Odontogenic Keratocyst: A Case Report

Abstract

The odontogenic keratocyst (OKC) is classified as a developmental cyst that derived from the enamel organ or the dental lamina. It comprises approximately 11%of all cysts of jaw. The cysts are most often seen in the mandibular ramus or angle. Keratocysts have a distinct histopathological appearance and are known to be locally aggressive and have a high recurrence racurrence rate thus requiring close long-term follow-up Treatment of the odontogenic keratocysts remains a controversial subject. Treatment modalities include simple marsupialization, marsupialization follower by enucleation, enucleation with cryotherapy, readical enucleation and segmental mandible resection. This paper presented a case that had been followed for 16 years. It had been treated by an aggressive surgery (radical enucleation and peripheral ostectomy) at the first time, with evidence of recurrence 8 years later. The recurrent lesion was then treated with a conservative surgery (marsupialization) and yield a satisfactory result. After another 8-year period follow-up, two small recurrences were noted and were easily enucleated.