Keratocyst Multimodal Management in Maxillofacial Surgery: Case Report

Keratocysts are considered benign lesions, however, as has been reported in many works by different authors, it has been considered aggressive due to its expansion and high recurrence rate. Currently, numerous articles have been published worldwide on different studies for this type of pathology, which propose different treatment alternatives, ranging from conservative management, for example the use of adjuvants, chelators, cryotherapy, decompression, use of decompressive valves, etc. And surgical treatments among these are those carried out with local anesthesia and / or considered minor surgeries such as enucleations, surgical washes and curettage, of which block or extensive resection with or without reconstruction that can be done at the same time are mentioned Surgical or subsequent, so it was decided to carry out a combination of different treatments with which there is literature reporting their efficacy in order to provide a better prognosis to the patient and to avoid, if possible, achieving wide resections. Therefore, a representative case of a patient diagnosed with Keratocyst, treated in Maxillofacial Service of Specialty Hospital, National Medical Center, XXI Century, IMSS. With multimodal treatment, using different decompressive and reconstruction means is presented, resulting in the eradication of two large-sized lesions and without recurrence two years after their management.