Kamalakannan Padmanabhan, Karthikeyan Ramalingam, Arunkumar Kamalakaran, Cheruvathur Prasad, Davidson Rajiah, Abdul Hafeez
BACKGROUND Odontogenic keratocyst is a locally aggressive cystic lesion of the jaw with high recurrence characteristics, frequently found to be associated with naevoid basal cell carcinoma syndrome (NBCCS). METHODS This retrospective study evaluates the effects of enucleation with chemical cauterisation (Carnoy’s solution) in 10 patients (16 lesions) with odontogenic keratocyst associated with and without NBCCS in a follow up period of three years. RESULTS The recurrence rate was 6.25% with no statistically significant difference between syndromic and non-syndromic individuals. The incidence of postoperative paraesthesia and wound dehiscence were minimal. CONCLUSION Enucleation with chemical cauterisation is an effective method in the management of odontogenic keratocyst both in syndromic and non-syndromic cases. And hence, radical surgical treatments like resection should be reserved only for recurrent and large multilocular cystic lesions of the jaw.
