Large odontogenic keratocyst of the mandible: A combined intra/extra oral approach followed by enucleation

DOI: https://doi.org/10.25241/stomaeduj.2019.6(2).art.6


Aim An odontogenic keratocyst (OKC) of the mandible is a benign intraosseus lesion of odontogenic origin characterized by a high recurrence rate. In this case report, we highlight the challenging diagnosis and propose a potential treatment for an extensive OKC with lingual expansion.
Summary A 26-year-old male with an OKC in the ramus of the right mandible near the second and third molars was treated by a combined intra/extra- oral approach. A reconstruction plate was adapted and fixed by extra-oral submandibular access, followed by intra/extra-orally executed enucleation.
Key learning points The combined intra/extra oral approach seems a reasonable technique for the treatment of similar extensive OKC’s in order to avoid pathological fractures as well as guaranteeing total removal of the lesion.
Keywords Odontogenic keratocyst; mandible; WHO classification; treatment; intra/extra-oral approach.


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