Craniofacial approach in the treatment of invasive odontogenic keratocyst
The odontogenic keratocyst (OKC) is an intraosseous cystic lesion of the bone covered by keratinized epithelium that originates from the dental lamina. OKC accounts for approximately 12% of cysts occurring in the maxillofacial region. When associated with Gorlin-Goltz syndrome (GGS), these cysts become more invasive, prone to relapse, and can affect several quadrants of the jaw bones simultaneously. The surgical approach chosen depends on the anatomical location and degree of invasion of the disease, but usually includes a superior coronal incision combined with an inferior transfacial approach in cases of extensive nasal involvement.
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