Epidermoid Cyst of Mandible Ramus: Case Report.
BACKGROUND
An epidermoid cyst is a benign cyst usually found on the skin. Bone cysts are very rare and if they appear in bone they usually appear in the distal phalanges of the fingers. Epidermoid cysts of the jaws are uncommon.


METHODS
We present a case, of a 41 year-old female patient admitted to our department because of pain and swelling in the parotid and masseteric region-left side. There was no trismus, pathological findings in skin, high body temperature level, infra-alveolar nerves anesthesia or lymphadenopathy present. The orthopantomography revealed a cystic lesion and a unilocular lesion that included mandibular ramus on the left side with 3 cm in diameter. Under total anesthesia, a cyst had been reached and was enucleated. Histopathologic findings showed that the pathologic lesion was an epidermoid cyst.


CONCLUSIONS
Epidermoid and dermoid cysts are rare, benign lesions found throughout the body. Only a few cases in literature describe an intraossesus epidermoid cyst.


CONCLUSIONS
Our case is an epidermoid cyst with a rare location in the region of the mandibular ramus. It is not associated with any trauma in this region except medical history reveals there was an operative removal of a wisdom tooth 12 years ago in the same side. These cysts are interesting from the etiological point of view. They should be considered in the differential diagnosis of other radiolucent lesions of the jaws. Surgically they have a very good prognosis, and are non-aggressive lesions.
Department of Maxillofacial Surgery, Clinical University Center of Kosova.
Mergime Prekazi
MP
Loxha
Department of Maxillofacial Surgery, Clinical University Center of Kosova.
Sami
S
Salihu
Department of Maxillofacial Surgery, Clinical University Center of Kosova.
Kaltrina
K
Kryeziu
Department of Pathology, Clinical University Center of Kosova.
Sadushe
S
Loxha
Department of Oral Surgery, Clinical Dentistry University Center of Kosova.
Zana
Z
Agani
Department of Oral Surgery, Clinical Dentistry University Center of Kosova.
Vjosa
V
Hamiti
Department of Oral Surgery, Clinical Dentistry University Center of Kosova.
Aida
A
Rexhepi
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001845:Bone Cysts / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy; D002710:Chlorhexidine / Q000627:therapeutic use*; D004814:Epidermal Cyst / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D008334:Mandible / Q000000981:diagnostic imaging* / Q000473:pathology; D009067:Mouthwashes / Q000627:therapeutic use*; D011862:Radiography, Panoramic; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D009067:Mouthwashes; D002710:Chlorhexidine
dermoid cyst; epidermoid cyst; mandibular cyst