Chow H T
Department of Oral Surgery, National Dental Centre, Singapore.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Nov;86(5):573-7. doi: 10.1016/s1079-2104(98)90348-1.
The odontogenic keratocyst has been well documented and extensively studied. It is of particular interest because of its high recurrence rate and aggressive nature. The material for this study consisted of 70 cases of odontogenic keratocysts in predominantly ethnic Chinese patients who were treated from 1981 to 1996. The cases were retrospectively studied to compare characteristics of the lesion in this population with those in previous reports. Most of the patients in this series were 21 to 30 years of age. Association with an impacted mandibular third molar was found in more than 50% of the cases. The recurrence rate was 20% for 35 patients with a follow-up period of at least 5 years. The follow-up period for the whole series ranged from 1 to 16 years. Treatment was surgical enucleation with peripheral ostectomy. There were no significant differences in characteristics with respect to presentation and prognosis between this series and those described in previous publications.
牙源性角化囊肿已有充分的文献记载且得到广泛研究。因其高复发率和侵袭性而备受关注。本研究的材料包括1981年至1996年期间治疗的70例主要为华裔患者的牙源性角化囊肿病例。对这些病例进行回顾性研究，以比较该人群中病变的特征与既往报道中的特征。本系列中的大多数患者年龄在21至30岁之间。超过50%的病例发现与下颌阻生第三磨牙有关。35例随访至少5年的患者复发率为20%。整个系列的随访期为1至16年。治疗方法为手术摘除并进行周边骨切除术。本系列与既往出版物中描述的病例在表现和预后特征方面无显著差异。
