July 31, 2020
J Diagn Treat Oral Maxillofac Pathol 2020;4:119−24.
Under a Creative Commons license
Pauwels A, Lozano CE, López JP, Munevar JC, Viafara-Garcia S M. Decompression, enucleation and Carnoy’s solution as a conservative management of an odontogenic keratocyst: a case report. J Diagn Treat Oral Maxillofac Pathol 2020;4(7):119–24.
Odontogenic keratocyst (OKC) is a controversial pathology in terms of designation and treatment because it is a locally aggressive cyst that through its history has had different names and a number of alternatives for its management, such as enucleation, cryotherapy, decompression, Carnoy’s solution (CS) application or peripheral osteotomy. All the techniques having different results in relapse rates some with more advantages than others; however, until now there are no studies with sufficient data to define which is the best surgical technique to treat the OKC. We report the case of a 48-year-old man diagnosed with OKC who was treated combining different techniques. Further follow-up at the 3-, 6-, 10- and 14-month marks and three years, showed complete recovery and no evidence of recurrence. Therefore large and invasive mandibular cysts could be treated by decompression, followed by enucleation, peripheral ostectomy and then the application of CS to the bony cavity. This approach seems to be effective in the management of large and invasive mandibular cysts OKC attenuating recurrence until long follow up and impacting quality life instead of invasive techniques such as hemimandibulectomy.