Abstract
Odontogenic Keratocyst (OKC) is a developmental non-inflammatory odontogenic cyst which is proposed to be arising from cell rests of dental lamina. Among the jaw cysts OKCs account for third most common following radicular and dentigerous cyst. Most of the studies have stated that posterior part of the mandible is the most common site, but there are inconsistencies regarding the prominent location of OKCs in the maxilla. Very few studies and cases are reported with OKCs crossing maxillary midline. If do occur they are in older individuals. According to WHO reclassification, this cyst is considered as Keratocystic Odontogenic Tumour (KCOT) because of its neoplastic nature. This article describes a rare site of occurrence of this lesion especially in young patient.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Neville BW, Damn DD, Brock T (1997) Odontogenic keratocysts of the midline maxillary region. J Oral Maxillofac Surg 55(4): 340–344
El-Hajj G, Anneroth G (1996) Odontogenic keratocysts — A retrospective clinical and histologic study. Int J Oral Maxillofac Surg 25(2): 124–129
Philipsen HP (2005) Keratocystic odontogenic tumour. In: Barnes L, Eveson JW, Reichart P, Sidransky D, editors. Pathology and genetics of head and neck tumours. Lyon: IARC Press 306–307
Madras J, Lapointe H (2008) Keratocystic odontogenic tumour: Reclassification of the odontogenic keratocyst from cyst to tumour. J Can Dent Assoc 74(2): 165h–165h
Ali M, Baughman RA (2003) Maxillary odontogenic keratocyst: A common and serious clinical misdiagnosis. J Am Dent Assoc 134(7): 877–883
Woo SB, Eisenbud L, Kleiman M, Assael N (1987) Odontogenic keratocysts in the anterior maxilla: Report of two cases, one simulating a nasopalatine cyst. Oral Surg Oral Med Oral Pathol 64(4): 463–465
Chiang Y, Chao P, Yang T, Peng B, Lee F (2006) Transnasal endoscopic marsupilization for a large midline maxillary odontogenic keratocyst in a 6 year old child. Int J Pediatr Otorhinolaryngol extra 1(1): 41–44
Myoung H, Hong SP, Hong SD, Lee JI, Lim CY, Choung PH, Lee JH, Choi JY, Seo BM, Kim MJ (2001) Odontogenic keratocyst: Review of 256 cases for recurrence and clinicopathologic parameters. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91(3): 328–333
Yoshiura K, Higuchi Y, Araki K, Shinohara M, Kawazu T, Yuasa K, Tabata O, Kanda S (1997) Morphologic analysis of odontogenic cysts with computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 83(6): 712–718
Chaisuparat R, Coletti D, Kolokythas A, Ord RA, Nikitakis NG (2006) Primary intraosseous odontogenic carcinoma arising in an odontogenic cyst or de novo: A clinicopathologic study of six new cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101(2): 194–200
Fornatora ML, Reich RF, Chotkowski G, Freedman PD (2001) Odontogenic keratocyst with mural cartilaginous metaplasia: A case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 92(4): 430–434
Lund VJ (1985) Odontogenic keratocyst of the maxilla: A case report. Br J Oral Maxillofac Surg 23(3): 210–215
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bhagavandas Rai, A., Charan Babu, H.S. & Joshi, M. A radiolucent lesion crossing the midline in maxilla: a rare presentation of odontogenic keratocyst in young patient. J. Maxillofac. Oral Surg. 9, 102–104 (2010). https://doi.org/10.1007/s12663-010-0001-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-010-0001-3