Case report open access odontogenic keratocyst in the mandible, surgical treatment and reconstruction. This study is aimed at reporting 4 cases of these clinicopathological proliferations in order to shed more light on the importance of. The aim of this case report is to present a keratocystic odontogenic tumor kcot mimicking lateral periodontal cyst. Odontogenic keratocysts appear distinct from other jaw cysts. This cyst actually arises from the cell rests of dental lamina. Odontogenic keratocyst okc is an odontogenic cyst and because of its ability in growth and creation tumoral lesions is placed in odontogenic tumor okt. Pdf odontogenic keratocyst simulating lateral periodontal. It is now designated by the world health organization as a keratocystic odontogenic tumour kot.
Patient details 35 year old female reported to bvp opd with cco swelling in lower right back tooth region since 6 months. The authors report an unusal case of okc of the upper jaw. Thus, it has been the subject of much research over the last 40 years. Case report unusual ct appearance in an odontogenic keratocyst of the mandible. An expansile lesion in the body of the left mandible had high attenuation 225 hu on nonenhanced ct scans. Okc received its new title as keratocystic odontogenic tumour. Keratocystic odontogenic tumor kcot, previously referred to as odontogenic keratocyst, is a relatively rare benign intraosseous neoplasm of odontogenic origin that is histopathologically characterized by the presence of a lining of parakeratinized stratified squamous epithelium. Histologic examination revealed an odontogenic ker.
When the cyst is multilocular and located at the molar ramus area, it may be. Unusual ct appearance in an odontogenic keratocyst of the. The high attenuation was considered to be due to highly concentrated protein of thick, viscous keratin in the lumen of the keratocyst. The odontogenic keratocyst okc is a cystic lesion of odontogenic origin. Senior registrar, professorial unit, royal national throat, nose and ear hospital, grays inn road, london wci x 8da summary. Case report radiological and clinical features of peripheral.
Odontogenic keratocyst and uterus bicornis in nevoid basal cell carcinoma syndrome. Odontogenic keratocyst simulating lateral periodontal cyst. We present the case of a 23yearold man with extensive kcot and impacted third molar in the right maxillary sinus. Journal of oral and maxillofacial surgery, 64, 308316. The presence of multiple odontogenic keratocysts can be associated with the gorlingoltz syndrome.
The keratocystic odontogenic tumor kcot is a benign uni or multicystic, intraosseous tumor of odontogenic origin 2 that has a slight male predilection and commonly. This study is aimed at reporting 4 cases of these clinicopathological proliferations in order to shed more. Clinically, the kot is manifested by an asymptomatic growth. Keratocystic odontogenic tumor are considered to be benign, even though they are locally aggressive and show high recurrence rates after conservative management.
It can occur anywhere in the jaw but is commonly seen in the posterior part of the mandible. Pdf odontogenic keratocyst okc is a cyst of tooth origin with an aggressive clinical behavior including a high recurrence rate. Odontogenic keratocyst is a locally aggressive and highly recurrent lesion, which occurs mostly on the posterior mandible with a slightly higher rate in males. In the present case, surgical treatment was performed. We present a case of a odontogenic cyst which followed trauma and histopathologically proved as odontogenic keratocyst. Albodbai mh 21 keratocystic odontogenic tumor in the maxillary sinus. In this case report, surgical treatment of the odontogenic keratocyst in the right posterior mandible and reconstruction of the defected site is presented. Okc received its new title as keratocystic odontogenic tumour kcot by the who 2005 in order to suggest its aggressive and recurrent nature. The okc is distinctive among jaw cysts given its tendency toward recurrence and aggressive clinical. Odontogenic keratocyst okc is a common developmental odontogenic cyst affecting the maxillofacial region. Large odontogenic keratocyst of mandible a case report article pdf available in journal of the indian dental association 57. It has specific histopathologic features and aggressive. They are unique odontogenic lesions that have the potential to behave aggressively, that can recur and can be associated with nevoid basal cell carcinoma syndrome.
