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Orthokeratinizing odontogenic cyst of maxilla with complex odontoma.

Kulkarni M, Kheur S, Agrawal T, Ingle Y - J Oral Maxillofac Pathol (2013)

Bottom Line: We came across a case of a 26-year-old male with swelling on his face along with difficulty in breathing.However, there is no report in the English literature of the simultaneous occurrence of these two lesions and hence this case is very rare.It is unclear whether the two lesions were just coincidental or were actually related to each other.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology and Microbiology, Dr. Dnyandeo Yashwantrao Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India.

ABSTRACT
The orthokeratinized odontogenic cyst (OOC) and odontoma are the odontogenic cyst and tumor respectively that are minimally invasive neoplasms of head and neck region. OOC is a rare variant of odontogenic cyst characterized by the presence of excessive orthokeratin covering the cystic lining. Odontoma is a benign neoplasm/hamartoma often discovered accidently on panoramic radiographs. We came across a case of a 26-year-old male with swelling on his face along with difficulty in breathing. On the basis of radiographic and histopathological findings the final diagnosis of OOC associated with odontoma was given. However, there is no report in the English literature of the simultaneous occurrence of these two lesions and hence this case is very rare. It is unclear whether the two lesions were just coincidental or were actually related to each other.

No MeSH data available.


Related in: MedlinePlus

The orthopantomogram showing thinning of the maxillary sinus base of the left side, the extension of the lesion is till alveolar bone and teeth of the left side. Right maxillary sinus seems to be normal. Flecks of radiopacities are also seen
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Figure 1: The orthopantomogram showing thinning of the maxillary sinus base of the left side, the extension of the lesion is till alveolar bone and teeth of the left side. Right maxillary sinus seems to be normal. Flecks of radiopacities are also seen

Mentions: A 26-year-old male reported to the Dental Department, with the chief complaint of swelling and difficulty in breathing for about 5 months. The extraoral clinical examination revealed a diffuse swelling on the left side of the face obliterating the nasolabial fold. The swelling was associated with slight pain and continuous headache. Patient also complained of continuous tear discharge from the left eye. Computed tomography scan revealed a soft tissue lesion completely obliterating the left maxillary sinus and extending up to the nasal cavity; right maxillary sinus was normal. The swelling extended anteriorly up to external nasal orifices and posteriorly to the nasopharynx. The nasal septum showed deviation to the right side. Left ethmoid sinus was also found to be involved. The (orthopantomogram) showed similar radiolucency of the lesion which was interrupted by some flecks of radiopacitites [Figures 1 and 2]. Also, both the maxillary canines were impacted with the left maxillary permanent canine involved with the lesion and were closely associated with the small flecks of radioopacity.


Orthokeratinizing odontogenic cyst of maxilla with complex odontoma.

Kulkarni M, Kheur S, Agrawal T, Ingle Y - J Oral Maxillofac Pathol (2013)

The orthopantomogram showing thinning of the maxillary sinus base of the left side, the extension of the lesion is till alveolar bone and teeth of the left side. Right maxillary sinus seems to be normal. Flecks of radiopacities are also seen
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927366&req=5

Figure 1: The orthopantomogram showing thinning of the maxillary sinus base of the left side, the extension of the lesion is till alveolar bone and teeth of the left side. Right maxillary sinus seems to be normal. Flecks of radiopacities are also seen
Mentions: A 26-year-old male reported to the Dental Department, with the chief complaint of swelling and difficulty in breathing for about 5 months. The extraoral clinical examination revealed a diffuse swelling on the left side of the face obliterating the nasolabial fold. The swelling was associated with slight pain and continuous headache. Patient also complained of continuous tear discharge from the left eye. Computed tomography scan revealed a soft tissue lesion completely obliterating the left maxillary sinus and extending up to the nasal cavity; right maxillary sinus was normal. The swelling extended anteriorly up to external nasal orifices and posteriorly to the nasopharynx. The nasal septum showed deviation to the right side. Left ethmoid sinus was also found to be involved. The (orthopantomogram) showed similar radiolucency of the lesion which was interrupted by some flecks of radiopacitites [Figures 1 and 2]. Also, both the maxillary canines were impacted with the left maxillary permanent canine involved with the lesion and were closely associated with the small flecks of radioopacity.

Bottom Line: We came across a case of a 26-year-old male with swelling on his face along with difficulty in breathing.However, there is no report in the English literature of the simultaneous occurrence of these two lesions and hence this case is very rare.It is unclear whether the two lesions were just coincidental or were actually related to each other.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology and Microbiology, Dr. Dnyandeo Yashwantrao Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India.

ABSTRACT
The orthokeratinized odontogenic cyst (OOC) and odontoma are the odontogenic cyst and tumor respectively that are minimally invasive neoplasms of head and neck region. OOC is a rare variant of odontogenic cyst characterized by the presence of excessive orthokeratin covering the cystic lining. Odontoma is a benign neoplasm/hamartoma often discovered accidently on panoramic radiographs. We came across a case of a 26-year-old male with swelling on his face along with difficulty in breathing. On the basis of radiographic and histopathological findings the final diagnosis of OOC associated with odontoma was given. However, there is no report in the English literature of the simultaneous occurrence of these two lesions and hence this case is very rare. It is unclear whether the two lesions were just coincidental or were actually related to each other.

No MeSH data available.


Related in: MedlinePlus