KMID : 1036320220440010030
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Maxillofacial Plastic and Reconstructive Surgery 2022 Volume.44 No. 1 p.30 ~ p.30
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Computer-guided buccal cortical plate separation for removal of calcified benign odontogenic tumors affecting the mandibular angle region
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Omara Mohammed
Gouda Ayman Ali Sherif
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Abstract
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Purpose: Surgical removal of intra-bony calcific benign lesions is technically challenging regarding its accessibility, proximity to vital structures, and deteriorating effect on the remaining bony structures.
Methods: Computer-guided buccal cortical plate separation was performed for ten patients using patient-specific osteotomy locating guides and pre-bent plates. The guide was designed to outline the osteotomy, the buccal cortical plate was separated, the lesion was removed, and finally, the pre-bent plates were used to fix the separated cortex.
Results: Surgical procedures were uneventful for all patients, operation time was 39.5?¡¾?13.01 min, postoperative pain decreased within the follow-up time intervals, and there was a statistical significant difference between the time intervals (P value?0.001). Edema and trismus were acceptable. One case showed nerve affection which resolved after 4 weeks.
Conclusion: Computer-guided buccal cortical plate separation for removal of intra-bony calcified benign lesions provides a promising approach, especially for inexperienced surgeons.
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KEYWORD
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Computer-guided surgery, Intrabony calcific odontogenic benign tumor, Patient-specific surgical guides, Buccal corticotomy, Buccal cortical plate separation
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