Pdf large odontogenic keratocyst of mandible a case report. Case report the patient, a 14yearold black male was referred for diagnosis of a painless lesion located in the anterior mandibular region. Keratocystic odontogenic tumour kcot previously known as odontogenic keratocyst was recently classified as a benign lesion characterized by an infi we use cookies to enhance your experience on our website. Case report a 35 years male came with complaints of swelling in left side of face following trauma to left side of face 1 month back. The odontogenic keratocyst is a very well known odontogenic cyst. A case report of odontogenic keratocyst in anterior. Presentation of a keratocystic odontogenic tumor with. Odontogenic keratocysts are aggressive lesions characterised by a high recurrence risk ratio due to dental lamina residues in mandibular and maxillary regions. Pdf odontogenic keratocyst mandible an interesting case. Odontogenic keratocyst of the angle and ramus of the. Case report open access presentation of a keratocystic odontogenic tumor with agenesis. The following report describes an extremely rare case of an odontogenic carcinoma derived from a keratocystic odontogenic tumor in a 20yearold man. Odontogenic keratocyst okc is the cyst arising from the cell rests of dental lamina. In recent studies a somatic mutation of ptch gene in some.
The high attenuation was considered to be due to highly concentrated protein of thick, viscous keratin in the lumen of the. In 2005, odontogenic cyst was classified as keratocyst odontogenic tumor due to being aggressive and recurrent. We describe a case managed conservatively that, in fact, would have required more aggressive treatment. A 45yearold female patient showed a welldefined radiolucent lesion between the roots of the left second premolar and left first molar. Odontogenic keratocyst a case presentation purshotam nainani 1, anish gupta, pratibha kavle2, amit mathur3 abstract.
The distinction between keratocystic odontogenic tumor and other. In this report, a 35yearold male patient was admitted to our clinic with numbness in the left mandible. Duraiselvi and cordelia sumathy and radhakrishnan mithra, year2015. Histologic examination revealed an odontogenic keratocyst with no evidence of mineralization or calcification within the lesion. Nasib chand khabra 1, ish pandhi, kiran dn2, sunil alipuria 1, bhawna gulati, and aastha narula1. K sunil2, ashwarya trivedi3, neetu singla4 abstract the odontogenic keratocyst okc, first described by phillipsen in 1956, has been reclassified as odontogenic neoplasm and has been renamed as keratocystic odontogenic. Distinguishing squamous odontogenic tumorlike proliferations sotlps is important in odontogenic cysts to avoid misinterpretation such as a squamous odontogenic tumor, welldifferentiated squamous cell carcinoma, and acanthomatous type of ameloblastoma. Case report open access presentation of a keratocystic. A clinicopathological report of four cases of squamous. A case report of odontogenic keratocyst in anterior mandibule. Multiple okcs are usually seen in association with nevoid basal cell carcinoma syndrome nbccs but approximately 5% of patients with okc have multiple cysts without concomitant syndromic presentation. Keratocystic odontogenic tumours are known for their peculiar behaviour, varied origin, debated development, unique tendency to recur and disputed treatment modalities. There are many types of cysts of the jaws, but what makes the odontogenic keratocyst unusual are its characteristic histopathological and clinical features, including potentially aggressive behaviour, high recurrence rate, and an association with the nevoid basal cell carcinoma. The most characteristic clinical feature of okc is the high recurrence rate.
Odontogenic keratocyst of the angle and ramus of the mandible a case report shaveta garg1, m. Pdf keratocystic odontogenic tumor invading the right. Alparslan esen 1, ali kilinc 1, yigit guler 1, melek tassoker 2 and omer gunhan 3 1 department of oral and maxillofacial surgery, university of necmettinerbakan, turkey 2 department of oral and maxillofacial radiology, university of necmettinerbakan, turkey 3 department of. Caucasian patient, male, 18 years old, sought care in outpatient oral and maxillofacial surgery. It is because of this characteristic that a variety of treatment modalities has been suggested for this cyst.
It was formerly known as odontogenic keratocyst okc. The keratocyst odontogenic tumor has characteristics, with slow development, does not cause metastases and. A 14yearold caucasian girl presented for observation of bilateral agenesis. Okc received its new title as keratocystic odontogenic tumour kcot by the who 2005 in order to. Odontogenic keratocyst looks can be deceptive, causing. Features of peripheral keratocystic odontogenic tumor 301 int j clin exp med 2014. Nasib chand khabra 1, ish pandhi 1, kiran dn 2, sunil alipuria 1, bhawna gulati 1, and aastha narula 1. By continuing to use our website, you are agreeing to our use of cookies.
