A case of odontogenic keratocyst.
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概要
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In this paper, we reported a case of odontogcnic keratocyst extending from the mandibular premolar of right side to the ramus of maclible.<BR>The patient, a 51-year-old male, visited our hospital complaining of swelling of 8 position. The face had slight unsymmetry.<BR>In oral cavity findings, redness, swelling and tenderness of buccal guns of 8-5 position, pluriorificium of gingiva of 8 7 position, yellow-brown excretion accompa.tied by stench were noted.<BR>In radiological findings, from near 5 position to the ramus of mandible, a monoloculor shadow with clear border was observed.<BR>Based on medical examination of mandibular cyst, we operated exploratory excision with fenestration, and obtained a pathological diagnosis of odontogcnic hyperkeratocyst. Thus, we planned to do iliac autotransplantation with total extirpation and curettage, and underwent operation.<BR>In finding, after extraction, the cyst had a size was 55×40×25mm, covered with a smooth and elastic hard outer surface, and the inside of the cyst that had white or yellow-brown color was covered with a tissue having one robust layer.<BR>In pathological and histological findings, the cyst walls composed of some stratified squamous epitheliums and encapsulation layer. Inside the cyst had a typical histological picture of the odontogenic keratocyst covered with hyperkeratosis stratified squamous epitheliums.<BR>In the first, we intended to perform jaw resection, however, because of remaining bone of lingual side and quick atrophy of the cyst with fenestration, we decided to perform total extirpation. Prognosis was favorable, but as recurrent of this symptom is high, we planed to continue to observe prognsosis carefully.
- 社団法人 日本口腔外科学会の論文
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