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Journal of Maxillofacial and Oral Surgery

, Volume 15, Issue 4, pp 521–527 | Cite as

Treatment of Keratocystic Odontogenic Tumours: A Prospective Study of 30 Cases

  • Ashish GuptaEmail author
  • Pankaj Bansal
  • Rahul Sharma
  • Sneha D. Sharma
Clinical Paper

Abstract

Aim

This prospective study aimed at presenting different treatment modalities and its association with the recurrence rate of KCOT.

Material and Method

The study was conducted on 30 patients diagnosed with KCOT between March 2009 and 2012. The patients were followed up for a period of at least 1 year. The clinical, radiographic and demographic data were recorded and four different treatment modalities were followed to assess the recurrence of the tumour.

Results

In the study, KCOT showed male predominance with a male: female ratio of 23:7. Of the total cases, 26 (86.67 %) patients had parakeratinised KCOT and the rest 4 (13.3 %) patients had orthokeratnised KCOT. Nine (30 %) patients were reported with recurrence of the tumour within 1–2 years of surgery—all these patients had parakeratinised cyst. Recurrence was observed in four (50 %) out of eight cases of marsupialisation and four (44.44 %) out of nine cases of treatment using the enucleation process. No recurrence was seen in patients treated with resection; however only one out of three patients treated with enucleation, followed by fixation with Carnoy’s solution showed signs of recurrence. The histopathological examination determined the aggressive nature of KCOT and its association with the recurrence rate as well. The findings of our study indicate that more aggressive treatment can aid in reducing the chances of recurrence.

Keywords

KCOT Treatment modalities Recurrence Orthokeratinized Parakeratinized 

Notes

Compliance with Ethical Standards

This study is in compliance with the World Medical Association Declaration of Helsinki on medical research protocols and ethics.

Conflict of interest

None.

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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  • Ashish Gupta
    • 1
    Email author
  • Pankaj Bansal
    • 1
  • Rahul Sharma
    • 1
  • Sneha D. Sharma
    • 1
  1. 1.Department of OMFSSudha Rustagi Dental College and HospitalFaridabadIndia

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