Recurrent peripheral odontogenic keratocyst: a case report

The odontogenic keratocyst is a very well known odontogenic cyst. 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. The characteristic histologic feature i.e. the presence of parakeratin, is unique amongst all the different inflammatory and developmental cysts that occur in the jaws. Many treatment modalities have been advocated for its treatment, but none in particular has been regarded as the best treatment option. The 2005 WHO classification now uses the term 'keratocystic odontogenic tumor'. We present a review of treatment modalities of the KCOT.

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“…Meara et al [29] have [37][38][39][40]. Our article attempts to bring out the importance of clinical awareness of the KCOT.…”

Section: Discussionmentioning

confidence: 98%

Keratocystic odontogenic tumor: a review

Godhi

Kukreja

2009

J. Maxillofac. Oral Surg.

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“…Eryilmaz et al 13 , showed the occurrence of OKC in the temporomandibular joint, while Yih and Krump 14 registered such cyst in nasopalatinal duct as a very rare occurrence. Also, some authors reported a case of peripheral OKC, outside the jaws, in the gingival tissue 15,16 or even in the buccal mucosa 17 .…”

Section: Discussionmentioning

confidence: 99%

Peripheral ostectomy with the use of Carnoy’s solution as a rational surgical approach to odontogenic keratocyst: A case report with a 5-year follow-up

et al. 2012

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Introduction.Odontogenic keratocyst (OKC) is a rare developmental, epithelial and benign cyst of the jaws of odontogenic origin with high recurrence rates. The third molar region, especially the angle of the mandible and the ascending ramus are involved far more frequently than the maxilla. The choice of treatment approach was based on the size of the cyst, recurrence status, and radiographic evidence of cortical perforation. Different surgical treatment options like marsupialization, decompression, enucleation, enucleation with Carnoy's solution, peripheral ostectomy with or without Carnoy's solution, and jaw resection have been discussed in the literature with variable rates of recurrence. Case report. We presented a 52-yearold male with orthokeratinized odontogenic keratocyst. Elliptical unilocular radiolucency located in the third molar region and the ascending ramus of the mandible, 40 × 25 mm in diameter with radiographic evidence of cortical perforation at the anterior ramus border of the mandible 20 mm in diameter, was registrated on orthopantomographic

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“…7 According to some authors, they reflect the biological behaviour of intraosseous KCOT because of bony resorption and recurrence, 5 and 8 whereas others think that although peripheral and central KCOT share the same histological features, peripheral lesions are not aggressive and differ from ordinary KCOT. 10 We know of only one reported case of a peripheral OOC, by Chehade et al 8 Clinically, peripheral KCOT often present as asymptomatic and fluctuant nodules, with pressure ("cupping") resorption or fenestration of the adjacent alveolar bone.…”

Section: Discussionmentioning

confidence: 99%