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Cysts and Tumours of the Bony Facial Skeleton
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Julia A. Woolgar, Gillian L. Hall
KCOT has a tendency to recur and the rate depends on the original treatment (overall recurrence rate, 20–25%). Local resection and enucleation with peripheral ostectomy and Carnoy’s solution are curative while enucleation with peripheral ostectomy, enucleation alone, marsupialization and enucleation with Carnoy’s solution are associated with increasing risk of recurrence (18%, 26%, 40% and 50% respectively in a recent systematic review).71
Postnatal Bone Growth: Some Methods of Assessment
Published in D. Dixon Andrew, A.N. Hoyte David, Ronning Olli, Fundamentals of Craniofacial Growth, 2017
Thus bony tissue despite its hard, semirigid, supporting, mineralized nature, by virtue of the highly sensitive periosteal and endosteal membranes is dynamic and ever-changing, adaptable to every nuance of tension and pressure. The basic and dual response of resorption and apposition is evident in the reaction of bone to growth, healing of fractures, alteration in muscular balance, orthopedic therapy, change in the position of bones after osteotomy and/or ostectomy and other intrinsic and extrinsic factors.
Odontogenic Tumors
Published in Dongyou Liu, Tumors and Cancers, 2017
Surgery can be performed through enucleation, enucleation and curettage or peripheral ostectomy, marsupialization, partial or total maxillectomy or mandibulectomy, segmental resection, neck dissection, and cryosurgery after lesion removal. Interestingly, enucleation alone or mandibulectomy is largely recurrence-free, and enucleation and tooth extraction has a recurrence rate of 43.5%. Surgery under general anesthesia gives a recurrence rate of 33%, and that under local anesthesia has no recurrence.
Pindborg tumor in early childhood: a rare tumor in the youngest patient reported to date
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Brian W. Starr, Elizabeth A. Lax, Angelo A. Leto Barone, Raquel M. Ulma, Brian S. Pan, Haithem M. Elhadi Babiker
CEOT is a rare odontogenic tumor with a slow growth pattern and a peak incidence in mid-adulthood. Intraosseous CEOT’s have been reported in the pediatric population, but to date never in a child as young as 5 years of age. Because of its rarity, no CEOT treatment consensus exists. We based our semi-conservative management on existing adult CEOT data, as well as on established treatment of other pediatric odontogenic tumors. To avoid multiple surgical procedures, we performed a single stage excision of the lesion with peripheral ostectomy. We defer immediate mandibular reconstruction to allow for adequate surveillance, as hardware and bone graft particles can obscure proper visualization of recurrent tumor foci. As CEOT recurrence in the pediatric population is unknown, close surveillance is paramount in recurrence identification. We recommend 5 years of surveillance, with postoperative imaging biannually for the first two years, then annually for the remainder three years.
Nevoid basal cell carcinoma syndrome: a case report and literature review
Published in Ophthalmic Genetics, 2022
Shripadh Chitta, Jineet Patel, Shravan Renapurkar, Christopher Loschiavo, Jennifer Rhodes, Kayla King, Kimberly Salkey, Natario Couser
The modality of choice for many surgeons is initial treatment with decompression followed by enucleation, curettage and peripheral ostectomy or cryotherapy (40,43). By initially treating these lesions with decompression, shrinkage/thickening/de-differentiation of the cyst’s lining facilitates easier removal and an overall lower rate of osseous morbidity. For persistent OKCs refractory to multiple enucleation and curettage procedures, resection of the lesion(s) is then employed. Following surgical treatment, the patient is monitored clinically and radiographically long term for recurrence yearly with routine orthopantomograms at least for 5 years and ideally the lifetime of the patient. In the study by Carlson et al, 5-year disease-free survival after primary enucleation and curettage was 86% while 5-year disease free estimate after marsupialization with secondary enucleation and curettage was 100%(40). Regular radiographic and clinical surveillance along with early treatment of refractory lesions is critical to minimizing local destruction of the adjacent tissues by the lesion itself, or its treatment.
Analysis of oral microbiota in non-vital teeth and clinically intact external surface from patients with severe periodontitis using Nanopore sequencing: a case study
Published in Journal of Oral Microbiology, 2023
Alessio Buonavoglia, Francesco Pellegrini, Gianvito Lanave, Georgia Diakoudi, Maria Stella Lucente, Fausto Zamparini, Michele Camero, Maria Giovanna Gandolfi, Vito Martella, Carlo Prati
Subsequently, the teeth were anesthetized using articaine with adrenaline 1:100.000 (Septodont, Saint-Maur-des-Fossés, France). Sindesmotomy and luxation were performed with a rounded periosteal elevator; extraction was gently performed with dental forceps and tooth was positioned in a sterile tube (Eppendorf AG, Hamburg, Germany). An accurate alveolar toilette was performed with mechanical debridement of granulation tissue and subsequent intra-alveolar irrigation with sterile saline solution rinse. A resorbable collagen sponge (Septodont, Saint-Maur-des-Fossés, France) was positioned in dental socket and a criss-cross non-resorbable suture was performed to favor haemostasis. Only for the extraction of the third molar, a mucoperiosteal flap was executed without ostectomy.