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Midline maxillary odontogenic keratocyst.

Julie T Kerr1, Jamie Steger, Douglas Sorensen

  • 1Department of Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington 98431, USA.

The Annals of Otology, Rhinology, and Laryngology
|September 30, 2004
PubMed
Summary

Odontogenic keratocysts, typically in the jaw's mandible, can recur in the maxilla. Distinguishing these cysts and managing them aggressively are crucial for patient outcomes.

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Area of Science:

  • Oral pathology
  • Odontogenic cysts
  • Maxillary lesions

Background:

  • Odontogenic keratocysts (OKCs) are common jaw cysts, predominantly occurring in the mandible.
  • Their diagnosis can be challenging due to similarities with other cystic jaw lesions.

Observation:

  • This report details a rare case of recurrent odontogenic keratocyst located in the maxilla.
  • The lesion presented as a recurrence, highlighting the potential for aggressive behavior.

Findings:

  • Immunohistochemical staining is essential for accurate differentiation of odontogenic keratocysts from other jaw cysts.
  • The histological features necessitate specific diagnostic markers for confirmation.

Implications:

  • Recurrent OKC in the maxilla requires a high index of suspicion and specialized diagnostic approaches.
  • Aggressive surgical management is indicated for effective treatment and prevention of recurrence.

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