myAO CMF clinical case roundup on conservative treatment of OKC
Odontogenic keratocysts (OKC), previously known as keratocystic odontogenic tumors (KCOT or KOT), are rare benign cystic lesions involving the mandible or maxilla and are believed to arise from dental lamina. Treatment is often with marsupialization/enucleation/excision +/- aggressive curettage. However, they can have a very high recurrence rate (30-60%), and follow-up is essential. 

In this month's CMF clinical case roundup, myAO is featuring a clinical case competition from Dr. Tal Capucha, Prof. Adi Rachmiel and Dr. Omri Emodi, along with a compilation of knowledge references on the topic.

We invite you to review this interesting clinical case and hope that you will find this knowledge update useful.   
Featured case on conservative treatment of KOT 

The tumor was treated using enucleation and surgical tooth extraction. During the operation a pathological mandibular angle fracture was demonstrated. The patient was further treated with IMF using “Eric” arch bar. Follow-up Xray demonstrated full recovery of the pathological fracture and no evidence of the tumor. 
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Recommended publications on treatment of OKC    
Marsupialization and peripheral ostectomy for the management of large odontogenic keratocyst: a case report
Ali Khalil, Ziad Albash, Nadim Sleman, Wadie Sayegh
Journal of Surgical Case Reports, Volume 2023, Issue 3, March 2023 Read more

Use of Marsupialisation for a Conservative Approach to Huge Cystic Lesions of the Jaws - A Report of three Cases
Kolari, Vinayakrishna; Dhabaria, Husain; Sengupta, Shreya; Sait, Adil Iqbal; Shah, Abhishek
Annals of Maxillofacial Surgery 12(2):p 244-247, Jul–Dec 2022. Read more

The epidemiology and management of odontogenic keratocysts (OKCs): A European multicenter study
Paolo Boffano et al.
Journal of Cranio-Maxillofacial Surgery
Volume 50, Issue 1, January 2022  Read more
Upcoming related AO events 
AO CMF Course—Advances in Oral Oncology with Anatomical Specimens 
August 11-13, 2023
Hong Kong  Find out more