Abstract
A 14-year-old dark-skinned female patient sought dental care for the presence of secretion in the right posterior maxilla. Panoramic x-ray showed well-defined radiolucent lesions at the posterior region of the 4 quadrants, with displacement of the respective included teeth and absence of expansion of the cortical bone. Tomography, incisional biopsy, and installation of a cannula for cystic decompression were requested. In the aspiration puncture, a whitish-colored material was found. Biopsies confirmed the diagnosis of odontogenic keratocyst. In the general clinical examination, palmoplantar depressions, hypertelorism and bifid ribs were observed on thorax x-ray. In view of the clinical, imaging, and histopathologic findings, the case was diagnosed as Gorlin-Goltz syndrome. The patient underwent surgery for keratocyst enucleation, extraction of related teeth, peripheral osteotomy, and application of Carnoy's solution. In the last evaluation, the patient presented with no signs of recurrence. A return visit was scheduled for June 2021.
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