Romero JG, Vargas LD

Language: Spanish
References: 13
Page: 23-27
PDF size: 434.22 Kb.

ABSTRACT

The orthokeratinized odontogenic cyst is a developmental cyst that is rarely found in the jawbones. It was first described by Philipsen in 1956 as a variant of the odontogenic keratocyst (keratocystic odontogenic tumor) and subsequently identified as having a totally different pathology by Wright. The lesion remains a subject of debate to this day. We report the case of a 15-year-old male patient who came to the oral and maxillofacial surgery service of the Institute for Social Security and Services for State Workers’ «Lic. Adolfo López Mateos» Regional Hospital, where he was diagnosed with an orthokeratinized odontogenic cyst. A suitable course of clinical diagnosis coupled with the use of images and, most importantly, the result of an incisional biopsy are essential if we are to be able to diagnose and avoid over-treating conditions which, by using less invasive and less aggressive procedures, have a better prognosis.

REFERENCES

1. Chi AC, Neville BW. Odontogenic cyst and tumors. Surgical Pathol Clinics. 2011; 4: 1027-1091.

2. Kasat VO, Saluja H, Kalburge JV, Kini Y, Nikam A, Ladhha R. Multiple bilateral supernumerary mandibular premolars in a non-syndromic patient with associated orthokeratised odontogenic cyst- A case report and review of literature. Contemp Clin Dent. 2012; 3 (2): S248-252.

3. Wright JM. The odontogenic keratocyst: orthokeratinized variant. Oral Surg Oral Med Oral Pathol. 1981; 51 (6): 609-618.

4. Perez GE, López LJ, Villarroel DM. Quiste odontogénico ortoqueratinizado: Una nueva entidad derivada del queratoquiste odontogénico. Revisión de la literatura. Acta Odontológica Venezolana. 2006; 44 (3).

5. Barnes L. Surgical pathology of the head and neck. Vol. 2. 3a ed. New York, Informa Healthcare. 2009: pp. 1168-1170.

6. Aragaki T, Michi Y, Katsube K, Uzawa N, Okada N, Akashi T et al. Comprehensive keratin profiling reveals different histopathogenesis of keratocyst odontogenic tumor and orthokeratinized odontogenic cyst. Human Pathol. 2010; 41: 1718-1725.

7. Macdonald-Jankowski DS. Orthokeratinized odontogenic cyst: a systematic review. Dentomaxillofac Radiol. 2010; 39 (8): 455-467.

8. Li TJ, Kitano M, Chen XM, Itoh T, Kawashima K, Sugihara K et al. Orthokeratinized odontogenic cyst: a clinicopathological and immunocytochemical study of 15 cases. Histopathology. 1998; 32 (3): 242-251.

9. Yoshida H, Onizawa K, Yusa H. Squamous cell carcinoma arising in association with an orthokeratinized odontogenic keratocyst. Report of a case. J Oral Maxillofac Surg. 1996; 54 (5): 647-651.

10. Da Silva MJ, de Sousa SO, Corrêa L, Cavalhosa AA, de Araujo VC. Immunohistochemical study of the orthokeratinized odontogenic cyst: A comparison with the odontogenic keratocyst. Oral Surg Oral Med Oral Pathol O Radiol Endod. 2002; 94 (6): 732-737.

11. Carvalho CH, Aquino AR, Nonaka CF, Silva JS, Germano AR, Pinto LP. Infected orthokeratinized odontogenic cyst: a rare cause of facial cellulitis. Braz Dent J. 2012; 23 (5): 612-616.

12. Boffano P, Gallesio C. Peculiar case of orthokeratinised odontogenic cyst: a peripheral counterpart of the intraosseous entity? Br J Oral Maxillofac Surg. 2012; 50 (5): e75-e77.

13. Ide F, Saito I, Horie N, Shimoyama T. Orthokeratinized odontogenic cyst of the mandible with heterotopic cartilage. Head Neck Pathol. 2009; 3 (2): 150-152.