Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지
DOI QR코드

DOI QR Code

Deep Neck Space Infection Caused by Keratocystic Odontogenic Tumor

  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • You, Jae-Seek (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Min, Hong-Gi (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Ji-Won (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Eun-Sik (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Cheol-Man (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Lim, Kyung-Seop (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
  • Received : 2013.07.08
  • Accepted : 2014.01.14
  • Published : 2014.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Keratocystic odontogenic tumor (KCOT) is a benign cystic intraosseous tumor of odontogenic origin. An infection of a KCOT is not common because KCOT is a benign developmental neoplasm. Moreover, a severe deep neck space infection with compromised airway caused by infected KCOT is rare. This report presents a 60-year-old male patient with a severe deep neck space infection related to an infected KCOT due to cortical bone perforation and rupture of the exudate. Treatment of the deep neck space infection and KCOT are reported.

Keywords

References

  1. Rana RS, Moonis G. Head and neck infection and inflammation. Radiol Clin North Am 2011;49:165-82. https://doi.org/10.1016/j.rcl.2010.07.013
  2. Santos Gorjon P, Blanco Pérez P, Morales Martin AC, Del Pozo de Dios JC, Estevez Alonso S, Calle de la Cabanillas MI. Deep neck infection. Review of 286 cases. Acta Otorrinolaringol Esp 2012;63:31-41. https://doi.org/10.1016/j.otorri.2011.06.002
  3. Kato Y, Sano H, Dong PT, et al. The effect of clipping and coiling in acute severe subarachnoid hemorrhage after international subarachnoid aneurysmal trial (ISAT) results. Minim Invasive Neurosurg 2005;48:224-7. https://doi.org/10.1055/s-2005-870930
  4. Eftekharian A, Roozbahany NA, Vaezeafshar R, Narimani N. Deep neck infections: a retrospective review of 112 cases. Eur Arch Otorhinolaryngol 2009;266:273-7. https://doi.org/10.1007/s00405-008-0734-5
  5. Mathew GC, Ranganathan LK, Gandhi S, et al. Odontogenic maxillofacial space infections at a tertiary care center in North India: a five-year retrospective study. Int J Infect Dis 2012;16:e296-302.
  6. Castro AL, Vieira EM, Arêde LT, Jardim Junior EG. Infection of keratocystic odontogenic tumour by pseudomonas aeruginosa. Braz J Otorhinolaryngol 2009;75:157. https://doi.org/10.1016/S1808-8694(15)30848-X
  7. Davoodi P, Rezaei-Soufi L, Jazaeri M, Langaroodi AJ, Zarch SH. Submandibular abscess due to an infected keratocystic odontogenic tumor associated with simultaneous occurrence of a traumatic bone cyst: a rare case report. J Contemp Dent Pract 2013;14:133-6.
  8. Smith JL 2nd, Kellman RM. Dentigerous cysts presenting as head and neck infections. Otolaryngol Head Neck Surg 2005;133:715-7. https://doi.org/10.1016/j.otohns.2005.07.014
  9. Rega AJ, Aziz SR, Ziccardi VB. Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin. J Oral Maxillofac Surg 2006;64:1377-80. https://doi.org/10.1016/j.joms.2006.05.023
  10. Sichel JY, Gomori JM, Saah D, Elidan J. Parapharyngeal abscess in children: the role of CT for diagnosis and treatment. Int J Pediatr Otorhinolaryngol 1996;35:213-22. https://doi.org/10.1016/0165-5876(95)01307-5
  11. Keskin F, Ciftci S, Cakarer S, et al. Detection of the anaerobic bacteria in the odontogenic cyst fluids using polymerase chain reaction (PCR) method. African J Microbiol Res 2011;5:1999-2002.
  12. Regezi JA. Odontogenic cysts, odontogenic tumors, fibroosseous, and giant cell lesions of the jaws. Mod Pathol 2002;15:331-41. https://doi.org/10.1038/modpathol.3880527
  13. Liu B, Cai Y, Wang SP, Zhao YF. Recurrent keratocystic odontogenic tumor in the masseter muscle overlying the boney perforations: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113:e1-5. https://doi.org/10.1016/j.tripleo.2011.09.002
  14. Blanas N, Freund B, Schwartz M, Furst IM. Systematic review of the treatment and prognosis of the odontogenic keratocyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:553-8. https://doi.org/10.1067/moe.2000.110814
  15. Johnson NR, Batstone MD, Savage NW. Management and recurrence of keratocystic odontogenic tumor: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:e271-6. https://doi.org/10.1016/j.oooo.2011.12.028
  16. de Paula AM, Carvalhais JN, Domingues MG, Barreto DC, Mesquita RA. Cell proliferation markers in the odontogenic keratocyst: effect of inflammation. J Oral Pathol Med 2000;29:477-82. https://doi.org/10.1034/j.1600-0714.2000.291001.x
  17. Mendes RA, Carvalho JF, van der Waal I. Characterization and management of the keratocystic odontogenic tumor in relation to its histopathological and biological features. Oral Oncol 2010;46:219-25. https://doi.org/10.1016/j.oraloncology.2010.01.012
  18. Shiva Bharani KSN, Shubha Lakshmi S, Rajay Kamath AD, Hammannavar R. Keratocystic odontogenic tumor: case report, treatment review and future diagnostic trends. J Oral Maxillofac Surg Med Pathol 2013;25:85-92. https://doi.org/10.1016/j.ajoms.2012.01.011
  19. Stoelinga PJ. The treatment of odontogenic keratocysts by excision of the overlying, attached mucosa, enucleation, and treatment of the bony defect with carnoy solution. J Oral Maxillofac Surg 2005;63:1662-6. https://doi.org/10.1016/j.joms.2005.08.007
  20. Kaczmarzyk T, Mojsa I, Stypulkowska J. A systematic review of the recurrence rate for keratocystic odontogenic tumour in relation to treatment modalities. Int J Oral Maxillofac Surg 2012;41:756-67. https://doi.org/10.1016/j.ijom.2012.02.008