Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Study on the treatment of the odontogenic keratocyst
Toshihiko FUJIWARAKunio IKEMURAHideyuki KOBAYASHIRyouichi OHYAHaruo SHIBATA
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1985 Volume 31 Issue 7 Pages 1737-1742

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Abstract
The authors report on the method for the management of keratocysts which was first described by Voorsmitt in 1981. The method is as follows: the cyst was enucleated and the overlying oral mucosa was totally excised. The bone surface under the cyst wall was cauterized with Carnoy's solution. Three cases of keratocyst were treated by this method and no recurrence was seen during a maximum 16-month follow-up period. Case 1 was a 57-yearold female, with a multilocular cyst located in the right mandibular body. Case 2 was a 38-year-old female, with a monolocular cyst located in the left mental region. Case 3 was a 52-year-old male, with a monolocular cyst extending from the left mandibular molar region to the ascending ramus.
This method seems to be beneficial for the management of keratocyst which is multilocular or located in a difficult region such as the ascending ramus.
An experimental histological study on the cauterizing effect of Carnoy's solution was done on Japanese white rabbits and demonstrated that the cauterizing effect of Carnoy's solution was adequate when the application was for 3 minutes.
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© Japanese Society of Oral and Maxillofacial Surgeons
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