Keratocystic odontogenic tumors and Carnoy's solution: results and complications assessment
Oral Diseases (2012) 18, 548–557 Objective: Keratocystic odontogenic tumors (KOTs) can be treated with Carnoy’s solution, although this treatment modality is not free from complications. It is important to verify the incidence of complications after the use of Carnoy’s solution and compare these wi...
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| Veröffentlicht in: | Oral diseases 2012-09, Vol.18 (6), p.548-557 |
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| creator | Ribeiro Junior, O Borba, AM Alves, CAF de Gouveia, MM Coracin, FL Guimarães Júnior, J. |
| description | Oral Diseases (2012) 18, 548–557
Objective: Keratocystic odontogenic tumors (KOTs) can be treated with Carnoy’s solution, although this treatment modality is not free from complications. It is important to verify the incidence of complications after the use of Carnoy’s solution and compare these with the literature.
Materials and methods: This study verified the effects of a complementary treatment for KOTs and assessed the incidence of such complications as recurrence, infection, sequestrum formation, mandibular fracture, dehiscence, and neuropathy.
Results: Twenty‐two KOTs treated with Carnoy’s solution combined with peripheral ostectomy were included, and the follow‐up period varied from 12 to 78 months with a mean of 42.9 months. Complications included recurrence (4.5%), dehiscence (22.7%), infection (4.5%), and paresthesia (18.2%). No difference was found among lesions associated (9.1%) or not (0%) with nevoid basal cell carcinoma syndrome (P > 0.05). Dehiscence was influenced by marsupialization (P |
| doi_str_mv | 10.1111/j.1601-0825.2012.01907.x |
| format | Article |
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Objective: Keratocystic odontogenic tumors (KOTs) can be treated with Carnoy’s solution, although this treatment modality is not free from complications. It is important to verify the incidence of complications after the use of Carnoy’s solution and compare these with the literature.
Materials and methods: This study verified the effects of a complementary treatment for KOTs and assessed the incidence of such complications as recurrence, infection, sequestrum formation, mandibular fracture, dehiscence, and neuropathy.
Results: Twenty‐two KOTs treated with Carnoy’s solution combined with peripheral ostectomy were included, and the follow‐up period varied from 12 to 78 months with a mean of 42.9 months. Complications included recurrence (4.5%), dehiscence (22.7%), infection (4.5%), and paresthesia (18.2%). No difference was found among lesions associated (9.1%) or not (0%) with nevoid basal cell carcinoma syndrome (P > 0.05). Dehiscence was influenced by marsupialization (P < 0.05), and paresthesia was observed exclusively in cases of mandibular canal fenestration (P < 0.01).
Conclusions: Complementary treatment with Carnoy’s solution and peripheral ostectomy appear to provide efficient treatment for KOTs. Complications originating from the use of the solution are less frequent and less serious than complications associated with cryotherapy. Neuropathy seems to be related to direct contact between the solution and the epineurium.</description><identifier>ISSN: 1354-523X</identifier><identifier>EISSN: 1601-0825</identifier><identifier>DOI: 10.1111/j.1601-0825.2012.01907.x</identifier><identifier>PMID: 22360145</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acetic Acid - adverse effects ; Acetic Acid - therapeutic use ; Adolescent ; Adult ; Aged ; Carnoy's solution ; Child ; Chloroform - adverse effects ; Chloroform - therapeutic use ; Combined Modality Therapy ; complications ; Dentistry ; Ethanol - adverse effects ; Ethanol - therapeutic use ; Female ; Fixatives - adverse effects ; Follow-Up Studies ; Humans ; Male ; Mandibular