치성 각화 낭종의 술후 재발양상과 추적관찰 기간의 제안

POSTOPERATIVE RECURRENCES OF ODONTOGENIC KERATOCYST : THE BEHAVIOR AND PROPOSAL OF CRITICAL FOLLOW-UP PERIOD

  • 박세현 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김남균 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김기호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 강상훈 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 박형식 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 남웅 (연세대학교 치과대학 구강악안면외과학교실)
  • Park, Se-Hyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Nam-Kyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Ki-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kang, Sang-Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Park, Hyung-Sik (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cha, In-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 발행 : 2008.08.29

초록

Post-operative recurrence of cystic lesion is a great concern for clinician, patients, and their family, especially in case of odontogenic keratocyst, which has aggressive behavior and high recurrence rate. The purpose of this study was to evaluation clinical characters of OKC, focusing of the recurrence rate and proposed critical follow-up period. 58 cases (aged 9 to 66, 33 males and 25 females) of OKC were reviewed for sex of patients, location, size, operative procedure type, radiographic findings, histopathologic findings, post-operative recurrence time, from 2000 to 2005 at Yonsei Medical Center, were selected. The computerized statistical analysis was carried out with SAS system. 18 of 58 cases (31.03%) were recurred and this study revealed no statistically significant difference in recurrence rate for sex, location, size, radiographic findings, histopatologic findings, operative procedure type, recurrence timing. 3 out of 18 cases (16.7%) showed one or more recurrence. This was statistically significant difference (P=.0264). In this study, 15 of 18 cases (83.3%) were observed recurrence during 4 years after removal of the OKCs, we suggest critical follow-up period during 4 years after operation.

키워드

참고문헌

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