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Case Reports
. 2023 Jul-Sep;13(3):183-185.
doi: 10.4103/ijabmr.ijabmr_4_23. Epub 2023 Sep 25.

Ectopic Tooth with Odontogenic Keratocyst in Myasthenia Gravis: A Rare Coexistence

A Christy Winnifred  1 , T Jones Raja Devathambi  1 , R Thanigainathan  1 , Preethi Rajkumar  1
Affiliations
Case Reports

Ectopic Tooth with Odontogenic Keratocyst in Myasthenia Gravis: A Rare Coexistence

A Christy Winnifred et al. Int J Appl Basic Med Res. 2023 Jul-Sep.

Abstract

Ectopic tooth in nondentate areas is uncommon. Odontogenic keratocyst arising from impacted tooth in the inferior border of orbit is very rare. This article reports the case of a 22-year-old female with odontogenic keratocyst arising from an impacted left maxillary third molar in the inferior border of the orbit causing symptoms of chronic sinusitis. The patient also had myasthenia gravis which confounded the diagnosis. The cyst was surgically enucleated along with the tooth which relieved the symptoms of the patient.

Keywords: Chronic sinusitis; ectopic tooth; impacted maxillary third molar; odontogenic keratocyst cyst.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Facial asymmetry on the left side due to a swelling in zygomatic region
Figure 2
Figure 2
(a) Orthopantomogram taken during 12 years of age showing third molar tooth developing in normal position and (b) orthopantomogram taken presently shows the ectopic third molar in the inferior border of orbit and haziness in the left maxillary sinus
Figure 3
Figure 3
(a) Coronal section of computed tomographic image showing ectopic tooth in infraorbital margin close to inferior rectus muscle, complete opacification of left maxillary sinus, and thinning of its medial wall, (b) 3D reconstructed coronal view shows a well-defined radiolucency encircling the crown of ectopic tooth, (c) sagittal view showing breach in the posterolateral wall of maxillary sinus
Figure 4
Figure 4
(a) Surgical removal of the ectopic tooth with cystic lining and contents by Caldwell luc procedure, (b) surgically removed ectopic tooth with cyst, (c) low power histopathological picture showing palisade pattern of basal cells with fibrocollagenous cystic wall
See this image and copyright information in PMC

References

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