Therapeutic challenges of odontogenic keratocyst: Review of literature and case report using the decompression technique

LUÍSA FARINA RESCHKE, SÉRGIO ANTÔNIO SCHIEFFERDECKER e KELLY BIENK DIAS

Introduction: odontogenic keratocyst (OK) is a benign lesion that occurs in the jaws aggressively and infiltratively. Often discovered by imaging tests, it has unpredictable and recurrent behavior. Due to its characteristics, there are difficulties to indicate the therapy for this pathology, and there is no consensus on the best form of treatment. Methods: literature review of original articles published in the last 10 years in the databases Medline / Pubmed, Cochrane, Embase and Bireme with keywords used according to their specific descriptors. In parallel, we aimed to present a clinical case of OK decompression as an alternative therapy. Results: Of the total of 08 articles selected, 01 literature review, 03 systematic reviews of literature, 03 retrospective studies and 01 cohort study were identi- fied, reporting and analyzing different treatment modalities. Conclusions: Considering the possible comorbidities of patients and technical limitations, it is suggested that minor lesions can be submitted to single enucleation procedure with a combination of one or more adjuvant and extensive lesions can be submitted to decompression before definitive surgery, restricting resection to the cases of lesions that do not respond to decompression or when there is a pathological fracture.

Keywords: Odontogenic cysts. Combined modality therapy. Mandibular diseases.

How to cite: Reschke LF, Schiefferdecker SA, Dias KB. Therapeutic challenges of odontogenic keratocyst: Review of literature and case report using the decompression technique. J Braz Coll Oral Maxillofac Surg. 2020 Jan-Apr;6(1):28-35.

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