J Korean Assoc Maxillofac Plast Reconstr Surg.
2008 Jan;30(1):100-107.
Surgical treatment of large cyst on the mandible by using saggital split ramus osteotomy
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University. Korea, hkoh@chonnam.ac.kr
- 22nd stage of Brain Korea 21 for school of Dentistry, Chonnam National University, Korea.
Abstract
- First of all a good surgical access is considered among various approach methods to the cystic lesion. A poor surgical access can lead to a failure of the whole treatment. A sagittal split ramus osteotomy (SSRO) on the large cyst occurring in the mandibular ramus lets us not only reduce operation time, but can additionally contribute to a good visual field. In addition, a merit exists that it lets this operating method provide soft tissue adhesion for proximal and distal segment and decrease post operative necrosis. We experienced three cases of a large cyst on the mandibular angle and ramus. By employing a sagittal splitting of the mandible, it provided good surgical access and operation results without recurrence during a follow-up period. The surgical technique described may be helpful in treating similar large cysts.