14-Year evolution odontogenic keratocyst: Case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Cintia Milani ◽  
◽  
Camyla Mauricio ◽  
Luciano Francio, ◽  
Natanael Mattos ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Bone Destruction ◽  
Good Alternative ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Standard Protocol ◽  
Recurrence Rates ◽  
Panoramic Radiographs ◽  
Carnoy’S Solution

Odontogenic keratocyst is a developmental odontogenic cyst that is usually diagnosed in routine radiographs in the early stages. This fact increases the dentist’s responsibility for its diagnosis, and the professional should pay attention to all maxillomandibular complex and not only to the teeth. There is no standard protocol for the treatment of odontogenic keratocyst. However, surgical resection is recommended because of its high recurrence rate, especially in those cases with extensive bone destruction. The enucleation followed by Carnoy’s solution application has been shown to be a good alternative to resection and pointed out as the conservative method associated with the lowest recurrence rates in the treatment of odontogenic keratocyst. This study aimed to report a case of an extensive odontogenic keratocyst with more than 14 years of evolution that had not been diagnosed in three previous different panoramic radiographs and was treated with enucleation and application of Carnoy’s solution.

scholarly journals 14-Year evolution odontogenic keratocyst: Case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Cintia Milani ◽  
◽  
Camyla Mauricio ◽  
Luciano Francio ◽  
Natanael Mattos ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Bone Destruction ◽  
Good Alternative ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Standard Protocol ◽  
Recurrence Rates ◽  
Panoramic Radiographs ◽  
Carnoy’S Solution

Odontogenic keratocyst is a developmental odontogenic cyst that is usually diagnosed in routine radiographs in the early stages. This fact increases the dentist’s responsibility for its diagnosis, and the professional should pay attention to all maxillomandibular complex and not only to the teeth. There is no standard protocol for the treatment of odontogenic keratocyst. However, surgical resection is recommended because of its high recurrence rate, especially in those cases with extensive bone destruction. The enucleation followed by Carnoy’s solution application has been shown to be a good alternative to resection and pointed out as the conservative method associated with the lowest recurrence rates in the treatment of odontogenic keratocyst. This study aimed to report a case of an extensive odontogenic keratocyst with more than 14 years of evolution that had not been diagnosed in three previous different panoramic radiographs and was treated with enucleation and application of Carnoy’s solution.

Causes of cardioembolic stroke

ESC CardioMed ◽  
2018 ◽  
pp. 957-959
Author(s):  
Stefan Hohnloser
Keyword(s):  
Primary Prevention ◽  
Recurrence Rate ◽  
Preventive Measures ◽  
Preventive Therapy ◽  
Sudden Onset ◽  
Cardioembolic Stroke ◽  
High Recurrence Rate ◽  
Recurrence Rates ◽  
Term Basis

Cardiogenic embolism is estimated to account for at least 20% of ischaemic strokes occurring each year worldwide. Strokes due to cardiac embolism are generally combined with greater severity, less favourable prognosis, and a particularly high recurrence rate, both on a short-term and on a long-term basis. In individual patients presenting with stroke, decreased consciousness at onset, sudden onset to maximal deficit, and simultaneous or sequential strokes in different arterial territories all increase the likelihood of a cardioembolic stroke. Cardioembolic stroke is largely preventable, emphasizing the need for primary prevention for major risk cardioembolic sources. Given the high recurrence rates of stroke in afflicted patients, secondary preventive measures are equally important. Details on the most effective primary and secondary preventive therapy are provided later in this chapter.

scholarly journals Ultrasound-Guided Aspiration Does Not Reduce the Recurrence Rate of Ganglion Cysts of the Wrist

2018 ◽  
Vol 08 (02) ◽  
pp. 100-103 ◽  
Author(s):  
Gregory Kurkis ◽  
Albert Anastasio ◽  
Marijke DeVos ◽  
Michael Gottschalk
Keyword(s):  
Recurrence Rate ◽  
Ultrasound Guidance ◽  
Ganglion Cyst ◽  
High Recurrence Rate ◽  
P Value ◽  
Ultrasound Guided ◽  
Recurrence Rates ◽  
Level Of Evidence ◽  
Ganglion Cysts ◽  
Significant Difference

