Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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CALCIFYING ODONTOGENIC CYST ASSOCIATED WITH UNERUPTED TOOTH : REPORT OF A CASE

미맹출치를 동반한 Calcifying Odontogenic Cyst

  • Ryu, Sun-Youl (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Chung, Jung-Jae (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Chung, Jong-Chull (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Park, Jun-Ah (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Choi, Hong-Ran (Dept. of Oral Pathology, School of Dentistry, Chonnam National University)
  • 류선열 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 정중재 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 정종철 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 박준아 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 최홍란 (전남대학교 치과대학 구강병리학교실)
  • Published : 1993.06.30
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Abstract

A case of calcifying odontogenic cyst associated with an unerupted tooth which appeared in the left maxillary sinus of a 16-year-old woman, was reported. Clinical examination revealed painless swelling on the left maxillary posterior region and the cheek. Radiographically, this lesion showed a monolocular radiolucent shadow with calcified materials and unerupted maxillary second premolar. Histological examination revealed cystic structure with presence of the ghost cells, calcified tissue and unerupted tooth. This lesion was classified as Type IB of COC according to classification of the Praetorius. After surgical removal of the cyst, the wound healed uneventfully and the lesion is now free of symptoms.

좌측 상악 구치부와 협부의 무통성 종창을 주소로 내원한 16세 여자의 좌측 상악동에서 다량의 석회화 침착과 미맹출지를 포항한 COC 1예를 구내 접근법을 통해 외과적으로 제거하였다. 적출물은 $50{\times}40{\times}35mm$의 크기였고 낭종벽으로 잘 피낭되어 있었다. 조직학적으로는 잘 발달된 상피 내벽과 ghost cell이 나타나 COC의 소견을 보였으며 석회화물은 complex odontoma의 양상을 보여 COC의 type IB로 분류되었다. 술후 1년이 지난 현재 안모의 개선을 나타내고 있으며 재발의 증상 없이 양호한 경과를 보여주고 있다.

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