Importance of Different Modalities of Treatment For the Management of Keratocystic Odontogenic Tumour with Five year follow-up

• Main Authors: Vijay Ebenezer, Balakrishnan Ramalingam
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2014-03-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: odontogenic kerato cyst; enucleation; carnoy’s solution; gorlin- goltz syndrome; resection
• Online Access: https://jcdr.net/articles/PDF/4168/81-%207486_CE(Ra)_F(P)_PF1(PAK)_E(V)_PFA(AK)_PF2(PN).pdf

Background: The keratocystic odontogenic tumors is a benign but one of most aggressive developmental cyst with many distinguishing clinical and histologic features and high recurrence rate. In the given study, authors have studied and presented their experience of managing Keratocystic odontogenic tumour. The aim of the study was to define an appropriate treatment protocol for the management of KCOT. Materials and Methods: Total eight patients, whose histopathological reports confirmed Gorlin – Goltz syndrome and KCOT, with age between 10 – 50 years, were selected from cases being treated at Sree Balaji Dental College, Chennai, India. Enucleation and resection were the surgical techniques employed. Modality of treatment was based on parameters like age , size, aggressiveness and extent of the lesion. All the patients were operated under general anaesthesia. Cases were studied, reviewed and followed up for five years between 2007-2012 Results: The study included 8 cases in which three cases were opted for resection and five cases for enucleation followed by application of Carnoy’s solution. Conclusion: Treatment modality should be decided on age, extent, aggressiveness and nature of the tumour.