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Enucleation of large keratocystic odontogenic tumor at mandible via unilateral sagittal split osteotomy: a report of three cases

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2015, v.41 no.4, pp.208-212
Hyeong-Geun Lee (Pusan National University)
Seung-Hyun Rhee (Pusan National University)
Chung-Ah Noh (Pusan National University)
Sang-Hun Shin (Pusan National University)

Abstract

Keratocystic odontogenic tumor (KCOT) is a common benign tumor of osseous lesions in dental and maxillofacial practice. We describe three cases of large KCOT located in the posterior part of the mandible extending to the angle and ramus region, which were enucleated via sagittal split osteotomy (SSO) of the mandible. There are cases in which a conventional enucleation procedure does not ensure complete excision of the entire lesion without damage to vital structures like the inferior alveolar nerve. In such cases, a SSO approach could be a better choice than conventional methods. The pur-pose of this article is to describe our experience using unilateral mandibular SSO for removal of a KCOT from the mandible.

keywords
Sagittal split ramus osteotomy, Cysts, Keratocystic odontogenic tumor

Journal of the Korean Association of Oral and Maxillofacial Surgeons