Total maxillary sinus invasion by odontogenic keratocyst
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/16735 |
Resumo: | Introduction: The odontogenic keratocyst is a cystic lesion that is derived from the dental lamina, its remains or the beginnings of a normal or supernumerary tooth, before the formation of calcified tissues. It is equivalent to 11% of all odontogenic cysts, and only 1% of them affect the maxillary sinus. Clinically, in larger lesions, they may present with pain, swelling and drainage, where their diagnosis is confirmed by imaging together with histopathology. Objective: To report a case of a large odontogenic keratocyst in the maxilla, which invaded the left maxillary sinus from the alveolar bone to the infraorbital nerve, in a 51-year-old patient. Discussion: Among the most aggressive treatments we have the lowest lesion recurrence rates, but they have very significant disadvantages ranging from neuropathies to patient disfigurement, therefore, in large cysts, the most conservative treatments should be prioritized. Conclusion: Initially, treatments that reduce aggression and cystic volume should be chosen, such as decompression or marsupialization, as a way of protecting noble structures such as the lower alveolar nerve and the infraorbital nerve, and at the same time provide a second surgical time with a minor injury and less aggressive. |
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Total maxillary sinus invasion by odontogenic keratocystInvasión total del seno maxilar por queratoquiste odontogénicoInvasão total de seio maxilar por ceratocisto odontogênicoMaxillary sinusOdontogenic cystsJaw cysts.Seno maxilarQuistes odontogénicosQuistes maxilomandibulares.Seio maxilarCisto odontogênicoTumor odontogênico.Introduction: The odontogenic keratocyst is a cystic lesion that is derived from the dental lamina, its remains or the beginnings of a normal or supernumerary tooth, before the formation of calcified tissues. It is equivalent to 11% of all odontogenic cysts, and only 1% of them affect the maxillary sinus. Clinically, in larger lesions, they may present with pain, swelling and drainage, where their diagnosis is confirmed by imaging together with histopathology. Objective: To report a case of a large odontogenic keratocyst in the maxilla, which invaded the left maxillary sinus from the alveolar bone to the infraorbital nerve, in a 51-year-old patient. Discussion: Among the most aggressive treatments we have the lowest lesion recurrence rates, but they have very significant disadvantages ranging from neuropathies to patient disfigurement, therefore, in large cysts, the most conservative treatments should be prioritized. Conclusion: Initially, treatments that reduce aggression and cystic volume should be chosen, such as decompression or marsupialization, as a way of protecting noble structures such as the lower alveolar nerve and the infraorbital nerve, and at the same time provide a second surgical time with a minor injury and less aggressive.Introducción: El queratoquiste odontogénico es una lesión quística que se deriva de la lámina dental, sus restos o los inicios de un diente normal o supernumerario, antes de la formación de tejidos calcificados. Equivale al 11% de todos los quistes odontogénicos, y solo el 1% de ellos afecta al seno maxilar. Clínicamente, en lesiones de mayor tamaño, pueden presentarse con dolor, hinchazón y supuración, donde su diagnóstico se confirma mediante imagen junto con histopatología. Objetivo: Presentar un caso de queratoquiste odontogénico de gran tamaño en el maxilar, que invadió el seno maxilar izquierdo desde el hueso alveolar hasta el nervio infraorbitario, en un paciente de 51 años. Discusión: Dentro de los tratamientos más agresivos, tenemos las tasas más bajas de recurrencia de lesiones, pero tienen desventajas muy importantes, que van desde neuropatías hasta desfiguración del paciente, por lo que, en quistes grandes, se deben priorizar los tratamientos más conservadores. Conclusión: Inicialmente se deben optar por tratamientos que reduzcan la agresión y el volumen quístico, como la descompresión o la marsupialización, como forma de proteger estructuras nobles como el nervio alveolar inferior y el nervio infraorbitario, y al mismo tiempo proporcionar un segundo tiempo quirúrgico con una lesión menor y menos agresiva.Introdução: O ceratocisto odontogênico é um tumor benigno acometido em sua maioria em paciente do sexo masculino com menos de 30 anos. Deriva-se da lâmina dentária, de seus restos ou dos primórdios de um dente normal ou supranumerário, antes da formação dos tecidos calcificados. Equivale a 11% de todos os cistos odontogênicos, em que 1% deles acometem o seio maxilar. Clinicamente nas lesões maiores, podem apresentar dor, tumefação e drenagem, onde seu diagnóstico é confirmado através do exame de imagem em conjunto com histopatológico. Objetivo: Relatar um caso de ceratocisto odontogênico grande em maxila, o qual invadiu o seio maxilar esquerdo desde o osso alveolar até o nervo infraorbital, em um paciente com 51 anos de idade. Discussão: Dentro dos tratamentos mais agressivos temos as menores taxas de recidiva de lesão, porém