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VOLUME 10 , ISSUE 3 ( 2017 ) > List of Articles

CASE REPORT

Keratocystic Odontogenic Tumor—Endoscopic Removal: Review of Two Cases

Hemanth Vamanshankar, Jyotirmay S Hegde, Suhasini P Ravichandran, Sunil K Saxena

Keywords : Endoscopic, Excision, Keratocystic odontogenic tumor

Citation Information : Vamanshankar H, Hegde JS, Ravichandran SP, Saxena SK. Keratocystic Odontogenic Tumor—Endoscopic Removal: Review of Two Cases. Clin Rhinol An Int J 2017; 10 (3):154-156.

DOI: 10.5005/jp-journals-10013-1329

License: CC BY-ND 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Odontogenic keratocysts (OKCs) have an incidence of 5.4 to 17% of all odontogenic cysts. These OKCs are more common in the mandible, with cysts in the maxilla having incidence of 31.3% only. In the maxilla, they most commonly occur in the canine region. The rarity of this case presentation is in the fact that only 1% of maxillary OKCs will show involvement of maxillary sinus, which was seen in both our patients. Historically, OKCs have been treated by open approaches like Caldwell Luc. We present two of our cases that were treated by endoscopic endonasal approach with review of literature.


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  1. Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol 1994 Mar;77(3):276-280.
  2. Philipsen HP, Reichart PA. Classification of odontogenic tumours. A historical review. J Oral Pathol Med 2006 Oct;35(9):525-529.
  3. Pindborg JJ, Hansen J. Studies on odontogenic cyst epithelium.
  4. Clinical and roentgenologic aspects of odontogenic keratocysts. Acta Pathol Microbiol Scand 1963;58:283-294.
  5. Chirapathomsakul D, Sastravaha P, Jansisyanont P. A review of odontogenic keratocysts and the behaviour of recurrences. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006 Jan;101(1):5-9, discussion 10.
  6. Timoşca GC, Cotuþiu C, Gavriliþá L. Malignant transformation of odontogenic cysts. Rev Stomatol Chir Maxillofac 1995 Feb;96(2):88-95.
  7. Shear, M.; Speight, PM. Cysts of the oral and maxillofacial regions. 4th ed. Oxford: Blackwell Munksgaard; 2007. p. 6-58.
  8. Sansare K, Raghav M, Mupparapu M, Mundada N, Karjodkar FR, Bansal S, Desai R. Keratocystic odontogenic tumor: systematic review with analysis of 72 additional cases from Mumbai, India. Oral Surg Oral Med Oral Pathol Oral Radiol 2013 Jan;115(1):128-139.
  9. Gomes CC, Diniz MG, Gomez RS. Review of the molecular pathogenesis of the odontogenic keratocyst. Oral Oncol 2009 Dec;45(12):1011-1014.
  10. Cawson, RA.; Odell, EW. Essentials of oral pathology and oral medicine. 6th ed. New York: Churchill Livingstone; 1998. p. 97.
  11. Ide F, Shimoyama T, Horie N. Peripheral odontogenic keratocyst: a report of 2 cases. J Periodontol 2002 Sep;73(9):1079-1081.
  12. de Zinis, LOR.; Mortini, P.; Farina, D.; Mossi, F. Expansile lesions arising from structures and spaces adjacent to the paranasal sinuses. In: Maroldi R, Nicolai P, editors. Imaging in treatment planning for sinonasal diseases. Berlin/Heidelberg: Springer; 2005. pp. 221-254.
  13. Hyun DW, Ryu JH, Kim YS, Kim KB, Kim WS, Kim CH, Yoon JH. Treatment outcomes of juvenile nasopharyngeal angiofibroma according to surgical approach. Int J Pediatr Otorhinolaryngol 2011 Jan;75(1):69-73.
  14. Hsieh ST, Guo YC, Tsai TL, Chen WY, Huang JL. Angiofibroma of the hypopharynx. J Chin Med Assoc 2004 Jul;67(7): 373-375.
  15. Madana J, Yolmo D, Gopalkrishnan S, Saxena S. Extranasopharyngeal angiofibroma of the cartilaginous nasal septum: possible origin from ectopic tissue trapped during septal development. Internet J Otorhinolaryngol 2012;14(1):1-5.
