Maxillofacial Plastic and Reconstructive Surgery

  • Volume 41
  • /
  • Pages.2.1-2.6
  • /
  • 2019
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지
DOI QR코드

DOI QR Code

Volume change pattern of decompression of mandibular odontogenic keratocyst

  • Park, Jin Hoo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kwak, Eun-Jung (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • You, Ki Sung (Department of Applied and Computational Mathematics and Statistics, University of Notre Dame) ;
  • Jung, Young-Soo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Jung, Hwi-Dong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • Received : 2018.11.18
  • Accepted : 2018.12.11
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was aimed to analyze the reducing pattern of decompression on mandibular odontogenic keratocyst and to determine the proper time for secondary enucleation. Materials and methods: Seventeen patients with OKC of the mandible were treated by decompression. Forty-five series of CT data were taken during decompression and measured by using InVivo software (Anatomage, San Jose, Calif) and were analyzed. Results: The expected relative volume during decompression is calculated using the following formula: V(t) = Vinitial × exp.(at + 1/2bt2) (t = duration after decompression (day)). There was no significant directional indicator in the rate of reduction between buccolingual and mesiodistal widths. Conclusion: The volume reduction rate gradually decreased, and 270 days were required for 50% volume reduction following decompression of OKC. The surgeon should be aware of this pattern to determine the timing for definitive enucleation. Clinical relevance: The volume reduction rate and pattern of decompression of the OKC can be predicted and clinicians should be considered when treating OKC via decompression.

Keywords

References

  1. Madras J, Lapointe H (2008) Keratocystic odontogenic tumour: reclassification of the odontogenic keratocyst from cyst to tumour. J Can Dent Assoc 74(2):165-165h
  2. Kubota Y, Imajo I, Itonaga R, Takenoshita Y (2013) Effects of the patient's age and the size of the primary lesion on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts. Br J Oral Maxillofac Surg 51(4):358-362 https://doi.org/10.1016/j.bjoms.2012.07.017
  3. Stoelinga PJ (2001) Long-term follow-up on keratocysts treated according to a defined protocol. Int J Oral Maxillofac Surg 30(1):14-25 https://doi.org/10.1054/ijom.2000.0027
  4. Anavi Y, Gal G, Miron H, Calderon S, Allon DM (2011) Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112(2):164-169 https://doi.org/10.1016/j.tripleo.2010.09.069
  5. Nakamura N, Mitsuyasu T, Mitsuyasu Y, Taketomi T, Higuchi Y, Ohishi M (2002) Marsupialization for odontogenic keratocysts: long-term follow-up analysis of the effects and changes in growth characteristics. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94(5):543-553 https://doi.org/10.1067/moe.2002.128022
  6. Park SY, Shin YJ, Kim CH, Kim BJ (2015) Reconstruction of extensive jaw defects induced by keratocystic odontogenic tumor via patient-customized devices. Maxillofac Plast Reconstr Surg 37(1):37 https://doi.org/10.1186/s40902-015-0038-9
  7. de Molon RS, Verzola MH, Pires LC, Mascarenhas VI, da Silva RB, Cirelli JA et al (2015) Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: a case report and literature review. Contemp Clin Dent 6(Suppl 1):S106-S110
  8. Anand VK, Arrowood JP Jr, Krolls SO (1994) Malignant potential of the odontogenic keratocyst. Otolaryngol Head Neck Surg 111(1):124-129 https://doi.org/10.1177/019459989411100122
  9. Tan B, Yan TS, Shermin L, Teck KC, Yoke PC, Goh C et al (2013) Malignant transformation of keratocystic odontogenic tumor: two case reports. Am J Otolaryngol 34(4):357-361 https://doi.org/10.1016/j.amjoto.2013.01.002
  10. Kaczmarzyk T, Mojsa I, Stypulkowska J (2012) A systematic review of the recurrence rate for keratocystic odontogenic tumour in relation to treatment modalities. Int J Oral Maxillofac Surg 41(6):756-767 https://doi.org/10.1016/j.ijom.2012.02.008
  11. Blanas N, Freund B, Schwartz M, Furst IM (2000) Systematic review of the treatment and prognosis of the odontogenic keratocyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90(5):553-558 https://doi.org/10.1067/moe.2000.110814
  12. August M, Faquin WC, Troulis MJ, Kaban LB (2003) Dedifferentiation of odontogenic keratocyst epithelium after cyst decompression. J Oral Maxillofac Surg 61(6):678-683 discussion 683-674 https://doi.org/10.1053/joms.2003.50137
  13. Brondum N, Jensen VJ (1991) Recurrence of keratocysts and decompression treatment. A long-term follow-up of forty-four cases. Oral Surg Oral Med Oral Pathol 72(3):265-269 https://doi.org/10.1016/0030-4220(91)90211-T
  14. Marker P, Brondum N, Clausen PP, Bastian HL (1996) Treatment of large odontogenic keratocysts by decompression and later cystectomy: a longterm follow-up and a histologic study of 23 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82(2):122-131 https://doi.org/10.1016/S1079-2104(96)80214-9
  15. Zhao Y, Liu B, Han QB, Wang SP, Wang YN (2011) Changes in bone density and cyst volume after marsupialization of mandibular odontogenic keratocysts (keratocystic odontogenic tumors). J Oral Maxillofac Surg 69(5):1361-1366 https://doi.org/10.1016/j.joms.2010.05.067
  16. Morais de Melo W, Pereira-Santos D, Sonoda CK, Hochuli-Vieira E (2012) Decompression for management of keratocystic odontogenic tumor in the mandible. J Craniofac Surg 23(6):e639-e640 https://doi.org/10.1097/SCS.0b013e31827101e9

Cited by

  1. Deep Learning for Automated Detection of Cyst and Tumors of the Jaw in Panoramic Radiographs vol.9, pp.6, 2019, https://doi.org/10.3390/jcm9061839
  2. Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis vol.56, pp.11, 2019, https://doi.org/10.3390/medicina56110602
  3. Risk factors for postoperative infection of odontogenic cysts associated with mandibular third molar vol.42, 2019, https://doi.org/10.1186/s40902-020-00248-5