Keratocystic odontogenic tumour masquerading as a mucosal antral cyst

Abstract

Keratocystic odontogenic tumour (KCOT) is of clinical importance because of its pronounced tendency to recur. Among the factors that complicate KCOT management are its protean radiological presentations. KCOT showing involvement of the maxillary antrum in the absence of an associated impacted tooth is exceptionally rare. In these instances an odontogenic source of the lesion is often not suspected and the clinico-radiological features may be misinterpreted. We report such a case and highlight pertinent clinical and radiological features of antral KCOT.