Fractures - etiology ; Mandibular Neoplasms - drug therapy ; Mandibular Neoplasms - surgery ; Mandibular Nerve - drug effects ; Mandibular Nerve - physiopathology ; Maxillary Neoplasms - drug therapy ; Maxillary Neoplasms - surgery ; Medical research ; Middle Aged ; Neoplasm Recurrence, Local - pathology ; neuropathy ; odontogenic cysts ; odontogenic tumors ; Odontogenic Tumors - drug therapy ; Odontogenic Tumors - surgery ; Osteotomy - adverse effects ; Paresthesia - etiology ; Postoperative Complications ; Retrospective Studies ; retrospective study ; Surgical Wound Dehiscence - etiology ; Surgical Wound Infection - etiology ; Thermosensing - physiology ; Time Factors ; Touch - physiology ; Trigeminal Nerve Injuries - etiology ; Women ; Young Adult</subject><ispartof>Oral diseases, 2012-09, Vol.18 (6), p.548-557</ispartof><rights>2012 John Wiley & Sons A/S</rights><rights>2012 John Wiley & Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4357-414a77e0b1283c5e0c5f7217da904b00915dc48ee89026552e9cbdcb7e282d1b3</citedby><cites>FETCH-LOGICAL-c4357-414a77e0b1283c5e0c5f7217da904b00915dc48ee89026552e9cbdcb7e282d1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1601-0825.2012.01907.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1601-0825.2012.01907.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22360145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ribeiro Junior, O</creatorcontrib><creatorcontrib>Borba, AM</creatorcontrib><creatorcontrib>Alves, CAF</creatorcontrib><creatorcontrib>de Gouveia, MM</creatorcontrib><creatorcontrib>Coracin, FL</creatorcontrib><creatorcontrib>Guimarães Júnior, J.</creatorcontrib><title>Keratocystic odontogenic tumors and Carnoy's solution: results and complications assessment</title><title>Oral diseases</title><addtitle>Oral Dis</addtitle><description>Oral Diseases (2012) 18, 548–557
Objective: Keratocystic odontogenic tumors (KOTs) can be treated with Carnoy’s solution, although this treatment modality is not free from complications. It is important to verify the incidence of complications after the use of Carnoy’s solution and compare these with the literature.
Materials and methods: This study verified the effects of a complementary treatment for KOTs and assessed the incidence of such complications as recurrence, infection, sequestrum formation, mandibular fracture, dehiscence, and neuropathy.
Results: Twenty‐two KOTs treated with Carnoy’s solution combined with peripheral ostectomy were included, and the follow‐up period varied from 12 to 78 months with a mean of 42.9 months. Complications included recurrence (4.5%), dehiscence (22.7%), infection (4.5%), and paresthesia (18.2%). No difference was found among lesions associated (9.1%) or not (0%) with nevoid basal cell carcinoma syndrome (P > 0.05). Dehiscence was influenced by marsupialization (P < 0.05), and paresthesia was observed exclusively in cases of mandibular canal fenestration (P < 0.01).
Conclusions: Complementary treatment with Carnoy’s solution and peripheral ostectomy appear to provide efficient treatment for KOTs. Complications originating from the use of the solution are less frequent and less serious than complications associated with cryotherapy. Neuropathy seems to be related to direct contact between the solution and the epineurium.</description><subject>Acetic Acid - adverse effects</subject><subject>Acetic Acid - therapeutic use</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Carnoy's solution</subject><subject>Child</subject><subject>Chloroform - adverse effects</subject><subject>Chloroform - therapeutic use</subject><subject>Combined Modality Therapy</subject><subject>complications</subject><subject>Dentistry</subject><subject>Ethanol - adverse effects</subject><subject>Ethanol - therapeutic use</subject><subject>Female</subject><subject>Fixatives - adverse effects</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Mandibular