Surgical management of a high ramal odontogenic keratocyst

Abstract

Odontogenic keratocysts (OKCs) are benign, they are often locally destructive and tend to recur after conservative surgical treatment. There has been a shift in the treatment modality from conservative procedures like marsupialization and enucleation to the more conventional surgical methods. However, the recurrence rate after marsupialization, followed by enucleation is not significantly higher than that after aggressive modalities. The goals of treatment should eliminate the potential for recurrence and minimize the surgical morbidity. Future treatment may involve molecular-based modalities, which may reduce or eliminate the need for aggressive surgical management. A case report is presented in which isolated OKC at the level of sigmoid notch is treated by surgical enucleation and chemical cauterization (with Carnoy′s solution).

Keywords

• Enucleation
• mandible
• odontogenic keratocyst
• ramus