Background Ganglion cysts are the most frequent soft tissue tumor encountered in the upper extremity and are commonly treated by aspiration or by surgical excision. Ultrasound is a promising addition to traditional aspiration, as it allows for visualization of the needle within the ganglion before aspiration. Questions Are ganglion cysts of the wrist less likely to reoccur if they are aspirated under ultrasound guidance versus “blind” aspiration without the use of ultrasound guidance? Does patient functionality change based on whether or not the cyst recurred? Patients and Methods In total, 52 patients were successfully contacted and recurrence rates were compared between those whose cyst was treated with ultrasound-guided (13 patients) with those whose cyst was treated with blind aspiration (39 patients). Mean follow-up time was 2.9 years. Results Recurrence rates were 69% (9 patients) and 74% (29 patients) for the ultrasound-guided and blind aspiration groups, respectively (p-value: 0.73), showing no significant difference in recurrences of wrist ganglion between the two groups. A metric of functionality (Quick–DASH [Disabilities of the Arm, Shoulder, and Hand]) revealed worse outcomes in patients who experienced return of ganglion cyst after aspiration versus those who did not. Conclusion Additional studies with improved sample sizes are needed to demonstrate the superiority of ultrasound-guided aspiration versus blind aspiration. Due to a high recurrence rate following aspiration (both ultrasound-guided and blinded), a lower threshold for surgical intervention is likely reasonable. Level of Evidence This is a Level IIIb study.

A Review of the Odontogenic Keratocyst and Report of a Case

2019 ◽  
pp. 1-7
Author(s):  
M. Chandra Sekhar ◽  
D. Ayesha Thabusum ◽  
M. Charitha ◽  
G. Chandrasekhar ◽  
M. Shalini
Keyword(s):  
Recurrence Rate ◽  
Cystic Lesion ◽  
Soft Tissues ◽  
Clinical History ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Clinical Behavior ◽  
Clinical Appearance ◽  
Odontogenic Origin ◽  
Aggressive Clinical Behavior

The Odontogenic keratocyst (OKC) is a developmental, non – inflammatory chronic cystic lesion, on radiograph it may be unilocular or multi locular OKC is a cyst of odontogenic origin, usually asymptomatic with an aggressive clinical behavior including a high recurrence rate and tendency to invade bone and adjacent soft tissues. Diagnosis is based on the clinical history, clinical appearance, and radiographs and histology. A case of odontogenic keratocyst involving the ramus of the mandible is presented in this article emphasizing on the characteristics and various features of OKC.

scholarly journals Case Report: Ultrasound Guided Mucosal Fold Lateralization for Laryngeal Webs

2021 ◽  
Vol 8 ◽  
Author(s):  
Sohit Paul Kanotra
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Ultrasound Guidance ◽  
Anterior Commissure ◽  
High Recurrence Rate ◽  
Ultrasound Guided ◽  
Vocal Cords ◽  
Mucosal Flap ◽  
Mucosal Surfaces ◽  
Mucosal Fold

The surgical management of Laryngeal webs is challenging and is associated with a high recurrence rate due the presence of opposing raw mucosal surfaces of the vocal cords, especially near the anterior commissure which causes re-scarring. We describe an endoscopic technique of mucosal flap lateralization (MFL) with ultrasound guidance, which prevents the apposition of the anterior raw surfaces of the vocal cords after web incision, thus avoiding recurrence.

scholarly journals Combined conservative treatment of a recurrent mandibular keratocyst by enucleation, diode laser, 5-Fluorouracil and dental implants: a case report with 18 years-follow up

2021 ◽  
Author(s):  
Antoine Berberi ◽  
Georges Aoun ◽  
Bouchra Hjeij ◽  
Maissa AboulHosn
Keyword(s):  
Diode Laser ◽  
World Health ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Complete Excision ◽  
Carnoy’S Solution ◽  
The World ◽  
Chemical Solutions ◽  
Health Organization

In 2017, the World Health Organization classified the odontogenic keratocyst as a developmental odontogenic cyst. The posterior parts of the mandible, especially the angle and the ramus, are the most involved sites. Due to their high recurrence rate, keratocysts are managed surgically with careful complete excision. Additionally, chemical solutions such as Carnoy's solution, modified Carnoy's solution, and 5-Fluorouracil have been associated with surgical treatment. Diode lasers generate diverse wavelengths that have photothermal and photochemical special properties and could have some effects on the lining epithelium remnants of the cyst. In this paper, we discuss a case of mandibular recurrent odontogenic keratocyst treated with 5-Fluorouracil topical application after enucleation and diode laser application with 18 years follow-up and teeth replacement with dental implant. 5-Fluorouracil and diode laser have been found to be very effective in the treatment of keratocysts.

