Smit R B, Moore B K, Lou S M Y
N Z Dent J. 2015 Sep;111(3):98-101.
Keratocystic odontogenic tumour (KOT or KCOT) is defined by the WHO to be 'a benign uni- or multicystic, intraosseous tumour of odontogenic origin'. In 2005, the World Health Organization renamed the lesion; previously known as an odontogenic keratocyst (OKC) as the KCOT. WHO recommends the term KCOT as it reflects its neoplastic nature. In this case report, a 21-year-old female with a histologically proven large parakeratinised KCOT of the right mandible underwent treatment that involved a 14-month period of decompression, followed by enucleation (with Carnoys application) of the residual cyst. During the period of decompression, a custom made removable mandibular chrome-cobalt appliance was used to hold the decompression tube in the oral cavity.
角化囊性牙源性肿瘤(KOT或KCOT)被世界卫生组织定义为“一种起源于牙源性的良性单囊或多囊性骨内肿瘤”。2005年,世界卫生组织对该病变进行了重新命名;此前称为牙源性角化囊肿(OKC),现称为KCOT。世界卫生组织推荐使用KCOT这一术语,因为它反映了其肿瘤性质。在本病例报告中,一名21岁女性,经组织学证实患有右侧下颌骨的大型正角化型KCOT,接受了为期14个月的减压治疗,随后对残余囊肿进行了摘除(应用卡诺氏液)。在减压期间,使用定制的可摘下颌铬钴矫治器将减压管固定在口腔内。