Government Dental College & Hospital, Hyderabad.
Malawi Med J. 2023 Dec;35(4):228-230. doi: 10.4314/mmj.v35i4.6.
Odontogenic keratocyst is a benign intraosseous lesion of odontogenic origin which is characterized by its aggressive nature. It is usually present in the mandibular posterior area, although it can also be found in the maxilla, particularly in the canine region. We discuss a unique example of OKC in the maxillary sinus involving the 27&28 region. Due to comparable clinical signs, this lesion is more prone to be mistaken for other lesions of the maxillary sinus, such as sinusitis or polyps. On the other side, this benign disease has the potential to develop into Ameloblastoma or squamous cell carcinoma. A favorable prognosis thus depends on early identification, precise diagnosis, appropriate treatment, and follow-ups.
牙源性角化囊肿是一种来源于牙源性的良性骨内病变,其特征为侵袭性。它通常位于下颌后区,尽管也可出现在上颌,特别是在犬齿区。我们讨论了上颌窦中一个独特的角化囊肿病例,涉及 27 和 28 区。由于类似的临床征象,该病变更容易被误诊为上颌窦的其他病变,如鼻窦炎或息肉。另一方面,这种良性疾病有发展为成釉细胞瘤或鳞状细胞癌的潜力。因此,良好的预后取决于早期识别、准确诊断、适当的治疗和随访。