Archives of Head and Neck Surgery
Archives of Head and Neck Surgery
Case Report Tumors of the nose, nasopharynx and paranasal sinuses

Craniofacial approach in the treatment of invasive odontogenic keratocyst

Hugo Guilherme de Moraes Jurema, Riedel Frota, Avilla Aguiar, Thalles Moreira Suassuna

Downloads: 2
Views: 803


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.


odontogenic tumors; pathology, clinical; jaw cysts; craniofacial abnormalities.


1. Speight PM, Martin LHC. Odontogenic cysts: an update: mini-symposium: oral and maxillofacial pathology. Diagn Histopathol. 2017;23:6.

2. Joshi PS, Deshmukh V, Golgire S. Gorlin Goltz syndrome-case report. Dent Res J. 2012;9(1):100.

3. Wright JM, Vered M. Update from the 4th edition of the world health organisation classification of head and neck tumours: odontogenic and maxillofacial bone tumours. Head Neck Pathol. 2017;11(1):68-77. PMid:28247226.

4. Mantravadi AV, Zender CA. Craniofacial approaches to the anterior skull base. Operative Techniques in Otolaryngology. 2010;21(3):181-7.

5. Shah J, Patel S. Head and neck surgery and oncology. 3rd ed. New York: MosbyElsevier; 2003.

Submitted date:

Accepted date:

5fabeb450e88258e5d8c5392 archives Articles
Links & Downloads

Arch. Head Neck Surg.

Share this page
Page Sections