Singh Mamta, Gupta K C
Modern Dental College and Research Center, Indore, Madhya Pradesh, India.
Contemp Clin Dent. 2010 Oct;1(4):263-7. doi: 10.4103/0976-237X.76398.
Although odontogenic keratocysts (OKCs) are benign, they are often locally destructive and tend to recur after conservative surgical treatment. They must therefore be distinguished from other cysts of the jaw. Keratocysts possess outpouchings and microscopic daughter cysts from which recurrences may arise. Histologic examination is essential for diagnosis since the appearances on roentgenograms and at operation usually do not reveal the true nature of the lesion. Since many non-dental surgeons and pathologists are unaware of OKCs, a case is presented in which surgical treatment was by original conservative method. Decompression causes a reduction in the cyst volume with new bone formation so that the structures impinged upon (e.g., teeth, nerves) are completely free.
尽管牙源性角化囊肿（OKCs）是良性的，但它们通常具有局部破坏性，并且在保守手术治疗后容易复发。因此，必须将它们与颌骨的其他囊肿区分开来。角化囊肿具有袋状突出物和微小的子囊肿，复发可能由此产生。组织学检查对于诊断至关重要，因为X线片和手术中的表现通常无法揭示病变的真实性质。由于许多非牙科外科医生和病理学家不了解牙源性角化囊肿，现介绍一例采用原始保守方法进行手术治疗的病例。减压可使囊肿体积减小并形成新骨，从而使受压迫的结构（如牙齿、神经）完全松解。
