Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Enucleation of large keratocystic odontogenic tumor at mandible via unilateral sagittal split osteotomy: a report of three cases

  • Lee, Hyeong-Geun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Rhee, Seung-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Noh, Chung-Ah (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • Received : 2015.01.14
  • Accepted : 2015.04.14
  • Published : 2015.08.31
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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 purpose of this article is to describe our experience using unilateral mandibular SSO for removal of a KCOT from the mandible.

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References

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  1. “Split to Save”: Accessing Mandibular Lesions using Sagittal Split Osteotomy with Virtual Surgical Planning vol.97, pp.3, 2015, https://doi.org/10.1177/014556131809700311