We consider one-per-mil tumescent technique as a promising successor of pneumatic tourniquet in bone and joint surgery, especially for lengthy procedures on hand and upper extremity.
All teeth were vital. A 4-year follow-up shows no evidence of recurrence .Cysts increase in size because of osmotic pressure and pressure resorption. This force over the bone causes bone resorption while the malignancy expands. 3 Mitigating the pressure by using a draining system is an applied physical principle that relieves intracystic pressure, changes its environment, and stimulates bone formation. 4 Resection, which is neither recommended nor contraindicated, should be considered when it is impossible to maintain a long-term follow-up. Therefore, it takes a lot of judgment before deciding whether to resect. In our case, the patient's young age, the easy access to our institution, and the unusual size of the lesion that would have required resection of at least 70% of the mandible were the principal factors that made us give her the chances for a conservative method. Long-term follow-up is mandatory.
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