Ahmet Emin DEMİRBAŞ, Cihan TOPAN, Alper ALKAN, Mustafa KARAKAYA

Maxillada geniş uzantılı epidermoid kist: Olgu sunumu

Bu makalede, ön ve arka sol maksiller bölgeyi kaplayan ve infratemporal alana kadar uzanan epidermoid kistin olgu sunumu yapılmıştır. Sistemik herhangi bir hastalığı olmayan 25 yaşında erkek hasta, burun tıkanıklığı ve oroantral fistül sonucu oral kaviteye iltihap akışı şikayetleriyle kulak burun boğaz kliniğine başvurdu. Radyolojik ve histolojik incelemelerden sonra hastaya epidermoid kist teşhisi konuldu ve operasyona karar verildi. Lezyonun geniş anatomik uzantıları nedeniyle hastaya çene cerrahı, beyin cerrahı ve kulak burun boğaz uzmanı tarafından çok sayıda cerrahi operasyon yapıldı. Operasyon sonrası hastanın semptomları hafifledi. Cerrahi öncesi epidermoid kistin kesin tanısı için diğer lezyonlarla ayırıcı tanı yapılmalıdır. Bu gibi durumlarda multidisipliner değerlendirme önemlidir ve multidisipliner yaklaşımla eş zamanlı olarak cerrahi operasyon yapılmalıdır.

A large extension of epidermoid cyst in maxilla: Case report

In this case report, we present a rare epidermoid cyst in the anterior and posterior left maxillary region extends to the maxillary sinus and infratemporal area with its surgical treatment and postoperative follow-up. A 25-year-old male, showing no systemic pathology, referred to otorhinolaryngology clinic with the complaints of nasal obstruction, abscess formation and pus outflow into the mouth due to oroantral fistula. After radiological and histological examinations, epidermoid cyst was diagnosed. Due to the large extensions of the lesion patient was underwent multiply surgical operations by maxillofacial surgeon, neurosurgeon and otorhinolaryngologist. After surgical operations, patient’s symptoms were relieved. Differential diagnosis should be made with the other lesions for precise diagnosis of epidermoid cyst before surgery. Multidisciplinary evaluation in such cases is important and surgical operations should be performed simultaneously with multidisciplinary approach.

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