Volume change pattern of decompression of mandibular odontogenic keratocyst

Abstract Objectives This study was aimed to analyze the reducing pattern of decompression on mandibular odontogenic keratocyst and to determine the proper time for secondary enucleation. Materials and methods Seventeen patients with OKC of the mandible were treated by decompression. Forty-five serie...

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Main Authors: Jin Hoo Park, Eun-Jung Kwak, Ki Sung You, Young-Soo Jung, Hwi-Dong Jung
Format: Article
Language:English
Published: SpringerOpen 2019-01-01
Series:Maxillofacial Plastic and Reconstructive Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40902-018-0184-y
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author Jin Hoo Park
Eun-Jung Kwak
Ki Sung You
Young-Soo Jung
Hwi-Dong Jung
author_facet Jin Hoo Park
Eun-Jung Kwak
Ki Sung You
Young-Soo Jung
Hwi-Dong Jung
author_sort Jin Hoo Park
collection DOAJ
description Abstract Objectives This study was aimed to analyze the reducing pattern of decompression on mandibular odontogenic keratocyst and to determine the proper time for secondary enucleation. Materials and methods Seventeen patients with OKC of the mandible were treated by decompression. Forty-five series of CT data were taken during decompression and measured by using InVivo software (Anatomage, San Jose, Calif) and were analyzed. Results The expected relative volume during decompression is calculated using the following formula: V(t) = V initial × exp.(at + 1/2bt 2) (t = duration after decompression (day)). There was no significant directional indicator in the rate of reduction between buccolingual and mesiodistal widths. Conclusion The volume reduction rate gradually decreased, and 270 days were required for 50% volume reduction following decompression of OKC. The surgeon should be aware of this pattern to determine the timing for definitive enucleation. Clinical relevance The volume reduction rate and pattern of decompression of the OKC can be predicted and clinicians should be considered when treating OKC via decompression.
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spelling doaj.art-b06ee97462bc491ca69e8c460031ed772022-12-21T22:48:13ZengSpringerOpenMaxillofacial Plastic and Reconstructive Surgery2288-85862019-01-014111610.1186/s40902-018-0184-yVolume change pattern of decompression of mandibular odontogenic keratocystJin Hoo Park0Eun-Jung Kwak1Ki Sung You2Young-Soo Jung3Hwi-Dong Jung4Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei UniversityDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei UniversityDepartment of Applied and Computational Mathematics and Statistics, University of Notre DameDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei UniversityDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei UniversityAbstract Objectives This study was aimed to analyze the reducing pattern of decompression on mandibular odontogenic keratocyst and to determine the proper time for secondary enucleation. Materials and methods Seventeen patients with OKC of the mandible were treated by decompression. Forty-five series of CT data were taken during decompression and measured by using InVivo software (Anatomage, San Jose, Calif) and were analyzed. Results The expected relative volume during decompression is calculated using the following formula: V(t) = V initial × exp.(at + 1/2bt 2) (t = duration after decompression (day)). There was no significant directional indicator in the rate of reduction between buccolingual and mesiodistal widths. Conclusion The volume reduction rate gradually decreased, and 270 days were required for 50% volume reduction following decompression of OKC. The surgeon should be aware of this pattern to determine the timing for definitive enucleation. Clinical relevance The volume reduction rate and pattern of decompression of the OKC can be predicted and clinicians should be considered when treating OKC via decompression.http://link.springer.com/article/10.1186/s40902-018-0184-yOdontogenic keratocystKeratocystic odontogenic tumorDecompressionEnucleation
spellingShingle Jin Hoo Park
Eun-Jung Kwak
Ki Sung You
Young-Soo Jung
Hwi-Dong Jung
Volume change pattern of decompression of mandibular odontogenic keratocyst
Maxillofacial Plastic and Reconstructive Surgery
Odontogenic keratocyst
Keratocystic odontogenic tumor
Decompression
Enucleation
title Volume change pattern of decompression of mandibular odontogenic keratocyst
title_full Volume change pattern of decompression of mandibular odontogenic keratocyst
title_fullStr Volume change pattern of decompression of mandibular odontogenic keratocyst
title_full_unstemmed Volume change pattern of decompression of mandibular odontogenic keratocyst
title_short Volume change pattern of decompression of mandibular odontogenic keratocyst
title_sort volume change pattern of decompression of mandibular odontogenic keratocyst
topic Odontogenic keratocyst
Keratocystic odontogenic tumor
Decompression
Enucleation
url http://link.springer.com/article/10.1186/s40902-018-0184-y
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