| Combined treatment of odontogenic keratocysts: initial marsupialization and successive enucleation with peripheral ostectomy plus Carnoy's solution application. A five-year follow-up experience. | |
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MedLine Citation:
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PMID: 22441413 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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AIM: The odontogenic keratocyst (KCOT) is a locally aggressive, cystic jaw lesion with a high growth potential and a propensity for recurrence. Considering its neoplastic features, treatments of keratocysts are required and they are generally classified as conservative or aggressive. However, although in literature there are several studies, the choice of treatment strategies remains controversial. We report a two-stage protocol based on initial marsupialization and successive enucleation. METHODS:Three cases of large KCOTs have been treated by initial marsupialization and, after a mean period of six months, successive enucleation with peripheral ostectomy and application of Carnoy's solution was performed. RESULTS: All patients were instructed in daily irrigation using chlorhexidine 0.2% during the period of marsupialization. After enucleation, good healing was obtained in all cases and from two up to five years of follow-up, there is no evidence of recurrence. CONCLUSION: Two-stage surgical treatment protocol of keratocyst leads to complete healing, preservation of important anatomical structures and absence of recurrence. |
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Authors:
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D Rossi; A E Borgonovo; V Vavassori; P P Poli; F Santoro |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Minerva stomatologica Volume: 61 ISSN: 0026-4970 ISO Abbreviation: - Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-3-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0421071 Medline TA: Minerva Stomatol Country: - |
Other Details:
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Languages: ENG Pagination: 101-112 Citation Subset: - |
Affiliation:
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School of Oral Surgery, University of Milan, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, Milan, Italy - virna.vavassori@hotmail.it. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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