Ochoa Moreira Jorge Andrés, Reinoso Quezada Santiago José, Molina-Barahona Magdalena
Universidad Católica de Cuenca. Cuenca, Ecuador.
Rev Cient Odontol (Lima). 2023 Jun 29;11(2):e159. doi: 10.21142/2523-2754-1102-2023-159. eCollection 2023 Apr-Jun.
The odontogenic keratocystic tumor (OKT) or also currently known as odontogenic keratocyst (OK) is a benign pathology derived from the remains of the dental lamina characteristic for possessing variable amounts of desquamated keratin. It usually rises as solitary or with the presence of satellite cysts, the appearance of these satellite cysts is frequently related to the possible recurrence of OK, according to the literature, this recurrence can vary between 0 - 50%. As for the treatment stage of (OKT), it can be mentioned that at present there is a well-defined histological and clinical criterion, which facilitates its recognition and therefore its treatment. According to the literature, there are several treatment procedures that can be classified into non-conservative or radical treatments and conservative treatments accompanied by adjuvant methods. Within the non-conservative or radical treatments, we find en bloc resection, which is the most aggressive way to treat a keratocyst; however, it is the most effective way to avoid recurrence. Within the conservative treatments, marsupialization, decompression, and enucleation with or without adjuvant therapy are described. It is paramount to know how to recognize the different types of treatment for (OKT) since this will be conditioned by multiple factors, such as the location of nearby bone structures and the size of the lesion considering the possible involvement of dental structures. The objective is to seek the lowest-risk treatment possible, which avoids recurrence and finally puts an end to this pathology.
牙源性角化囊性瘤(OKT),目前也被称为牙源性角化囊肿(OK),是一种源自牙板残余物的良性病变,其特征是含有不同数量的脱落角蛋白。它通常以孤立性出现或伴有卫星囊肿,根据文献,这些卫星囊肿的出现常与OK的可能复发有关,这种复发率在0 - 50%之间变化。至于(OKT)的治疗阶段,可以提到目前有明确的组织学和临床标准,这有助于其识别,进而便于治疗。根据文献,有几种治疗方法可分为非保守或根治性治疗以及伴有辅助方法的保守治疗。在非保守或根治性治疗中,我们有整块切除,这是治疗角化囊肿最激进的方法;然而,它是避免复发最有效的方法。在保守治疗中,描述了袋形缝合术、减压术以及有或无辅助治疗的摘除术。了解如何识别(OKT)的不同治疗类型至关重要,因为这将受到多种因素的制约,如附近骨结构的位置以及考虑到可能累及牙结构的病变大小。目标是寻求风险最低的治疗方法,避免复发并最终消除这种病变。