Reconstruction of extensive jaw defects induced by keratocystic odontogenic tumor via patient-customized devices.
10.1186/s40902-015-0038-9
- Author:
Seok Yong PARK
1
;
Young Jo SHIN
;
Chul Hoon KIM
;
Bok Joo KIM
Author Information
1. Department of Oral and Maxillofacial surgery, Dong-a University Medical Center, Dongdaesin-dong 3-ga, Seo-gu, Busan, 602-715 South Korea. omsbjkim@dau.ac.kr
- Publication Type:Case Report
- MeSH:
Decompression;
Fistula;
Jaw*;
Mandible;
Maxilla;
Odontogenic Cysts*;
Odontogenic Tumors*;
Oral Hygiene
- From:Maxillofacial Plastic and Reconstructive Surgery
2015;37(10):37-
- CountryRepublic of Korea
- Language:English
-
Abstract:
Keratocystic odontogenic tumors can occur in any area of the maxilla or mandible. According to their size, location, and relations with surrounding structures, they are treated by cyst enucleation or enucleation after either marsupialization or decompression. Enucleation is performed when cysts are not large and when only minor damage to adjacent anatomical structures is expected. Although marsupialization and decompression follow the same basic bone-regeneration principle, which is to say, by reducing the pressure within the cyst, the former leaves a large defect after healing due to the large fistula necessary to induce the conversion of the cyst-lining epithelia to oral epithelia; the latter leaves only a relatively small defect, because of the continuous washing carried out by means of a tube inserted into a small hole in the cyst. In the latter case too, a decompressor appropriate for the focal position is required, owing to the importance of maintaining the device and controlling for oral hygiene. We report herein decompression treatment with a patient-customized device for an extensive cyst in the anterior region of the mandible.
