Reconstruction of extensive jaw defects induced by keratocystic odontogenic tumor via patient-customized devices

• Published in: Maxillofacial plastic and reconstructive surgery Vol. 37; no. 1; pp. 37 - 4
• Main Authors: Park, Seok-Yong, Shin, Young-Jo, Kim, Chul-Hoon, Kim, Bok-Joo
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 19.10.2015; 대한악안면성형재건외과학회
• Subjects: Case Report; Dentistry; Medicine; Oral and Maxillofacial Surgery; Plastic Surgery; 치의학; Mini Plate; Adjacent Anatomical Structure; Computerize Tomogram; Oral Hygiene; Keratocystic Odontogenic Tumor
• ISSN: 2288-8101; 2288-8586; 2288-8586
• DOI: 10.1186/s40902-015-0038-9

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.