Conservative surgical approach to aggressive benign odontogenic neoplasm: a report of three cases
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Aggressive benign odontogenic neoplasms have substantial potential to grow to an enormous size with resulting bone deformities, and they often in-vade adjacent tissues and spread beyond their normal clinical and radiographic margins; as such, they have a high rate of recurrence. Historically, man-agement (conservative versus aggressive) on the basis of clinical, radiographic and/or histopathologic characteristics has been controversial. However, recent advances in the understanding of the biological features of these lesions may provide greater evidence of the benefitsof conservative manage-ment. Three patients with different complaints and finalhistopathologic diagnoses were enrolled in the study. All three cases were treated by a single operator with similar conservative surgical procedures. During follow-up, the patients had uneventful secondary healing and bone regeneration, less packing time than previously reported, no clinical or radiographic evidence of recurrence and no apparent deformity. The aggressive behavior of these lesions requires long clinical and radiographic follow-up. Conservative surgical management may be an option to reduce recurrence and morbidity and increase the probability of uneventful secondary healing and bone regeneration.
Abstract
Aggressive benign odontogenic neoplasms have substantial potential to grow to an enormous size with resulting bone deformities, and they often in-vade adjacent tissues and spread beyond their normal clinical and radiographic margins; as such, they have a high rate of recurrence. Historically, man-agement (conservative versus aggressive) on the basis of clinical, radiographic and/or histopathologic characteristics has been controversial. However, recent advances in the understanding of the biological features of these lesions may provide greater evidence of the benefitsof conservative manage-ment. Three patients with different complaints and finalhistopathologic diagnoses were enrolled in the study. All three cases were treated by a single operator with similar conservative surgical procedures. During follow-up, the patients had uneventful secondary healing and bone regeneration, less packing time than previously reported, no clinical or radiographic evidence of recurrence and no apparent deformity. The aggressive behavior of these lesions requires long clinical and radiographic follow-up. Conservative surgical management may be an option to reduce recurrence and morbidity and increase the probability of uneventful secondary healing and bone regeneration.
참고문헌 (20)
- Gupta N, "Unicystic ameloblastoma of the mandible", J Oral Maxillofac Pathol, 15, pp.228~231 (2011)
- Abdullah WA, "Surgical treatment of keratocystic odontogenic tumour:a review article", Saudi Dent J, 23, pp.61~65 (2011)
- Yildirim G, "Conservative treatment protocol for keratocystic odontogenic tumour: a follow-up study of 3 cases", J Oral Maxillofac Res, 1, pp.e7~ (2010)
- Hasegawa T, "Retrospective study of ameloblastoma: the possibility of conservative treatment", Kobe J Med Sci, 59, pp.E112~E121 (2013)
- Kahairi A, "Norra H. Management of large mandibular ameloblastomas: a case report and literature reviews", Arch Orofac Sci, 3, pp.52~55 (2008)
- Giuliani M, "Conservative management of a large odontogenic keratocyst: report of a case and review of the literature", J Oral Maxillofac Surg, 64, pp.308~316 (2006)
- Zhou H, "Secondary healing after removal of large keratocystic odontogenic tumor in the mandible: enucleation followed by open packing of iodoform gauze", J Oral Maxillofac Surg, 70, pp.1523~1530 (2012)
- Hellstein J, "The history and mystery of Carnoy’s solution: an assessment of the need for chloroform", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 103, pp.e24~ (2007)
- Kalaskar R, "Conservative management of unicystic ameloblastoma in a young child: report of two cases", Contemp Clin Dent, 2, pp.359~363 (2011)
- Mizokami F, "Iodoform gauze removes necrotic tissue from pressure ulcer wounds by fibrinolytic activity", Biol Pharm Bull, 35, pp.1048~1053 (2012)
- Freedman M, "Commonly used topical oral wound dressing materials in dental and surgical practice--a literature review", J Ir Dent Assoc, 59, pp.190~195 (2013)
- Maria A, "Marsupialization as a treatment option of a large odontogenic keratocyst: a case report with the review of literature", People’s Journal of Scientific Research, 5, pp.46~51 (2012)
- Dolanmaz D, "Marsupialization of unicystic ameloblastoma: a conservative approach for aggressive odontogenic tumors", Indian J Dent Res, 22, pp.709~712 (2011)
- Ramesh RS, "Unicystic ameloblastoma of the mandible--an unusual case report and review of literature", Head Neck Oncol, 2, pp.1~ (2010)
- 박세현, "치성 각화 낭종의 술후 재발양상과 추적관찰 기간의 제안", 대한구강악안면외과학회지, 34(4), pp.456~459 (2008), 대한구강악안면외과학회
- 신민영, "단방성 법랑아세포종의 보존적 수술에 관한 증례보고 및 문헌고찰", 대한구강악안면외과학회지, 31(1), pp.70~73 (2005), 대한구강악안면외과학회
- Güler N, "Conservative management of keratocystic odontogenic tumors of jaws", ScientificWorldJournal, 2012, pp.680397~ (2012)
- Lee PK, "Unicystic ameloblastoma--use of Carnoy᾽s solution after enucleation", Int J Oral Maxillofac Surg, 33, pp.263~267 (2004)
- Carneiro JT, "Use of gas combination cryosurgery for treating ameloblastomas of the jaw", J Craniomaxillofac Surg, 40, pp.e342~e345 (2012)
- Hadziabdic N, "Therapeutic approach to large jaw cysts", HealthMed, 5, pp.1793~1799 (2011)