Bilateral keratocystic odontogenic tumor of mandible

Odontogenic keratocyst (OKC) is one of the most common critical cysts of the oral cavity due to its aggressive behavior and high rate of recurrence. Recently studies prove that this lesion behaves like a tumour both in clinical presentation and histopathology, hence the term was recoined as keratocystic odontogenic tumor. The lesion often involves the jaws extensively and when they are present bilaterally, Gorlin-Goltz syndrome is suspected. The diagnosis should be solely based on histopathological confirmation and computed tomography (CT) can be used as an adjunct to estimate the size, extent and effects on its adjacent structures. Herein, we report a case of bilateral keratocystic odontogenic tumor in a 32-year-old male, which was diagnosed by a series of investigations and treated appropriately.