Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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ODONTOGENIC KERATOCYSTS IN THE MAXILLA: A REPORT OF TWO CASES

상악골에 발생한 치성각화낭종

  • Oh, Sun-Young (Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University) ;
  • Ryu, Chong-Hoy (Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University) ;
  • Park, In-Soon (Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University)
  • 오선영 (조선대학교 치과대학 구강악안면외과학교실, 구강생물연구소) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실, 구강생물연구소) ;
  • 류종희 (조선대학교 치과대학 구강악안면외과학교실, 구강생물연구소) ;
  • 박인순 (조선대학교 치과대학 구강악안면외과학교실, 구강생물연구소)
  • Published : 2001.04.30
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Abstract

We described two cases of odontogenic keratocysts of the maxilla. Odontogenic keratocysts (OKCs) are jaw cysts with a proclivity for local invasion and recurrence. Clinically, OKCs are characterized by aggressive, local growth. The diagnosis of mandibular OKC is based on physical examination and plain film radiographic findings. However, histopathological confirmation is required to make the diagnosis with certainty. The molar regions of the mandible and maxilla are the principal primary locations. The maxillary antrum is also a common site. Initial therapy is typically enucleation with or without extraction of the associated teeth. Long-term follow-up is necessary because of the aggressive nature and recurrence rate of OKCs.

최근 5년간 본과에 내원한 치성각화낭종 환자는 모두 10명이었으며 발병부위는 하악 3대구치부위 및 ramus부위에 발생된 경우가 5증례로 호발 부위로 나타났으며, 상악에 발생한 증례는 2증례로 상악부위가 드문 병소 호발 부위임을 알 수 있다. 상악에 발생한 치성각화낭종의 경우 한 증례는 적출술로 시행되었으며 다른 한 증례에서는 원인치아로 생각되는 치아의 발치가 동시에 이루어졌으며 수술후 관찰결과 현재까지 특이한 재발양상은 보이고 있지 않으며 문헌고찰과 함께 보고하는 바이다.

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