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Recurrent Keratocystic Odontogenic Tumor After Effective Decompression
Qian Zhang1, Wei Li, Fangkai Han
1*Department of Oral and Maxillofacial Surgery†Department of Medical Imaging‡Department of Pathology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China.
The Journal of Craniofacial Surgery
|July 9, 2016
Summary
Recurrent keratocystic odontogenic tumors (KCOT) can occur even after decompression. This case highlights successful long-term outcomes with repeat decompression for a challenging recurrent KCOT.
Area of Science:
- Oral and Maxillofacial Surgery
- Oncology
- Dental Pathology
Background:
- Keratocystic odontogenic tumor (KCOT) exhibits aggressive behavior.
- Decompression is a preferred treatment for large KCOTs, aiming for safety and reduced recurrence.
- Recurrence of KCOT remains a clinical challenge despite effective decompression.
Observation:
- A rare case of recurrent KCOT after effective decompression and adjunctive enucleation.
- The patient experienced KCOT recurrence following initial treatment.
- Long-term follow-up was conducted to assess treatment efficacy.
Findings:
- Redecompression was performed as a subsequent treatment for the recurrent KCOT.
- The redecompression procedure demonstrated satisfactory long-term results.
- This approach proved effective in managing the recurrent tumor.
Implications:
- Repeated decompression can be a viable option for managing recurrent KCOT.
- Effective long-term control of KCOT is achievable with appropriate surgical intervention.
- Further research into KCOT recurrence patterns and management strategies is warranted.

