Sub-epithelial hyalinization, incomplete cystic lining, and corrugated surface could be a predictor of recurrence in Odontogenic Keratocysts

Dominic Augustine; Roopa S. Rao; Surendra Lakshminarayana; Kavitha Prasad; Shankargouda Patil

Journal of Oral Biology and Craniofacial Research (Jul 2021)

Sub-epithelial hyalinization, incomplete cystic lining, and corrugated surface could be a predictor of recurrence in Odontogenic Keratocysts

Dominic Augustine,
Roopa S. Rao,
Surendra Lakshminarayana,
Kavitha Prasad,
Shankargouda Patil

Affiliations

Dominic Augustine: Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences, MSR Nagar, Bengaluru, 560054, Karnataka, India
Roopa S. Rao: Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences, MSR Nagar, Bengaluru, 560054, Karnataka, India
Surendra Lakshminarayana: Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences, MSR Nagar, Bengaluru, 560054, Karnataka, India
Kavitha Prasad: Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences, MSR Nagar, Bengaluru, 560054, Karnataka, India
Shankargouda Patil: Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia; Corresponding author. Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Shwajra campus, Jazan, Saudi Arabia-45412.

Journal volume & issue: Vol. 11, no. 3
pp. 423 – 429

Abstract

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Background: Odontogenic Keratocysts (OKCs) are known for their rapid growth and tendency to invade the adjacent tissues. Its high recurrence rate (2.5%–62%) has attracted many kinds of research to identify new parameters to predict recurrence that would enable better treatment outcomes for such patients. The present study aims to correlate Sub-Epithelial Hyalinization (SEH) that has not been explored in an Asian population to date and other histopathologic features of OKC to its recurrence propensity. Materials & Methods: A total of 60 OKCs were analyzed for histopathologic correlation of thickness of lining, complete/incomplete lining, corrugated surface, ortho/para keratinization, intercellular edema, reversed polarity, basilar hyperplasia, the palisading arrangement of basal cells, presence/absence of rete pegs, folding of the epithelium, epithelial/connective tissue separation, SEH, basal offshoots, daughter cysts and inflammation with recurrence to arrive at the most significant histologic feature predicting recurrence. Results: The most significant histologic parameter differentiating recurrent and non-recurrent OKCs was the presence of SEH (p = 0.004), incomplete lining epithelium (p = 0.023), and a corrugated surface (p = 0.049). Several other histologic parameters evaluated did not statistically correlate with recurrence, this can be attributed to the smaller sample size considered in the present study. Conclusion: SEH is a reliable histologic parameter to predict recurrence in OKCs. The presence of SEH is indicative of a higher recurrence potential in OKCs. Evaluation of histological parameters and their correlation with recurrence in OKCs on a larger sample size could validate the results of the current study undertaken and potentially unravel more insights on predicting recurrence. Key messages: Sub-epithelial hyalinization is a significant feature for predicting recurrence in OKC

Published in Journal of Oral Biology and Craniofacial Research

ISSN: 2212-4268 (Print); 2212-4276 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Dentistry
Website: https://www.sciencedirect.com/journal/journal-of-oral-biology-and-craniofacial-research

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