Treatment of a large odontogenic keratocyst using the brosch procedure

Ephros, Hillel; Lee, Hee Young

doi:10.1016/0278-2391(91)90019-i

Cited by 21 publications

(11 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Brosch procedure was modified by Hillel Ephros et al . [12] in 1991 in which the large Odontogenic Keratocyst, the attached impacted mandibular 3 rd molar, entire coronoid process and lateral cortex of the posterior body and ramus were removed en bloc . Medial cortical bone in the areas of the perforation was removed, peripheral ostectomy was performed and the flap was sutured primarily.…”

Section: Discussionmentioning

confidence: 99%

Application of osteomucoperiosteal flap in large unicystic ameloblastoma to promote early bone healing: An alternative to primary bone grafting

Khare

Kumar

2011

Contemp Clin Dent

View full text Add to dashboard Cite

Background:The unicystic variety of ameloblastoma is reported to be significantly less prone to recurrence in young patients than its conventional counterpart, and therefore can be treated conservatively. This paper describes a technique of using an osteoperiosteal flap to allow complete enucleation of a unicystic ameloblastoma. The technique maintains the continuity of the mandible and restores full thickness as well as strength of the mandible to promote early healing. It also maintains blood supply and proper facial contour so that esthetics is unimpaired.Materials and Methods:We describe two cases of unicystic ameloblastoma in which we used an osteoperiosteal flap. This flap was then infractured at the lower border to obliterate the dead space.Results:The sequential radiographs demonstrate early incorporation of the graft and complete filling of the defect by 3 months. At 5 years of follow-up in our first case, complete healing of bone was observed.Conclusions:We believe that these procedures can be the treatment of choice in such cases, especially with larger lesions, as these rapidly restore the patient's facial contour to normal as well as reduce the healing time.

show abstract

Section: Discussionmentioning

confidence: 99%

Application of osteomucoperiosteal flap in large unicystic ameloblastoma to promote early bone healing: An alternative to primary bone grafting

Khare

Kumar

2011

Contemp Clin Dent

View full text Add to dashboard Cite

show abstract

“…21 casos -Dor 10,11,14,33,34,36,42,43,49,51,53,59,60,68,69,78,79,82,83 ; b. 4 casos -Mobilidade dentária 13,18,85,86 ; c. 3 casos -Retenção dentária 15,61,62 , parestesia 19,33,37 , formação de úlceras 33,86 , obstrução nasal 55,60,73 ; d. 2 casos -Presença de fístula 49,88 , supuração 66,82 ; e. 1 caso -Proptose ocular 73 , limitação de abertura bucal 44 , lesão ulcerada de bordos endurecidos 43 , sangramento 33 , exodontia prévia 14 ; 3. 7 casos -Somente dor 14,22,32,74,76,91 , não reportado 54,84,89,…”

Section: Aspectos Clínicos Iniciaisunclassified

“…1. 53 casos -Não reportado [10][11][12][14][15][16]18,25,27,30,33,35,36,41,46,50,51,55,56,[58][59][60][61]63,64,[66][67][68][71][72][73]75,76,79,81,[82][83][84][87][88][89]91 ; 2. 20 casos -CO 8,9,13,17,19,22,28,29,31,37,39,…”

Section: Diagnóstico Clínicomentioning

confidence: 99%

Abordagem clínica e terapêutica sobre o Tumor Odontogênico Ceratocístico: uma revisão abrangente da literatura

Medeiros

Lombardo

Maito

et al. 2019

R. Fac. Odontol. Porto Alegre

View full text Add to dashboard Cite

O Tumor odontogênico ceratocístico (TOC) é um tumor benigno intra-ósseo de origem odontogênica cuja prevalência corresponde a 11% das lesões císticas da maxila e mandíbula. Objetivo: realizar uma revisão da literatura sistematizada sobre o TOC. Metodologia: Foi realizada uma busca de relatos de caso clínico na base de dados PubMed sob os critérios: tipo de estudo (relato de caso), na língua inglesa, realizados apenas em humanos, sem limites de data de publicação. Resultados: Selecionou-se 85 artigos dos quais foram registrados os dados relevantes sobre os casos clínicos. Constatou-se que o TOC possui predileção por pacientes do sexo masculino, entre a terceira e quarta décadas de idade. Ocorre comumente em mandíbula, preferencialmente em região posterior. O aspecto clínico inicial mais frequente foi aumento de volume. Em relação aos aspectos imaginológicos, pode apresentar imagem radiolúcida única ou múltipla, uni ou multilocular. O exame histopatológico é fundamental para o diagnóstico. Teve enucleação como conduta terapêutica instituída na maioria dos casos. Em casos de múltiplas lesões, a investigação voltada para Síndrome de Gorlin-Goltz deve ser considerada. O tempo de acompanhamento, a taxa de recorrência e de transformação maligna foram variáveis. Considerações finais: É fundamental o exame histopatológico para o diagnóstico do Tumor odontogênico ceratocístico. A conduta terapêutica mais indicada é a enucleação associada a outro tratamento adjuvante. O acompanhamento periódico é mandatório visto o alto potencial de recorrência deste tipo de lesão.

show abstract

“…Recommended techniques have included tanning the cystic cavity with Carnoy's solution before enucleation [7,8], or using a combination of enucleation and liquid nitrogen cryotherapy [9], whereas others recommend techniques such as marsupialization or decompression of the cysts followed by secondary enucleation [10,11,12]. Specifically, Bramley [13] recommended the use of radical surgery with resection and bone transplantation, whereas Ephros and Lee [14] advocated the removal of the lateral cortical plate and enucleation of the cyst. Bataineh and al Qudah [15] advocated resection without continuity defects as a standard treatment for preoperatively diagnosed KCOTs.…”

Section: Introductionmentioning

confidence: 99%

Marsupialization of Keratocystic Odontogenic Tumors of the Mandible: Longitudinal Image Analysis of Tumor Size via 3D Visualized CT Scans

Shudou¹,

Sasaki²,

Yamashiro³

et al. 2013

A Textbook of Advanced Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Treatment of a large odontogenic keratocyst using the brosch procedure

Cited by 21 publications

References 16 publications

Application of osteomucoperiosteal flap in large unicystic ameloblastoma to promote early bone healing: An alternative to primary bone grafting

Application of osteomucoperiosteal flap in large unicystic ameloblastoma to promote early bone healing: An alternative to primary bone grafting

Abordagem clínica e terapêutica sobre o Tumor Odontogênico Ceratocístico: uma revisão abrangente da literatura

Marsupialization of Keratocystic Odontogenic Tumors of the Mandible: Longitudinal Image Analysis of Tumor Size via 3D Visualized CT Scans

Contact Info

Product

Resources

About