KeratocysticOdontogenic Tumor of the Maxilla Revealed By a Diffused Cellulitis: A Case Report
Journal Title: Scholars Journal of Dental Sciences - Year 2017, Vol 4, Issue 12
Abstract
Keratocysticodontogenic tumor (KCOT) is a unique cyst because of its locally aggressive behavior, high recurrence rate, and histological characteristic appearance. The maxillary presentation is rare. This paper reports a case of maxillary KCOT successfully treated with radical enucleation.A 23-year-old female patient was referred to our department to search for a possible dental etiology to a right upper facial cellulitis. Radiology showed a well-limited unilocular radiolucent area, between the teeth 15 and 16 which were displaced. Initially, a lateral periodontal cyst was suspected. An enucleation of the cyst was performed. Histology concluded on a maxillary KCOT. A follow up at 9 months showedcomplete healing with no signs of recurrence.No consensus exists concerning KCOT management. The most conservative treatment used is enucleation. However, it had a high recurrence rate of 56% up to 10 years after treatment compared with other methods whichexplain the need for long-term follow-up. Keywords:Odontogenic tumors, odontogenic cysts, periodontal cyst, maxilla, therapeutics
Authors and Affiliations
Rahma Ayachi, Wafa Hasni, Nozha Mhamdi, Ghada Bouslama, Souha Ben Youssef, Abdellatif Boughzela
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