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피부누공을 동반한 비순낭종으로 오인된 치근낭종

A Radicular Cyst with Cutaneous Fistula which was Misunderstood as a Nasolabial Cyst

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참고문헌

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주제분류이비인후과학

초록

A radicular cyst is an inflammatory, epithelial cyst that occurs in the maxillar bone, especially anterior segment. For optimal treatment, differentiation with other odontogenic cyst is very important. In this report, there was a 71-years-old man who visited our clinic with right naso-alar sulcus swelling and pus-like discharge. We diagnosed as nasolabial cyst based on history, physical examination and PNS CT scan, and designed excision via Caldwell-Luc approach. However, In operation, we found an adhered cyst that induced by 13th canine root infection, and its pathologic findings were chronic inflammation. So, we made definite diagnosis to radicular cyst, and performed additional dental treatment. Radicular cyst is most common in odontogenic cyst. Nevertheless it can be easily misunderstanding to other odontogenic cyst, we present this report with a review of literatures.

Abstract

A radicular cyst is an inflammatory, epithelial cyst that occurs in the maxillar bone, especially anterior segment. For optimal treatment, differentiation with other odontogenic cyst is very important. In this report, there was a 71-years-old man who visited our clinic with right naso-alar sulcus swelling and pus-like discharge. We diagnosed as nasolabial cyst based on history, physical examination and PNS CT scan, and designed excision via Caldwell-Luc approach. However, In operation, we found an adhered cyst that induced by 13th canine root infection, and its pathologic findings were chronic inflammation. So, we made definite diagnosis to radicular cyst, and performed additional dental treatment. Radicular cyst is most common in odontogenic cyst. Nevertheless it can be easily misunderstanding to other odontogenic cyst, we present this report with a review of literatures.

참고문헌 (8)

  1. Lee HM, "A clinical study of nasolabial cyst", J Clinical Otolaryngol, 12(2), pp.240~243 (2001)
  2. Caliskan MK, "Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review", Int Endod J, 37(6), pp.408~416 (2004)
  3. 김보해, "양측 비순낭 1예", 임상이비인후과, 23(1), pp.117~120 (2012), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
  4. Lee YC, "A case of infected dentigenous cyst with foreign body", Korean J Otorhinolaryngol-Head Neck, 33(4), pp.811~815 (1990)
  5. Jin YH, "Comparison of digital radiometric features between radicular cysts and periapical granulomas", Korean J Oral Maxillofac Radiol, 29(1), pp.241~254 (1999)
  6. Caliskan MK, "Periapical repair and apical closure of a pulpless tooth using calcium hydroxide", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84(6), pp.683~687 (1997)
  7. Lapeer GL, "The use of marsupialization in resolving a dentigenous cystic lesion: a case presentation", J Can Dent Assoc, 51, pp.569~570 (1985)
  8. 태경, "상악에 발생한 치근낭의 치료", 대한이비인후과학회지 두경부외과학, 50(9), pp.789~794 (2007), 대한이비인후과학회

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