Volume change pattern of decompression of mandibular odontogenic keratocyst
10.1186/s40902-018-0184-y
- Author:
Jin Hoo PARK
1
;
Eun Jung KWAK
;
Ki Sung YOU
;
Young Soo JUNG
;
Hwi Dong JUNG
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 120-752 Korea. cancer7@yuhs.ac.
- Publication Type:Original Article
- Keywords:
Odontogenic keratocyst;
Keratocystic odontogenic tumor;
Decompression;
Enucleation
- MeSH:
Decompression;
Humans;
Mandible;
Odontogenic Cysts
- From:Maxillofacial Plastic and Reconstructive Surgery
2019;41(1):2-
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: This study was aimed to analyze the reducing pattern of decompression on mandibular odontogenic keratocyst and to determine the proper time for secondary enucleation. MATERIALS AND METHODS: Seventeen patients with OKC of the mandible were treated by decompression. Forty-five series of CT data were taken during decompression and measured by using InVivo software (Anatomage, San Jose, Calif) and were analyzed. RESULTS: The expected relative volume during decompression is calculated using the following formula: V(t) = V initial × exp.(at + 1/2bt 2) (t = duration after decompression (day)). There was no significant directional indicator in the rate of reduction between buccolingual and mesiodistal widths. CONCLUSION: The volume reduction rate gradually decreased, and 270 days were required for 50% volume reduction following decompression of OKC. The surgeon should be aware of this pattern to determine the timing for definitive enucleation. CLINICAL RELEVANCE: The volume reduction rate and pattern of decompression of the OKC can be predicted and clinicians should be considered when treating OKC via decompression.
