Kim Su-Hyun, Oh Min-Seok, Seo Yo-Seob, Kim Jin-Young, Nam Soon-Hyeun, Lim Su-Min
J Clin Pediatr Dent. 2017;41(4):300-304. doi: 10.17796/1053-4628-41.4.300.
Multiple keratocystic odontogenic tumors (KCOT) occurred in a young child is challenging problem in the field of pediatric dentistry, and might have been related to nevoid basal cell carcinoma syndrome (NBCCS). Because of high recurrence rate of KCOTs, complete surgical resection is generally accepted as definitive treatment. However, complete surgical resection could induce negative effect on the development of permanent teeth and growth of jaw. Herein, we reported successful treatment case of young KCOT patient with NBCCS. Although multiple KCOTs occurred continually, the majority of the lesions healed well by decompression and important anatomical structures and permanent teeth were successfully preserved. The purpose of this paper is to report more conservative treatment of multiple keratocystic odontogenic tumors (KCOTs) by repeated decompressions with later peripheral ostectomy during a 7-year follow-up.
一名幼儿发生多发性角化囊性牙源性肿瘤（KCOT）是儿童牙科领域中一个具有挑战性的问题，并且可能与痣样基底细胞癌综合征（NBCCS）有关。由于KCOT的高复发率，完全手术切除通常被认为是确定性治疗方法。然而，完全手术切除可能会对恒牙发育和颌骨生长产生负面影响。在此，我们报告了一例患有NBCCS的年轻KCOT患者的成功治疗病例。尽管多发性KCOT持续出现，但大多数病变通过减压愈合良好，重要的解剖结构和恒牙得以成功保留。本文的目的是报告在7年随访期间通过反复减压并随后进行周边骨切除术对多发性角化囊性牙源性肿瘤（KCOT）进行更保守治疗的情况。
