JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2019 Month : April Volume : 6 Issue : 17 Page : 1341-1346

EVALUATION OF THE EFFICACY OF CARNOY’S SOLUTION IN THE MANAGEMENT OF ODONTOGENIC KERATOCYST

Kamalakannan Padmanabhan1, Karthikeyan Ramalingam2, Arunkumar Kamalakaran3, Cheruvathur Prasad4, Davidson Rajiah5, Abdul Hafeez6

Corresponding Author:
Dr. Karthikeyan Ramalingam,
Plot No. 4, 1st Street,
Thirupathi Nagar,
Valasaravalkkam,
Chennai – 600087, Tamil Nadu.
E-mail: karthikeyanram@gmail.com
DOI: 10.18410/jebmh/2019/276

ABSTRACT
BACKGROUND
Odontogenic keratocyst is a locally aggressive cystic lesion of the jaw with high recurrence characteristics, frequently found to be associated with naevoid basal cell carcinoma syndrome (NBCCS).

METHODS
This retrospective study evaluates the effects of enucleation with chemical cauterisation (Carnoy’s solution) in 10 patients (16 lesions) with odontogenic keratocyst associated with and without NBCCS in a follow up period of three years.

RESULTS
The recurrence rate was 6.25% with no statistically significant difference between syndromic and non-syndromic individuals. The incidence of postoperative paraesthesia and wound dehiscence were minimal.

CONCLUSION
Enucleation with chemical cauterisation is an effective method in the management of odontogenic keratocyst both in syndromic and non-syndromic cases. And hence, radical surgical treatments like resection should be reserved only for recurrent and large multilocular cystic lesions of the jaw.