Epidermoid cyst in mandible-a rare entity: A Case Report and Review of Literature.
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2019, Vol 2, Issue 2
Abstract
Introduction: Epidermoid and dermoid cysts of the jaws are seen rarely. Usually they are presenting in the distal phalanges of fingers. The formation theories of the intraosseous epidermoid cyst (IEC) are still not comprehensible. The radiographic appearance is similar with unilocular cysts. Case Report: Here, we report a case of a 52-year-old male patient presenting with swelling in posterior mandible with trismus since 15 days and presence of fever. No pathological findings in the overlying skin and no paresthesia was noted. The orthopantomograph revealed a unilocular cystic lesion involving right mandibular ramus measuring 4×3 cm in diameter. Cyst enucleation with peripheral ostectomy and chemical cauterization with Carnoy’s solution was done with intraoral approach along with surgical removal of impacted mandibular third molar. Histopathologic findings revealed the pathologic lesion was an infected intraosseous epidermoid cyst. Discussion: Epidermoid cysts are rare, benign lesions found throughout the body of which only few cases of intraosseous epidermoid cysts are described in the literature. Clinically it is difficult to differentiate between orthokeratinized odontogenic cyst and epidermoid cyst which can be distinguished clearly by histopathological examination. Conclusion: Infected epidermoid cyst in the mandibular ramus associated with impacted mandibular wisdom tooth is a rare finding. The treatment protocols remain the same as the lesion is a no aggressive type with less recurrence rate.
Authors and Affiliations
Dr. Rushit Patel
Keywords
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