têm desvantagens bem significativas que vão desde neuropatias até desfiguração do paciente, desta forma, em cistos grandes os tratamentos mais conservadores devem ser priorizados. Conclusão: Inicialmente devem ser escolhidos os tratamentos que reduzem a agressividade e o volume cístico tais como descompressão ou marsupialização, como uma forma de proteção às estruturas nobres como o nervo alveolar inferior e o infraorbital e concomitantemente propiciar um segundo tempo cirúrgico com uma lesão menor e menos agressiva.Research, Society and Development2021-06-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1673510.33448/rsd-v10i7.16735Research, Society and Development; Vol. 10 No. 7; e34310716735Research, Society and Development; Vol. 10 Núm. 7; e34310716735Research, Society and Development; v. 10 n. 7; e343107167352525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/16735/14870Copyright (c) 2021 Aída Juliane Ferreira dos Santos; Carolina Chaves Gama Aires; Miquéias Oliveira de Lima Júnior; Thiago Coelho Gomes da Silva; Belmiro Cavalcanti do Egito Vasconceloshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Aída Juliane Ferreira dosAires, Carolina Chaves GamaLima Júnior, Miquéias Oliveira de Silva, Thiago Coelho Gomes daVasconcelos, Belmiro Cavalcanti do Egito2021-07-18T21:07:03Zoai:ojs.pkp.sfu.ca:article/16735Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:37:12.847637Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Total maxillary sinus invasion by odontogenic keratocyst Invasión total del seno maxilar por queratoquiste odontogénico Invasão total de seio maxilar por ceratocisto odontogênico |
title |
Total maxillary sinus invasion by odontogenic keratocyst |
spellingShingle |
Total maxillary sinus invasion by odontogenic keratocyst Santos, Aída Juliane Ferreira dos Maxillary sinus Odontogenic cysts Jaw cysts. Seno maxilar Quistes odontogénicos Quistes maxilomandibulares. Seio maxilar Cisto odontogênico Tumor odontogênico. |
title_short |
Total maxillary sinus invasion by odontogenic keratocyst |
title_full |
Total maxillary sinus invasion by odontogenic keratocyst |
title_fullStr |
Total maxillary sinus invasion by odontogenic keratocyst |
title_full_unstemmed |
Total maxillary sinus invasion by odontogenic keratocyst |
title_sort |
Total maxillary sinus invasion by odontogenic keratocyst |
author |
Santos, Aída Juliane Ferreira dos |
author_facet |
Santos, Aída Juliane Ferreira dos Aires, Carolina Chaves Gama Lima Júnior, Miquéias Oliveira de Silva, Thiago Coelho Gomes da Vasconcelos, Belmiro Cavalcanti do Egito |
author_role |
author |
author2 |
Aires, Carolina Chaves Gama Lima Júnior, Miquéias Oliveira de Silva, Thiago Coelho Gomes da Vasconcelos, Belmiro Cavalcanti do Egito |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Santos, Aída Juliane Ferreira dos Aires, Carolina Chaves Gama Lima Júnior, Miquéias Oliveira de Silva, Thiago Coelho Gomes da Vasconcelos, Belmiro Cavalcanti do Egito |
dc.subject.por.fl_str_mv |
Maxillary sinus Odontogenic cysts Jaw cysts. Seno maxilar Quistes odontogénicos Quistes maxilomandibulares. Seio maxilar Cisto odontogênico Tumor odontogênico. |
topic |
Maxillary sinus Odontogenic cysts Jaw cysts. Seno maxilar Quistes odontogénicos Quistes maxilomandibulares. Seio maxilar Cisto odontogênico Tumor odontogênico. |
description |
Introduction: The odontogenic keratocyst is a cystic lesion that is derived from the dental lamina, its remains or the beginnings of a normal or supernumerary tooth, before the formation of calcified tissues. It is equivalent to 11% of all odontogenic cysts, and only 1% of them affect the maxillary sinus. Clinically, in larger lesions, they may present with pain, swelling and drainage, where their diagnosis is confirmed by imaging together with histopathology. Objective: To report a case of a large odontogenic keratocyst in the maxilla, which invaded the left maxillary sinus from the alveolar bone to the infraorbital nerve, in a 51-year-old patient. Discussion: Among the most aggressive treatments we have the lowest lesion recurrence rates, but they have very significant disadvantages ranging from neuropathies to patient disfigurement, therefore, in large cysts, the most conservative treatments should be prioritized. Conclusion: Initially, treatments that reduce aggression and cystic volume should be chosen, such as decompression or marsupialization, as a way of protecting noble structures such as the lower alveolar nerve and the infraorbital nerve, and at the same time provide a second surgical time with a minor injury and less aggressive. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/16735 10.33448/rsd-v10i7.16735 |
url |
https://rsdjournal.org/index.php/rsd/article/view/16735 |
identifier_str_mv |
10.33448/rsd-v10i7.16735 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/16735/14870 |
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. 10 No. 7; e34310716735 Research, Society and Development; Vol. 10 Núm. 7; e34310716735 Research, Society and Development; v. 10 n. 7; e34310716735 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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1797052833098366976 |