Use of the Cover-Lifting Technique in Mandibular Cemento-Ossifying Fibroma Excision to Preserve the Inferior Alveolar Nerve

Abstract

Cemento-ossifying fibroma (also known as ossifying fibroma or cementifying fibroma) is a benign osteogenic neoplasm. Pain and paresthesia are rarely associated with cemento-ossifying fibroma; thus, nerves must be preserved during excision. With the advent of computer-aided techniques, the use of virtual surgical planning and a customized template can improve the precision of resection and reconstruction, reduce operating time, and improve postoperative outcomes. In this report, we describe a case of cemento-ossifying fibroma in a female patient who underwent segmental mandibulectomy and reconstruction with an iliac bone graft. Additionally, we describe a simple and effective way to preserve the inferior alveolar nerve.

Preservation of the inferior alveolar vasculonervous bundle in mandibular resective therapies: systematic review and report of two cases

“…Of the included articles, three are prospective cohort studies ( 5 - 7 ), one is a retrospective cohort study ( 8 ), one is a retrospective analysis ( 9 ), three are case series ( 2 , 10 , 11 ), four are case reports ( 12 - 15 ), and one is a technical note ( 4 ). The articles included a total of 127 patients, all of whom underwent mandibular resective therapies.…”

An Unusual Representation of an Odontogenic Cyst Engulfing the Inferior Alveolar Nerve

“…Furthermore, mandibular intraosseous pathology that is associated with the inferior alveolar nerve (IAN) is infrequently seen; nevertheless, some cases have been reported. These may include developmental cysts [ 4 ], benign osteogenic tumors [ 5 ], benign neural-derived tumors such as schwannomas [ 6 , 7 ], and perineuriomas [ 8 , 9 ].…”