Browse > Article
http://dx.doi.org/10.5125/jkaoms.2021.47.1.40

Conservative management with Carnoy's solution in ameloblastoma involving two unerupted teeth: a report of two cases  

Lee, Sang Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Jeonbuk National University)
Ku, Jeong-Kui (Department of Oral and Maxillofaical Surgery, Section of Dentistry, Armed Forces Capital Hospital)
Leem, Dae Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Jeonbuk National University)
Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, Jeonbuk National University)
Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, Jeonbuk National University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.47, no.1, 2021 , pp. 40-46 More about this Journal
Abstract
Marsupialization is widely used as a primary treatment modality for reducing size of large cysts. However, there is no recommendation for specific duration of marsupialization. In addition, Carnoy's solution usually is applied at the time of enucleation as a fixative agent. In this report, we present an appropriate marsupialization duration of ameloblastoma involving two unerupted teeth. In this present study, marsupialization using a Foley catheter was performed in two cases of ameloblastoma of the mandible involving two adjacent impacted teeth. Carnoy's solution was applied for 3-5 minutes after enucleation in both patients. Periodically during marsupialization, the size of the radiolucency was measured in panoramic view, and clinical examination was performed. No remarkable paresthesia or soft tissue injury was observed after application of Carnoy's solution or during follow-up. We recommend 12 to 16 weeks as an adequate marsupialization duration for a large ameloblastoma involving two impacted teeth based on increased radiopacity along the margins of the lesions. Poor oral hygiene was an issue after 12 weeks of marsupialization in one case. There were no remarkable complications with Carnoy's solution in either case. The Foley tube has a two-way system that is more effective for irrigating the cavity than is the conventional one-way system.
Keywords
Ameloblastoma; Decompression; Carnoy's solution; Conservative treatment;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Maia EC, Sandrini FAL. Management techniques of ameloblastoma: a literature review. Rev Gaucha Odontol 2017;65:62-9. https://doi.org/10.1590/1981-863720170001000093070   DOI
2 Korzhevskii DE. [Silver nitrate impregnation of internuclear structures in nerve cells following fixation in Carnoy's medium]. Morfologiia 2001;119:67-9. Russian.
3 Lee PK, Samman N, Ng IO. Unicystic ameloblastoma--use of Carnoy's solution after enucleation. Int J Oral Maxillofac Surg 2004;33:263-7. https://doi.org/10.1006/ijom.2003.0496   DOI
4 Kalaskar R, Unawane AS, Kalaskar AR, Pandilwar P. Conservative management of unicystic ameloblastoma in a young child: report of two cases. Contemp Clin Dent 2011;2:359-63. https://doi.org/10.4103/0976-237X.91804   DOI
5 Nakamura N, Higuchi Y, Mitsuyasu T, Sandra F, Ohishi M. Comparison of long-term results between different approaches to ameloblastoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:13-20. https://doi.org/10.1067/moe.2002.119517   DOI
6 Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J 2005;198:203-6. https://doi.org/10.1038/sj.bdj.4812082   DOI
7 Martinez-Perez D, Varela-Morales M. Conservative treatment of dentigerous cysts in children: a report of 4 cases. J Oral Maxillofac Surg 2001;59:331-3. https://doi.org/10.1053/joms.2001.21006   DOI
8 Assael LA. Surgical management of odontogenic cysts and tumors. In: Peterson LJ, Indresano TA, Marciani RD, Roser SM, eds. Principles of oral and maxillofacial surgery. Philadelphia: Lippincott; 1992:685-8.
9 Frerich B, Cornelius CP, Wietholter H. Critical time of exposure of the rabbit inferior alveolar nerve to Carnoy's solution. J Oral Maxillofac Surg 1994;52:599-606. https://doi.org/10.1016/0278-2391(94)90098-1   DOI
10 Sivanmalai S, Kandhasamy K, Prabu N, Prince CN, Prabu CS. Carnoy's solution in the mangement of odontogenic keratocyst. J Pharm Bioallied Sci 2012;4(Suppl 2):S183-5. https://doi.org/10.4103/0975-7406.100266   DOI
11 Lau SL, Samman N. Recurrence related to treatment modalities of unicystic ameloblastoma: a systematic review. Int J Oral Maxillofac Surg 2006;35:681-90. https://doi.org/10.1016/j.ijom.2006.02.016   DOI
12 Gao L, Wang XL, Li SM, Liu CY, Chen C, Li JW, et al. Decompression as a treatment for odontogenic cystic lesions of the jaw. J Oral Maxillofac Surg 2014;72:327-33. https://doi.org/10.1016/j.joms.2013.07.035   DOI
13 Hou R, Zhou H. Articles of marsupialization and decompression on cystic lesions of the jaws: a literature review. J Oral Maxillofac Surg Med Pathol 2013;25:299-304. https://doi.org/10.1016/j.ajoms.2013.06.007   DOI
14 Haq J, Siddiqui S, McGurk M. Argument for the conservative management of mandibular ameloblastomas. Br J Oral Maxillofac Surg 2016;54:1001-5. https://doi.org/10.1016/j.bjoms.2016.07.017   DOI
15 Barnes L, Eveson JW, Reichart P, Sidransky D. WHO classification of tumours: pathology and genetics of head and neck tumours. 3rd ed. Lyon: IARC Publications; 2005.
16 Cahn LR. The dentigerous cyst is a potential adamantinoma. Dent Cosm 1933;75:889-93.
17 Cutler EC, Zollinger R. The use of sclerosing solutions in the treatment of cysts and fistulae. Am J Surg 1933;19:411-8. https://doi.org/10.1016/S0002-9610(33)90796-5   DOI
18 Huang IY, Lai ST, Chen CH, Chen CM, Wu CW, Shen YH. Surgical management of ameloblastoma in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:478-85. https://doi.org/10.1016/j.tripleo.2007.01.033   DOI