto Figueiredo Neto ; Ana Júlia Carla de Oliveira Silva ; Elmano Marques Martins da Costa Souto; Mateus José Carvalho Pereira; Betânia Maria Soares; Helenice de Andrade Marigo Grandinetti; Carlos Henrique Bettoni Cruz de Castro; Renata Gonçalves Resendehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFigueiredo Neto , Félix Augusto Silva , Ana Júlia Carla de Oliveira Souto, Elmano Marques Martins da Costa Pereira, Mateus José Carvalho Soares, Betânia MariaGrandinetti, Helenice de Andrade Marigo Castro, Carlos Henrique Bettoni Cruz de Resende, Renata Gonçalves2024-02-01T09:48:39Zoai:ojs.pkp.sfu.ca:article/44863Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-02-01T09:48:39Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
Tratamiento quirúrgico del queratoquiste dental y análisis de imagen y características histopatológicas: Reporte de caso
Tratamento cirúrgico para o ceratocisto odontogênico e análise das suas características imaginológicas e histopatológicas: Relato de caso
title Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
spellingShingle Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
Figueiredo Neto , Félix Augusto
Queratoquistes
Quistes odontogénicos
Patología bucal.
Ceratocistos
Cistos odontogênicos
Patologia bucal.
Keratocysts
Odontogenic cysts
Pathology, oral.
title_short Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
title_full Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
title_fullStr Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
title_full_unstemmed Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
title_sort Surgical treatment for odontogenic keratocyst and analysis of its imaging and histopathological characteristics: Case report
author Figueiredo Neto , Félix Augusto
author_facet Figueiredo Neto , Félix Augusto
Silva , Ana Júlia Carla de Oliveira
Souto, Elmano Marques Martins da Costa
Pereira, Mateus José Carvalho
Soares, Betânia Maria
Grandinetti, Helenice de Andrade Marigo
Castro, Carlos Henrique Bettoni Cruz de
Resende, Renata Gonçalves
author_role author
author2 Silva , Ana Júlia Carla de Oliveira
Souto, Elmano Marques Martins da Costa
Pereira, Mateus José Carvalho
Soares, Betânia Maria
Grandinetti, Helenice de Andrade Marigo
Castro, Carlos Henrique Bettoni Cruz de
Resende, Renata Gonçalves
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Figueiredo Neto , Félix Augusto
Silva , Ana Júlia Carla de Oliveira
Souto, Elmano Marques Martins da Costa
Pereira, Mateus José Carvalho
Soares, Betânia Maria
Grandinetti, Helenice de Andrade Marigo
Castro, Carlos Henrique Bettoni Cruz de
Resende, Renata Gonçalves
dc.subject.por.fl_str_mv Queratoquistes
Quistes odontogénicos
Patología bucal.
Ceratocistos
Cistos odontogênicos
Patologia bucal.
Keratocysts
Odontogenic cysts
Pathology, oral.
topic Queratoquistes
Quistes odontogénicos
Patología bucal.
Ceratocistos
Cistos odontogênicos
Patologia bucal.
Keratocysts
Odontogenic cysts
Pathology, oral.
description The Odontogenic Keratocyst (OK) is a lesion that affects the bones of the mandible and maxilla, of slow growth and asymptomatic. It originates from the odontogenic tissue by the proliferation of mesenchymal tissue, epithelial tissue, or both, with keratin production inside. OK treatment takes place in different stages and therapeutic approaches, therefore, the objective of this article is to describe, through a case report, the treatment performed for an OK from the completion of marsupialization, the surgical approach performed, and the two-year postoperative follow-up in a 15-year-old male patient. The lesion was radiolucent, unilocular, with a radiopaque halo, and anteroposterior growth without destruction of the cortical bone and the initial clinical approach consisted of performing an aspiration puncture and incisional biopsy whose histopathological analysis confirmed the diagnosis of OK. Therefore, marsupialization was performed with a cannula to stimulate the bone neoformation process and reduce the size of the lesion to be favorable to completely remove it, in addition to providing a safety margin to the adjacent noble structures. Six months after the decompression of the lesion, the patient underwent surgical enucleation of the lesion associated with peripheral osteotomy. The radiographic aspect, 2 years after the surgery, shows locais bone neoformation, the integrity of noble structures such as the mandibular canal, and no evidence of lesion recurrence. The patient will be followed up for another 3 years, every 6 months.
publishDate 2024
dc.date.none.fl_str_mv 2024-01-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44863
10.33448/rsd-v13i1.44863
url https://rsdjournal.org/index.php/rsd/article/view/44863
identifier_str_mv 10.33448/rsd-v13i1.44863
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44863/36247
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 13 No. 1; e11813144863
Research, Society and Development; Vol. 13 Núm. 1; e11813144863
Research, Society and Development; v. 13 n. 1; e11813144863
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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