International Journal of Pediatric Otorhinolaryngology Extra
Volume 1, Issue 1 , Pages 41-44, March 2006

Transnasal endoscopic marsupialization for a large midline maxillary odontogenic keratocyst in a 6-year-old child

  • Yuh-Chyun Chiang

      Affiliations

    • Department of Otolaryngology, Taiwan Adventist Hospital, No. 424, Pa Te Road, Section 2, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Pin-Zhir Chao

      Affiliations

    • Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Tsung-Han Yang

      Affiliations

    • Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Bou-Yue Peng

      Affiliations

    • Dental Department, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • ,
  • Fei-Peng Lee

      Affiliations

    • Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan
    • Department of Otolaryngology, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author at: Department of Otolaryngology, Taipei Medical University Hospital, No. 252, Wu-Hsing Street, Taipei, Taiwan. Tel.: +886 2 27372181x3215; fax: +886 2 27387020.

Received 21 September 2005; received in revised form 27 November 2005; accepted 6 December 2005.

Summary 

An odontogenic keratocyst is a histologically distinct lesion that is thought to arise from basal cells of the oral epithelium, usually occurring in the posterior portion of the mandible or the mandibular ramus. We report on a large odontogenic keratocyst that presented as nasal airway obstruction in a 6-year-old boy. To our knowledge, this is the youngest patient for whom a midline odontogenic keratocyst in the anterior maxillary region has been documented in the English literature. We designed a less-invasive surgical approach for transnasal endoscopic marsupialization instead of enucleation of this large pediatric odontogenic keratocyst.

Keywords: Pediatric odontogenic keratocysts, Transnasal endoscopic marsupialization

 

PII: S1871-4048(05)00015-8

doi:10.1016/j.pedex.2005.12.002

International Journal of Pediatric Otorhinolaryngology Extra
Volume 1, Issue 1 , Pages 41-44, March 2006

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