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Facial asymmetry and pain in preauricular region are rare complaints encountered in our practice and in such cases proper examination are important. Osteochondroma (OC) of temporomandibular joint (TMJ) is a rare, benign tumour of the jaw which leads to facial asymmetry, malocclusion and restricted mouth opening. Pain is not a frequent complaint but some patients can experience pain in cases of OC. Proper examination and radiographic techniques help in attaining a diagnosis. Final diagnosis is by histopatholgical examination and Treatment of choice is surgical excision. Here we are reporting a case of OC where history, clinical and radiographic examination helped in diagnosing the lesion.

Among the developmental cysts affecting the maxillofacial region, Odontogenic Keratocyst (OKC) is the most common one. Recently OKC is reclassified as Keratocystic Odontogenic Tumor (KCOT)Usually multiple OKCs are seen in association with Nevoid Basal Cell Carcinoma Syndrome (NBCCS) in 95% of cases but this case report highlights a non-syndromic case of multiple OKCs affecting both maxilla and mandible.