Orofacial Cysts at Komfo Anokye Teaching Hospital, Ghana

Alexander Acheampong Oti, Peter Donkor, Osei Owusu-Afriyie

Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

DOI: 10.4236/ss.2013.41011                

Abstract

Background: Information about orofacial cysts from African populations is scarce and there are only a few studies available regarding the prevalence of these lesions in the West African sub-region. The purpose of the present study is to determine the distribution and prevalence of all histologically diagnosed orofacial cysts in Kumasi, Ghana. Aim: To determine prevalence, sex, age and anatomic distribution of orofacial cyst seen at the oral and maxillofacial unit in Komfo Anokye Teaching hospital (KATH). Method: This is a retrospective study, which examined histologically diagnosed lesions including orofacial cysts. The study duration was from 1999 to 2010 September inclusive. Results: There were 37 odontogenic cysts constuting 6.5%, of all orofacial lesions. There were 18 non-odontogenic cysts i.e. 3.1% of all lesions diagnosed during the study period. The odontogenic cysts comprised 19 (51.4%) developmental cysts and 18 (48.6%) inflammatory cysts. Male-to-female ratio for the orofacial cysts was 1:1 and the mean age was 36.7 years. Conclusion: There is low prevalence of the odontogenic cysts, which is consistent with findings from other African studies. Although radicular cysts accounted for the majority of orofacial cysts in this study, the prevalence of radicular cysts is low compared to reports from developed countries.

Keywords

Orofacial; Cyst; Radicular; Odontogenic

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	T. D. Daley, G. P. Wysocki and G. A. Pringle, “Relative Incidence of Odontogenic Tumors and Oral and Jaw Cysts in a Canadian Population,” Oral Surgery, Oral Medicine, Oral Pathology, Vol. 77, No. 3, 1994, pp. 276-280. doi:10.1016/0030-4220(94)90299-2
[2]	A. Mosqueda-Taylor, M. E. Irigoyen-Camacho, M. A. Diaz-Franco and M. A. Torres-Tejero, “Odontogenic Cysts. Analysis of 856 Cases,” Medicina Oral, Vol. 7, No. 2, 2002, pp. 89-96.
[3]	J. G. Meara, K. K. Li, S. S. Shah and M. J. Cunningham, “Odontogenic Keratocysts in the Pediatric Population,” Archives of Otolaryngology Head and Neck Surgery, Vol. 122, No. 7, 1996, pp. 725-728. doi:10.1001/archotol.1996.01890190021006
[4]	M. H. K. Motamedi, F. Navi, P. S. Eshkevari, S. M. Jafari, M. G. Shams, M. Taheri, F. M. Abbas and P. Motahhari, “Variable Presentations of Aneurysmal Bone Cysts of the Jaws: 51 Cases Treated during a 30-Year Period,” Journal of Oral and Maxillofacial Surgery, Vol. 66, No. 10, 2008, pp. 2098-2103. doi:10.1016/j.joms.2008.05.364
[5]	Z. J. Sun, H. L. Sun, R. L. Yang, R. A. Zwahlen and Y. F. Zhao, “Aneurysmal Bone Cysts of the Jaws,” International Journal of Surgical Pathology, Vol. 17, No. 4, 2009, pp. 311-322. doi:10.1177/1066896909332115
[6]	Z.-J. Sun, Y.-F. Zhao, R.-L. Yang and R. A. Zwahlen, “Aneurysmal Bone Cysts of the Jaws: Analysis of 17 Cases,” Journal of Oral and Maxillofacial Surgery, Vol. 68, No. 9, 2010, pp. 2122-2128. doi:10.1016/j.joms.2009.07.111
[7]	W. M. Mendenhall, R. A. Zlotecki, C. P. Gibbs, J. D. Reith, M. T. Scarborough and N. P. Mendenhall, “Aneurysmal Bone Cyst,” American Journal of Clinical Oncology, Vol. 29, No. 3, 2006, pp. 311-315. doi:10.1097/01.coc.0000204403.13451.52
[8]	J. M. López-Arcas Calleja, J. L. Cebrián Carretero, J. G. Martín and M. Burgue?o, “Aneurysmal Bone Cyst of the Mandible: Case Presentation and Review of the Literature,” Medicina Oral, Patología Oral y Cirugía Bucal, Vol. 12, No. 5, 2007, pp. E401-E403.
[9]	S. M. Grossmann, V. C. Machado, G. M. Xavier, M. D. Moura, R. S. Gomez, M. C. F. Aguiar and R. A. Mesquita, “Demographic Profile of Odontogenic and Selected Nonodontogenic Cysts in a Brazilian Population,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, Vol. 104, No. 6, 2007, pp. e35-e41. doi:10.1016/j.tripleo.2007.05.028
[10]	M. A. Ali, “Biopsied Jaw Lesions in Kuwait: A Six-Year Retrospective Analysis,” Medical Principles and Practice, Vol. 20, No. 6, 2011, pp. 550-555. doi:10.1159/000330023
[11]	M. M. Chidzonga, V. M. Lopez and A. L. P. Alvarez, “Orofacial Biopsies: A Survey of 1723 Cases Seen over a 10 Year Period,” Central African Journal of Medicine, Vol. 42, No. 4, 1996, pp. 102-108.
[12]	A. V. Jones, G. T. Craig, and C. D. Franklin, “Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period,” Journal of Oral Pathology & Medicine, Vol. 35, No. 8, 2006, pp. 500-507. doi:10.1111/j.1600-0714.2006.00455.x
[13]	J. F. Kreidler, E. J. Raubenheimer and W. F. van Heerden, “A Retrospective Analysis of 367 Cystic Lesions of the Jaw—The Ulm Experience,” Journal of Cranio-Maxillofacial Surgery, Vol. 21, No. 8, 1993, pp. 339-341. doi:10.1016/S1010-5182(05)80494-9
[14]	C. Oji, “Statistical Observations on Jaw Cysts in Enugu, Nigeria, 1987-1996,” Odontostomatol Trop, Vol. 22, No. 85, 1999, pp. 33-36.
[15]	S. Tortorici, E. Amodio, M. F. Massenti, M. L. Buzzanca, F. Burruano and F. Vitale, “Prevalence and Distribution of Odontogenic Cysts in Sicily: 1986-2005,” Journal of Oral Science, Vol. 50, No. 1, 2008, pp. 15-18. doi:10.2334/josnusd.50.15