Akademik Veri Yönetim Sistemi
AÇBİD 2025- 18. Kongre, Antalya, Türkiye, 24 - 27 Nisan 2025, (Yayınlanmadı)
Introduction:
Odontogenic keratocysts are benign yet invasive lesions known for their
aggressive growth potential and high recurrence rates. Treatment options
include enucleation, marsupialization, resection, and the adjunctive
application of Carnoy’s solution. However, when critical anatomical structures
such as the sinus and nasal floor are involved, conservative approaches may be
preferred.
Case Presentation:
A 60-year-old female patient was diagnosed with a large keratocyst extending
from the anterior maxilla to the premolar-molar region, causing destruction in
the nasal floor and maxillary sinus walls. A biopsy taken for preliminary
diagnosis confirmed the lesion as an odontogenic keratocyst. The patient was
scheduled for treatment under local anesthesia using a conservative surgical
approach.
Treatment and Follow-up:
Three fenestrations were created in selected regions of the cyst, followed by
enucleation. Carnoy’s solution was not used due to the exposure of the
maxillary sinus and nasal floor. Postoperative follow-up with panoramic
radiographs at 3, 6, and 12 months revealed a reduction in the cyst cavity and
initiation of bone healing.
Conclusion:
Although aggressive surgical interventions and chemical agents can reduce
recurrence rates in the management of keratocysts, conservative approaches can
yield successful outcomes when critical anatomical structures are involved.
This case demonstrates that enucleation performed with a minimally invasive
technique provided satisfactory healing.