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

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ÀÌÇü±Ù, À̽ÂÇö, Noh Chung-Ah, ½Å»óÈÆ,
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ÀÌÇü±Ù ( Lee Hyeong-Geun ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
À̽ÂÇö ( Rhee Seung-Hyun ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
 ( Noh Chung-Ah ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
½Å»óÈÆ ( Shin Sang-Hun ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery

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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Sagittal split ramus osteotomy; Cysts; Keratocystic odontogenic tumor

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