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Appropriate follow-up period for odontogenic keratocyst: a retrospective study

 Hwi-Dong Jung  ;  Jung-Hwan Lim  ;  Hyung Jun Kim  ;  Woong Nam  ;  In-Ho Cha 
 Maxillofacial Plastic and Reconstructive Surgery, Vol.43(1) : 16, 2021-12 
Journal Title
Maxillofacial Plastic and Reconstructive Surgery
Issue Date
KCOT, Recurrence ; Keratocystic odontogenic tumor ; OKC ; Odontogenic kerotocyst ; Recurrence of OKC
Purpose: The aim of this study was to conduct epidemiologic investigations on the pattern of the lesion and differences between treatment modalities in terms of recurrence by reviewing follow-up records to form a basis for planning patient follow-up visits.

Materials and methods: In this retrospective, single-center cohort study, 266 patients diagnosed with odontogenic keratocyst between 1993 and 2013 were included. Medical records and radiographic images were analyzed for age distribution, occurrence site and size, treatment modalities, and recurrence.

Results: The average age at first diagnosis was 33.1 years, and the male to female ratio was 1.33:1.00. The highest rate of incidence was in the third decade followed by the fourth, second, and fifth decades. The incidence in the maxilla was 34%, and 66% in the mandible. Mandibular ramus was most commonly involved. Lesions between 3 and 6 crowns were the most common, and the rate of recurrence increased with size. Enucleation after decompression had higher rate of recurrence (35.8%) than enucleation (27.1%), but there was no statistical significance.

Conclusion: The recurrence of odontogenic kerotocyst (OKC) was significantly associated with large size, multilocular form, and surgical procedure. A 10-year follow-up period is recommended to determine any recurrence of OKC.
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2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyung Jun(김형준) ORCID logo https://orcid.org/0000-0001-8247-4004
Nam, Woong(남웅) ORCID logo https://orcid.org/0000-0003-0146-3624
Lim, Jung Hwan(임정환)
Jung, Hwi Dong(정휘동) ORCID logo https://orcid.org/0000-0003-1025-8323
Cha, In Ho(차인호) ORCID logo https://orcid.org/0000-0001-8259-2190
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