Odontogenic keratocyst (OKC) is a unique cyst because of its locally aggressive behaviour, high recurrence rate and characteristic histological appearance. A radical surgical approach is commonly advocated with morbid and disfiguring results. This approach also presents several reconstructive obstacles especially in anterior mandible. In this case report the authors present a 25-year-old male patient with a large OKC and treatment with decompression followed by enucleation, and chemical cauterisation. This approach though demanding prolonged treatment time and postoperative follow-up decreases the morbidity to a great extent in a young individual. At the same time, it allows an opportunity for the maxillofacial surgeon to preserve the natural dentition, maintain function and safeguard cosmesis. In our case, the authors effectively achieved all the aforementioned objectives. At the same time a radical option of treatment is still left in the armoury if required at a later date.
Of all the neurogenic tumors, about half are seen in the head and neck region. Schwannomas are benign tumors of nerve sheath schwann cells and are quite uncommon in the oral cavity, rarely occurring in the lip area. A MEDLINE search in the English literature from 1969 to 2013 revealed only 20 documented cases of schwannomas of the lip.Although rare, schwannoma should be considered in the differential diagnosis of any nodule or mass in the oral mucosa. In the current study, authors report a case of an intraoral schwannoma situated in the lower lip. The diagnosis was established based on clinical and histopathological aspects, which was treated by complete surgical excision.
Of all neurogenic tumors, about half are seen in the region of head and neck.
Schwannomas are benign tumors of Schwann cells nerve sheath and are quite
uncommon in the oral cavity, rarely occurring in the lip area. A MEDLINE
search of the literature in English from 1969 to 2013 revealed only 20
documented cases of schwannomas of the lip. In the current study, authors
reported a case of an intraoral schwannoma located in the lower lip. The
diagnosis was established based on clinical and histopathological findings of
the schwanoma which was treated by complete surgical excision. Although rare,
schwannoma should be considered in the differential diagnosis of any nodule
or mass in the oral mucosa.
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