Letters to the Editor

We read with interest Manouchehri and Ali's case report of a glandular odontogenic cyst affecting the LR67 region.¹ We too present a recent case of a glandular odontogenic cyst presenting in an otherwise healthy 61-year-old male.

The patient was referred to the Department of Oral and Maxillofacial Surgery at Royal London Hospital by his GDP regarding the recurrence of a cyst which was enucleated in 2010, along with removal of the LR8. The histopathology reported at the time was consistent with a dentigerous cyst associated with an unerupted lower right third molar. The patient was regularly reviewed, with satisfactory healing and normal neurosensory function leading to his eventual discharge.

In this new episode, the patient complained of occasional pain from the area where the cyst was previously enucleated. There were no other complaints. Clinical examination revealed no neurosensory deficit and an unremarkable extra-oral appearance. There was, however, a palpable bony expansion felt in the right body of the mandible. The LR7 was non-mobile and buccal expansion was noted in the right posterior mandible. An egg-shell type crackling was also apparent lingually. The overlying mucosa was otherwise normal.