Bande Chandrashekhar R, Prashant M C, Sumbh Bharat, Pandilwar P K
Department of Oral and Maxillofacial Surgery, Sw. Dadasaheb Kalmegh Smruti Dental College and Hospital, Waddhamana Road, Wanadongari, Higna, Nagpur, India.
J Maxillofac Oral Surg. 2010 Jun;9(2):146-9. doi: 10.1007/s12663-010-0043-6. Epub 2010 Sep 22.
The present study aimed to evaluate the prevalence, sex predilection and treatment modalities of OKC in Central India.
Total 2900 patients were screened from various hospitals and centers. Age of patients and site of lesion was recorded. OKC was classified into initial, moderate and advanced depending on the radiological involvement and treatment modalities given with respect to the extent of the OKC.
Total 49 patients were diagnosed with the presence of OKC. It was found that mostly it is common in 3rd and 4th decades, with the mean age 28 years in males and 31 years in females. The most common site of occurrence was angle of mandible and the ramus region. The treatment of OKC, on the basis of the radiographic classification, gives excellent results with minimum recurrences.
The most common age and site occurrence was relevant with that of previous studies (Browne, Br Dent J 128(5):225-231, 1970, Chen and Lin, Gaoxiong Yi Xue Ke Xue Za Zhi 2(9):601-607, 1986). This study concluded by considering multicentric incidence, prevalence of OKC in Central India, that the population should be screened for OKC. The screening should be done by clinical, radiological and histopathological. While screening all the parameters should be considered to diagnose and treat the patients for the prevention of morbidity.
本研究旨在评估印度中部牙源性角化囊性瘤(OKC)的患病率、性别倾向及治疗方式。
从多家医院和中心筛选出2900例患者。记录患者年龄及病变部位。根据影像学累及情况将OKC分为初期、中期和晚期,并根据OKC的范围给予相应治疗方式。
共49例患者被诊断为患有OKC。发现其多见于第三和第四十年龄段,男性平均年龄28岁,女性平均年龄31岁。最常见的发病部位是下颌角和升支区域。基于影像学分类的OKC治疗效果极佳,复发率极低。
最常见的发病年龄和部位与先前研究(Browne,《英国牙科杂志》128(5):225 - 231,1970;Chen和Lin,《高雄医学科学杂志》2(9):601 - 607,1986)相符。本研究通过考虑印度中部OKC的多中心发病率和患病率得出结论,应对人群进行OKC筛查。筛查应通过临床、影像学和组织病理学进行。在筛查时,应综合考虑所有参数以诊断和治疗患者,预防发病。