Fractures - etiology</subject><subject>Mandibular Neoplasms - drug therapy</subject><subject>Mandibular Neoplasms - surgery</subject><subject>Mandibular Nerve - drug effects</subject><subject>Mandibular Nerve - physiopathology</subject><subject>Maxillary Neoplasms - drug therapy</subject><subject>Maxillary Neoplasms - surgery</subject><subject>Medical research</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>neuropathy</subject><subject>odontogenic cysts</subject><subject>odontogenic tumors</subject><subject>Odontogenic Tumors - drug therapy</subject><subject>Odontogenic Tumors - surgery</subject><subject>Osteotomy - adverse effects</subject><subject>Paresthesia - etiology</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>retrospective study</subject><subject>Surgical Wound Dehiscence - etiology</subject><subject>Surgical Wound Infection - etiology</subject><subject>Thermosensing - physiology</subject><subject>Time Factors</subject><subject>Touch - physiology</subject><subject>Trigeminal Nerve Injuries - etiology</subject><subject>Women</subject><subject>Young Adult</subject><issn>1354-523X</issn><issn>1601-0825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9v1DAQxS0EoqXwFVAkDnBJ8N84QeKAFloKq1ZIRVTiYDnOLMqSxIvHUXe_PQ4pe-CELx55fu-NNY-QjNGCpfN6W7CSspxWXBWcMl5QVlNd7B-Q02PjYaqFkrni4vaEPEHcUsp0LfhjcsK5SJhUp-T7Zwg2enfA2LnMt36M_geMqY7T4ANmdmyzlQ2jP7zEDH0_xc6Pb7IAOPVxaTs_7PrO2bmTXhABcYAxPiWPNrZHeHZ_n5Gv5x9uVh_z9fXF5erdOndSKJ1LJq3WQBvGK-EUUKc2mjPd2prKhtKaqdbJCqCqKS-V4lC7pnWNBl7xljXijLxafHfB_5oAoxk6dND3dgQ_oWFUCKlEpVlCX_yDbv0UxvQ7w5RUrFSUqURVC-WCRwywMbvQDTYckpWZAzBbM-_ZzHs2cwDmTwBmn6TP7wdMzQDtUfh34wl4uwB3XQ-H_zY21-8v5yrp80XfYYT9UW_DT1NqoZX5dnVhbsovn9jtlTBr8Rt1KqNe</recordid><startdate>201209</startdate><enddate>201209</enddate><creator>Ribeiro Junior, O</creator><creator>Borba, AM</creator><creator>Alves, CAF</creator><creator>de Gouveia, MM</creator><creator>Coracin, FL</creator><creator>Guimarães Júnior, J.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201209</creationdate><title>Keratocystic odontogenic tumors and Carnoy's solution: results and complications assessment</title><author>Ribeiro Junior, O ; Borba, AM ; Alves, CAF ; de Gouveia, MM ; Coracin, FL ; Guimarães Júnior, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4357-414a77e0b1283c5e0c5f7217da904b00915dc48ee89026552e9cbdcb7e282d1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acetic Acid - adverse effects</topic><topic>Acetic Acid - therapeutic use</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Carnoy's solution</topic><topic>Child</topic><topic>Chloroform - adverse effects</topic><topic>Chloroform - therapeutic use</topic><topic>Combined Modality Therapy</topic><topic>complications</topic><topic>Dentistry</topic><topic>Ethanol - adverse effects</topic><topic>Ethanol - therapeutic use</topic><topic>Female</topic><topic>Fixatives - adverse effects</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Mandibular Fractures - etiology</topic><topic>Mandibular Neoplasms - drug therapy</topic><topic>Mandibular Neoplasms - surgery</topic><topic>Mandibular Nerve - drug effects</topic><topic>Mandibular Nerve - physiopathology</topic><topic>Maxillary Neoplasms - drug therapy</topic><topic>Maxillary Neoplasms - surgery</topic><topic>Medical research</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>neuropathy</topic><topic>odontogenic cysts</topic><topic>odontogenic tumors</topic><topic>Odontogenic Tumors - drug therapy</topic><topic>Odontogenic Tumors - surgery</topic><topic>Osteotomy - adverse effects</topic><topic>Paresthesia - etiology</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>retrospective study</topic><topic>Surgical Wound Dehiscence - etiology</topic><topic>Surgical Wound Infection - etiology</topic><topic>Thermosensing - physiology</topic><topic>Time Factors</topic><topic>Touch - physiology</topic><topic>Trigeminal Nerve Injuries - etiology</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ribeiro Junior, O</creatorcontrib><creatorcontrib>Borba, AM</creatorcontrib><creatorcontrib>Alves, CAF</creatorcontrib><creatorcontrib>de Gouveia, MM</creatorcontrib><creatorcontrib>Coracin, FL</creatorcontrib><creatorcontrib>Guimarães Júnior, J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Oral diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ribeiro Junior, O</au><au>Borba, AM</au><au>Alves, CAF</au><au>de Gouveia, MM</au><au>Coracin, FL</au><au>Guimarães Júnior, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Keratocystic odontogenic tumors and Carnoy's solution: results and complications assessment</atitle><jtitle>Oral diseases</jtitle><addtitle>Oral Dis</addtitle><date>2012-09</date><risdate>2012</risdate><volume>18</volume><issue>6</issue><spage>548</spage><epage>557</epage><pages>548-557</pages><issn>1354-523X</issn><eissn>1601-0825</eissn><abstract>Oral Diseases (2012) 18, 548–557
Objective: Keratocystic odontogenic tumors (KOTs) can be treated with Carnoy’s solution, although this treatment modality is not free from complications. It is important to verify the incidence of complications after the use of Carnoy’s solution and compare these with the literature.
Materials and methods: This study verified the effects of a complementary treatment for KOTs and assessed the incidence of such complications as recurrence, infection, sequestrum formation, mandibular fracture, dehiscence, and neuropathy.
Results: Twenty‐two KOTs treated with Carnoy’s solution combined with peripheral ostectomy were included, and the follow‐up period varied from 12 to 78 months with a mean of 42.9 months. Complications included recurrence (4.5%), dehiscence (22.7%), infection (4.5%), and paresthesia (18.2%). No difference was found among lesions associated (9.1%) or not (0%) with nevoid basal cell carcinoma syndrome (P > 0.05). Dehiscence was influenced by marsupialization (P < 0.05), and paresthesia was observed exclusively in cases of mandibular canal fenestration (P < 0.01).
Conclusions: Complementary treatment with Carnoy’s solution and peripheral ostectomy appear to provide efficient treatment for KOTs. Complications originating from the use of the solution are less frequent and less serious than complications associated with cryotherapy. Neuropathy seems to be related to direct contact between the solution and the epineurium.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22360145</pmid><doi>10.1111/j.1601-0825.2012.01907.x</doi><tpages>10</tpages></addata></record> |
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| subjects | Acetic Acid - adverse effects Acetic Acid - therapeutic use Adolescent Adult Aged Carnoy's solution Child Chloroform - adverse effects Chloroform - therapeutic use Combined Modality Therapy complications Dentistry Ethanol - adverse effects Ethanol - therapeutic use Female Fixatives - adverse effects Follow-Up Studies Humans Male Mandibular Fractures - etiology Mandibular Neoplasms - drug therapy Mandibular Neoplasms - surgery Mandibular Nerve - drug effects Mandibular Nerve - physiopathology Maxillary Neoplasms - drug therapy Maxillary Neoplasms - surgery Medical research Middle Aged Neoplasm Recurrence, Local - pathology neuropathy odontogenic cysts odontogenic tumors Odontogenic Tumors - drug therapy Odontogenic Tumors - surgery Osteotomy - adverse effects Paresthesia - etiology Postoperative Complications Retrospective Studies retrospective study Surgical Wound Dehiscence - etiology Surgical Wound Infection - etiology Thermosensing - physiology Time Factors Touch - physiology Trigeminal Nerve Injuries - etiology Women Young Adult |
| title | Keratocystic odontogenic tumors and Carnoy's solution: results and complications assessment |
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