Fatma BİLGEN, Alper URAL, Mehmet BEKERECİOĞLU

Nadir Yerleşimli Geniş Hacimli Keratokistik Odontojenik Tümör

KCOT (Keratokistik Odontojenik tümör) tüm çene kistlerinin %7,8 ‘ini oluşturmaktadır ve mandibulada daha sık gözlenmektedir. Genellikle bulgu vermeden ilerler. Ancak enfeksiyona sekonder ağrı ve şişlik ortaya çıkabilir. Maksilla yerleşimli KCOT, % 30 oranında oral mukoza ekspansiyonu ile karşımıza çıkar. Çalışmada, nadir bir olgu olarak, sağ yanakta şişlik dışında şikayeti olmayan, tüm maksiller sinüsü kaplamış ve maksillar sinüs anterior duvarının erode etmiş, keratokistik odontojenik tümör ve tedavi yaklaşımımız sunulmaktadır. 37 yaşında erkek hasta yaklaşık 6 aydır sağ malar bölgede 3x3 cm. lik şişlik ve intraoral ekspansiyon nedeniyle opera edildi. Çıkartılan kist duvarı ile histopatolojik imcelemeye gönderildi ve sonuç odontojenik keratokist olarak tespit edildi. Sonuç olarak, Keratokistik odontojenik tümöler, maksiller sinüs içerisinde, bir diş ile birlikte veya diş olmadan ortaya çıkabilir. Hastanın yönetiminde önemli olan, uygun tedavi yönteminin seçimi ve nüks oranı yüksekliği konusunda doğru bilgilendirme ve takiptir.

Anahtar Kelimeler:

maksilla, keratokist, tedavi

Rare Located Wide Volume Keratocistic Odontojenic Tumor

KCOT (Keratocystic Odontogenic Tumor) accounts for 7.8% of all jaw cysts and is more common in the mandible. Usually progresses without finding. However, pain and swelling secondary to infection may occur. Maxillary KCOT presents with 30% oral mucosal expansion. In this study, we present a rare case of keratocystic odontogenic tumor and its treatment approach that covered the maxillary sinus and eroded the anterior wall of the maxillary sinus. A 37-year-old male patient had a history of 3x3 cm in the right malar region for approximately 6 months. swelling and intraoral expansion. The removed cyst was sent for histopathological examination with its wall and the result was determined as odontogenic keratocyst. As a result, keratocystic odontogenic tumors may occur in the maxillary sinus with or without a tooth. The most important information in the management of the patient is the correct information and follow-up on the choice of appropriate treatment method and the high recurrence rate.

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