Juvenile Ossifying Fibroma of a 15-Year-old Girl: A Case Report

2021 ◽  
Author(s):  
MA Awal
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Female Child ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Surgical Removal ◽  
Facial Deformity ◽  
Maxillofacial Region ◽  
Long Period ◽  
Juvenile Ossifying Fibroma

Juvenile ossifying fibroma is a locally aggressive, benign fibro-osseous tumor. It usually occurs in young children and arises in the maxillofacial region. It has a high recurrence rate. This pathology would be diagnosed and treated as early as possible because of its rapidly progressive and osteolytic nature which may complicate the surgical removal if left untreated over a long period. The present case is diagnosed as Juvenile ossifying fibroma involving the maxilla causing facial deformity, proptosis, and nasal obstruction in a 15-year-old female child.

Marsupialization and Enucleation of Odontogenic Keratocyst with Carnoy's Solution: Case Report

2018 ◽  
Vol 126 (3) ◽  
pp. e118
Author(s):  
Juliana Mariano Beraldo ◽  
Solimar De Oliveira Pontes ◽  
Winnie Sousa Barbier ◽  
Vanessa Sousa Meccatti ◽  
Fábio Ricardo Loureiro Sato ◽  
...  
Keyword(s):  
Case Report ◽  
Odontogenic Keratocyst ◽  
Carnoy’S Solution

Immediate Implants After Enucleation of an Odontogenic Keratocyst: An Early Return to Function

2012 ◽  
Vol 38 (S1) ◽  
pp. 485-488 ◽  
Author(s):  
Sabri C. Isler ◽  
Sabit Demircan ◽  
Taylan Can ◽  
Zerrin Cebi ◽  
Emrah Baca
Keyword(s):  
Aggressive Behavior ◽  
Dental Implants ◽  
Recurrence Rate ◽  
Male Patient ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Histologic Appearance ◽  
Early Return ◽  
Immediate Implants

An odontogenic keratocyst is a unique cyst because of its locally aggressive behavior, high recurrence rate, and characteristic histologic appearance. In this article we present the case of a 22-year-old male patient with a large odontogenic keratocyst and describe his treatment with immediate dental implants.

scholarly journals Endoscopic techniques to reduce recurrence rates after colorectal EMR: systematic review and meta-analysis

2021 ◽  
Author(s):  
Gijs Kemper ◽  
Ayla S. Turan ◽  
Erik J. Schoon ◽  
Ruud W. M. Schrauwen ◽  
Ludger S. M. Epping ◽  
...  
Keyword(s):  
Systematic Review ◽  
Recurrence Rate ◽  
Meta Analysis ◽  
Intervention Group ◽  
Secondary Outcome ◽  
High Recurrence Rate ◽  
Complication Rates ◽  
Recurrence Rates ◽  
Soft Coagulation ◽  
Procedural Complication

Abstract Background Colorectal endoscopic mucosal resection (EMR) is an effective, safe, and minimally invasive treatment for large lateral spreading and sessile polyps. The reported high recurrence rate of approximately 20% is however one of the major drawbacks. Several endoscopic interventions have been suggested to reduce recurrence rates. We conducted a systematic review and meta-analysis to assess the efficacy of endoscopic interventions targeting the EMR margin to reduce recurrence rates. Methods We searched in PubMed and Ovid for studies comparing recurrence rates after interventions targeting the EMR margin with standard EMR. The primary outcome was the recurrence rate at the first surveillance colonoscopy (SC1) assessed histologically or macroscopically. For the meta-analysis, risk ratios (RRs) were calculated and pooled using a random effects model. The secondary outcome was post-procedural complication rates. Results Six studies with a total of 1335 lesions were included in the meta-analysis. The techniques performed in the intervention group targeting the resection margin were argon plasma coagulation, snare tip soft coagulation, extended EMR, and precutting EMR. The interventions reduced the adenoma recurrence rate with more than 50%, resulting in a pooled RR of 0.37 (95% CI 0.18, 0.76) comparing the intervention group with the control groups. Overall post-procedural complication rates did not increase significantly in the intervention arm (RR 1.30; 95% CI 0.65, 2.58). Conclusion Interventions targeting the EMR margin decrease recurrence rates and may not result in more complications.

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