The patient presented with an exophytic lesion in the retromolar region. In this paper, we shall present one case report of a keratocyst, which derived from an impacted canine. We analyzed the etiopathogenetic, clinical, radiographic, and histopathologic aspects of keratocystic odontogenic tumors, particularly in association with dental anomalies of number, with the aim of providing useful information for their correct diagnosis, treatment, and prognosis within a multidisciplinary approach. There are many types of cysts of the jaws, but what makes the odontogenic keratocyst unusual are its characteristic histopathological and clinical features, including potentially aggressive behaviour, high recurrence rate, and an association with the nevoid basal cell carcinoma syndrome. Odontogenic keratocysts in nevoid basal cell carcinoma. It can occur anywhere in the jaw, but commonly seen in the posterior part of the mandible. Odontogenic keratocyst of mandible a case report with.
During histopathological examination the mass was determined as a keratocyst. Case report keratocystic odontogenic tumor mimicking lateral periodontal cyst. Thus, the purpose of this study was to report a case of pigmented okc and discuss the hypotheses for this uncommon manifestation. A case report farnaz falaki 1, zahra delavarian 2, jahanshah salehinejad 3, shadi saghafi 4 1 assistant professor of oral. Odontogenic keratocyst in the mandible, surgical treatment.
The clinical, radiological, and histological features of this tumor and its surgical management are discussed. The term odontogenic keratocyst was first described by philipsen in 1956. British journal of oral and maxillofacial surgery 1985 23, 210215 1985 the british association of oral and maxillofacial surgeons odontogenic keratocyst of the maxilla. Odontogenic keratocyst involving mandiblea case report. In 2005, the world health organization who working group considered odontogenic keratocyst okc to be a tumor and recommended the term kcot. Aug 11, 2009 the odontogenic keratocyst is a very well known odontogenic cyst. Keratocystic odontogenic tumor kcot is a benign intraosseous neoplasm of the jaw. We analyzed the etiopathogenetic, clinical, radiographic, and histopathologic aspects of keratocystic. Radiographically, it may appear unilocular or multilocular, with or without defined borders. Case report marcelo guzmanletelier 1, claudia crisostojara 2, camilo diazricouz 3, miguel penarrochadiago 4, david penarrochaoltra 5 dds, maxillofacial surgeon, associate professor, san sebastian university dental school. Feb 20, 20 thus, it has been the subject of much research over the last 40 years. The odontogenic keratocyst okc is classified as a developmental epithelial cyst and comprises approximately 11% of all cysts of the jaws.
Odontogenic keratocyst an unusual clinical case presentation. Odontogenic keratocyst okc is a common developmental odontogenic cyst affecting the maxillofacial region that arises from the dental lamina. It is thought to originate from dental laminae residues. Aggressive osseous commitment result by keratocyst. Case presentation odontogenic kertocyst presented by dr. Nevoid basal cell carcinoma syndrome, a rare autosomal dominant disorder, comprises a number of abnormalities such as multiple nevoid basal cell carcinomas, skeletal abnormalities and multiple odontogenic keratocysts. Keratocystic odontogenic tumor in the maxillary sinus.
Due to highly recurrent nature of the odontogenic keratocysts, patients followup continues. Case reports squamous cell carcinoma arising from an odontogenic keratocyst. Squamous cell carcinoma arising from an odontogenic. Odontogenic keratocyst okc is a distinctive form of developmental odontogenic cyst. Radiographically, most okcs are unilocular when presented at the periapex and can be mistaken for radicular or lateral periodontal cyst.
Fulltext pdf docile splay graft for middle vault reconstruction. The purpose of this article was to present a case report of odontogenic keratocyst okc arising in the orbital floor, finding the common thread in rare pathology, and highlighting the aberration in our treatment plan by collating all the wealth of information published in the literature. Involvement of the maxillary sinus is an unusual presentation. First described by philipsen in 1956, the odontogenic keratocyst is characterized by a large squamous keratinization of its border, an aggressive growth and a high recurrent rate. Journal of dental sciences an expansile large odontogenic keratocyst maxilla. Considering the rarity of this syndrome, we present a 12yearold boy affected by this syndrome.
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