Evaluation of the recurrence of odontogenic keratocysts and ameloblastoma surgically treated at the General Hospital of Fortaleza
DOI:
https://doi.org/10.22456/2177-0018.138439Keywords:
Ameloblastoma, Odontogenic cysts, RecurrenceAbstract
Aim: The aim of the present study was to evaluate the occurrence of recurrence of odontogenic keratocysts and ameloblastomas after surgical treatment over 14 years in a reference hospital in the state of Ceará, Brazil. Materials and methods: A retrospective study guided by the STROBE initiative was conducted, whose sample included patients diagnosed with Odontogenic Keratocyst and Ameloblastoma during the period from 2006 to 2020. The data collected were age, sex, birthplace, histological type, recurrence, date of recurrence or follow up, location of the lesion, imaging characteristics and surgical protocol. Results: The sample consisted of 33 patients, 12 with odontogenic keratocysts and 21 diagnosed with ameloblastomas. There were 5 recurrences (15.2%), 1 odontogenic keratocyst and 4 ameloblastomas. Most of the lesions located in the mandible (90.09%), all lesions with a hypodense/radioluce imaging pattern. The mean recurrence-free time was 50.4±6.7 (95%CI = 37.3-63.6) months over an average follow-up time of 11 months. Discussion: The recurrence of lesions is often associated with the therapy used in the treatment, which is an important factor in the prognosis of the lesions. Final Considerations: Our study found that to ensure a longer recurrence-free survival time for these lesions, combinations of surgical techniques, such as adjuvant therapies, seek to reduce recurrence and morbidity from treatments.
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