  16. Dobratz EJ, Tran V, Hilger PA. Comparison of techniques used to support the nasal tip and their long-term effects on tip position. Arch Facial Plast Surg 2010 May-Jun;12(3):172-179.
  17. Friedman O, Koch CA, Smith WR. Functional support of the nasal tip. Facial Plast Surg 2012 Apr;28(2):225-230.
  18. Mohebbi A, Jahandideh H, Faham Z, Jafari M. Defining the best nasal tip projection among Iranian women. Plast Surg Int 2016;2016:8549276.
  19. Bhattacharyya N. Bacterial infection in chronic rhinosinusitis: a controlled paired analysis. Am J Rhinol 2005 Nov- Dec;19(6):544-548.
  20. Boase S, Foreman A, Cleland E, Tan L, Melton-Kroft R, Pant H, Hu FZ, Ehrlich GD, Wormald PJ. The microbiome of chronic rhinosinusitis: culture, molecular diagnostics and biofilm detection. BMC Infect Dis 2013 May;13:210.
  21. Mantovani K, Bisanha AA, Demarco RC, Tamashiro E, Martinez R, Anselmo-Lima WT. Maxillary sinuses microbiology from patients with chronic rhinosinusitis. Braz J Otorhinolaryngol 2010 Sep-Oct;76(5):548-551.
  22. Brook I, Gober AE. Recovery of potential pathogens in the nasopharynx of healthy and otitis media-prone children and their smoking and nonsmoking parents. Ann Otol Rhinol Laryngol 2008 Oct;117(10):727-730.
  23. Wu J, Peters BA, Dominianni C, Zhang Y, Pei Z, Yang L, Ma Y, Purdue MP, Jacobs EJ, Gapstur SM, et al. Cigarette smoking and the oral microbiome in a large study of American adults. ISME J 2016 Mar;10(10):2435-2446.
  24. Ertel A, Eng R, Smith SM. The differential effect of cigarette smoke on the growth of bacteria found in humans. Chest 1991 Sep;100(3):628-630.
  25. Reh DD, Higgins TS, Smith TL. Impact of tobacco smoke on chronic rhinosinusitis: a review of the literature. Int Forum Allergy Rhinol 2012 Sep-Oct;2(5):362-369.
  26. Lee KI, Kim DW, Kim EH, Kim JH, Samivel R, Kwon JE, Ahn JC, Chung YJ, Mo JH. Cigarette smoke promotes eosinophilic inflammation, airway remodeling, and nasal polyps in a murine polyp model. Am J Rhinol Allergy 2014 May-Jun;28(3):208-214.
  27. Kumar PS, Matthews CR, Joshi V, de Jager M, Aspiras M. Tobacco smoking affects bacterial acquisition and colonization in oral biofilms. Infect Immun 2011 Nov;79(11): 4730-4738.
  28. Namiot Z, Namiot DB, Kemona A, Gołebiewska M, Bucki R. The effect of cigarette smoking and alcohol consumption on efficacy of Helicobacter pylori eradication. Pol Arch Med Wewn 2000 Sep;104(3):569-574.
  29. Linder JA, Sim I. Antibiotic treatment of acute bronchitis in smokers: a systematic review. J Gen Intern Med 2002 Mar;17(3):230-234.
  30. Lee WK, Ramanathan M Jr, Spannhake EW, Lane AP. The cigarette smoke component acrolein inhibits expression of the innate immune components IL-8 and human betadefensin 2 by sinonasal epithelial cells. Am J Rhinol 2007 Nov-Dec;21(6):658-663.
  31. Kamath PM, Shenoy VS, Mittal N, Sharma NK. Microbiological analysis of paranasal sinuses in chronic sinusitis—a south Indian coastal study. Egypt J Ear Nose Throat All Sci 2013 Nov;14(3):185-189.
  32. Bezerra TF, Pádna FG, Ogawa AI, Gebrim EM, Saldiva PH, Voegels RL. Biofilms in chronic rhinosinusitis with nasal polyps: pilot study. Braz J Otorhinolaryngol 2009 Nov- Dec;75(6):788-793.
  33. Hashemi M, Sadeghi MMM, Omrani MR, Torabi MA. Microbiology and antimicrobial resistance in chronic resistant rhino sinusitis with or without polyp after functional endoscopic sinus surgery. J Res Med Sci 2005;10(3):167-171.
  34. Farahani F, Youse Mashouf R, Hashemian F, Esmaeili R. Antimicrobial resistance patterns of aerobic organisms in patients with chronic rhinosinusitis in Hamadan, Iran. Avicenna J Clin Microb Infec 2014 Aug;1(2):e18961..
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