Odontogenic Keratocyst Management Using Carnoy’s Solution: Our Experience

Abstract

Nilam U Sathe, Prasad Bhange, Indutai Rathod, Davish Gupta and Sheetal Kelkar

Background Odontogenic keratocyst (OKC) is a benign intraosseous lesion relatively frequent in the oral cavity. It has a locally aggressive behaviour and exhibits a high propensity to recur after treatment.

Aim The present study aimed to study the demographic profile of the OKC and to investigate the clinicoradiographic presentations and outcomes of surgical treatment of OKC. Materials and methods: It is the descriptive Prospective Study done during the time period of January 2020 to December 2023, 18 cases of odontogenic keratocyst were admitted and treated under the care of Department of Otorhinolaryngology, Seth GSMC and KEM Hospital Mumbai. Patients came to the ENT OPD with history of swelling in the cheek region, nasal obstruction, numbness in the upper alveolar region. Enucleation with bone grafting & application of Carnoy’s solution (CS) was the most common surgical modality that was used in all patients.

Result Mean age of presentation was 34.39 years. Female predilection was more 61% compare to male 39%. most common presentation of the cases was third molar problem followed by pain. Mandibular odontogenic cyst is more common 13 cases (72%) than maxillary odontogenic cyst 5 cases (28%). No recurrence seen in this study. Conclusion-OKC is aggressive tumour for this timely intervention, complete enucleation and proper follow up require. Carnoys solution is the key for reducing recurrence of OKC.

Conclusion Odontogenic keratocyst is locally aggressive tumour. sometimes it occurs as incidental findings. Odontogenic keratocyst also associated with syndrome. For this timely intervention of swelling complete enucleation with proper follow up is required. Carnoy’s solution is the key for resolution of OKC & to prevent recurrence.

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