Surgical Treatment of Odontogenic Keratocyst Tumour: A Review Article

Abstract

Odontogenic keratocyst is one of the most aggressive odontogenic cysts with a high recurrence rate, this was explained histopathologically as it typically shows a thin, friable wall, which is often difficult to enucleate from the bone in one piece, and have small satellite cysts within the fibrous wall. Multiple surgical approaches were introduced including decompression, marsupilization, enucleation with or without adjunct (Carnoy's solution, enucleation) and resection. Depending on other studies KCOT can be conservatively treated with enucleation and application of Carnoy's solution or cryotherapy. This can be used specially in the large lesions that when treated with resection, the continuity of the jaw will be interrupted. This technique shows comparable results to other more aggressive techniques.

Odontogenic Keratocyst Tumor: A Case Report and Literature Review

“…However, our patient had a relatively rare localization in the maxilla. This lesion can be associated, although not in all cases, with an impacted tooth [14] and most frequently located within the jaws. Nevertheless, some rare cases have occurred in the gingiva.…”

“…Displacement of teeth adjacent to the cyst occurs more frequently than resorption [9] [14]. The lesion may be single or multiple, the latter case being more common in patients with the Gorlin and Goltz syndrome.…”