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    Odontogenic Keratocyst of The Right Body of Mandible: DR - Raymond Joseph

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    Priyanka Ganesan
    This document presents a case study of a 42-year-old male patient diagnosed with an odontogenic keratocyst of the right body of the mandible. The patient underwent a segmental mandibulectomy under general anesthesia to remove the lesion. A 14-hole titanium reconstruction plate was placed. Histopathological examination confirmed the diagnosis of odontogenic keratocyst. Odontogenic keratocysts are aggressive cysts with a high recurrence rate that typically affect the mandible in younger patients. Complete surgical removal with clear margins is important to prevent recurrence of these lesions.

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    Odontogenic Keratocyst of The Right Body of Mandible: DR - Raymond Joseph

    Uploaded by

    Priyanka Ganesan
    18 views22 pages
    This document presents a case study of a 42-year-old male patient diagnosed with an odontogenic keratocyst of the right body of the mandible. The patient underwent a segmental mandibulectomy under general anesthesia to remove the lesion. A 14-hole titanium reconstruction plate was placed. Histopathological examination confirmed the diagnosis of odontogenic keratocyst. Odontogenic keratocysts are aggressive cysts with a high recurrence rate that typically affect the mandible in younger patients. Complete surgical removal with clear margins is important to prevent recurrence of these lesions.

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    This document presents a case study of a 42-year-old male patient diagnosed with an odontogenic keratocyst of the right body of the mandible. The patient underwent a segmental mandibulectomy under general anesthesia to remove the lesion. A 14-hole titanium reconstruction plate was placed. Histopathological examination confirmed the diagnosis of odontogenic keratocyst. Odontogenic keratocysts are aggressive cysts with a high recurrence rate that typically affect the mandible in younger patients. Complete surgical removal with clear margins is important to prevent recurrence of these lesions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    18 views22 pages

    Odontogenic Keratocyst of The Right Body of Mandible: DR - Raymond Joseph

    Uploaded by

    Priyanka Ganesan
    This document presents a case study of a 42-year-old male patient diagnosed with an odontogenic keratocyst of the right body of the mandible. The patient underwent a segmental mandibulectomy under general anesthesia to remove the lesion. A 14-hole titanium reconstruction plate was placed. Histopathological examination confirmed the diagnosis of odontogenic keratocyst. Odontogenic keratocysts are aggressive cysts with a high recurrence rate that typically affect the mandible in younger patients. Complete surgical removal with clear margins is important to prevent recurrence of these lesions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 22

    ODONTOGENIC KERATOCYST OF THE

    RIGHT BODY OF MANDIBLE

    Dr.Raymond Joseph
    GENERAL DATA
     Name : Santhosh Kumar
     Age : 42
     Gender : Male
     CHIEF COMPLAINT:

     HISTORY OF PRESENTING ILLNESS:

     PAST MEDICAL HISTORY:


    EXTRA- ORAL EXAMINATION
    INTRA- ORAL EXAMINATION
     PROVISIONAL DIAGNOSIS :

    ODENTOGENIC KERATOCYST

     DIFFERENTIAL DIAGNOSIS :
    1) Radicular cyst

    2) Unicystic ameloblastoma
    INVESTIGATIONS
    INCISIONAL BIOPSY
    FINAL DIAGNOSIS :

    ODONTOGENIC KERATOCYST OF THE


    RIGHT BODY OF MANDIBLE
    TREATMENT PLAN :

    SEGMENTAL MANDIBULECTOMY UNDER


    GENERAL ANAESTHESIA
    NASAL INTUBATON
    APPROACH

    • Submandibular/ Risdon incision

    • Facial artery identified and ligated


    DISSECTION & EXPOSURE OF THE LESION
    • 14-hole titanium reconstruction plate
    placed
    EXCISED SPECIMEN
    1-MONTH POST- OPERATIVE
    DISCUSSION
     Odontogenic keratocyst (OKC), also known as the keratocystic odontogenic tumour
    (KCOT), is a benign developmental odontogenic cyst (dental lamina and its remnants)
    that has a potential for aggressive and infiltrative behaviour.

     They are deemed aggressive because they have a high recurrence rate and the potential
    to destruct bone and surrounding soft tissue.

     It usually affects the mandible (angle & ramus) in the second and third decades of life.

     The lesion manifests itself clinically as a swelling with or without pain, pus discharge,
    and tooth displacement. It is occasionally linked with lower lip paresthesia.

     The expansion of the buccal cortex is a hallmark of OKC


    Clinical Features

    •Slow, painless expansion, which later


    exhibits accelerated growth. Radiological Features
    Solitary, Unilocular, expansile lesion
    •With increasing size, complications with smooth corticated borders
    like loosening of teeth, malocclusion,
    paresthesia, pain, soft tissue invasion,
    facial deformity, limited mouth
    opening, difficulty with mastication
    and airway obstruction arises.

    •Egg shell crackling or crepitus due to


    thining of bones as a result of Treatment modalities
    expansion of the bony cortex. •Conservative modalities include
    Enucleation , Cryosurgery
    •Radical modalities: Marginal mandibulectomy,
    segmental and composite resections
    LITERATURE SEARCH

     Enucleation alone 25-60%


     Marsupialization 10%
     Enucleation and Cryotherapy 10%
     Enucleation and CARNOY solution 2.5%
     Resection Nil

    M.A.Pogrel, The keratocystic odontogenic tumor


    Oral & maxillofacial surgery clinics of north america 25 (2013) 21-30
    WHY OKC TENDS TO RECUR SO OFTEN..?

    1. Incomplete removal of cystic lining


    2. Thin and friable nature of epithelial lining
    3. Higher level of cell proliferative activity in the epithelium.
    4. Bony perforation.
    5. Adherence to adjacent soft tissue.
    6. Remnants of dental lamina epithelium not associated with
    original OKC and development of new OKC in the adjacent
    area.
    7. Growth of new OKC from satellite cyst /daughter
    cyst/remnants/cell rests
    CONCLUSION
    THANK YOU

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