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KMID : 1036320220440010030
Maxillofacial Plastic and Reconstructive Surgery
2022 Volume.44 No. 1 p.30 ~ p.30
Computer-guided buccal cortical plate separation for removal of calcified benign odontogenic tumors affecting the mandibular angle region
Omara Mohammed

Gouda Ayman
Ali Sherif
Abstract
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?
Conclusion: Computer-guided buccal cortical plate separation for removal of intra-bony calcified benign lesions provides a promising approach, especially for inexperienced surgeons.
KEYWORD
Computer-guided surgery, Intrabony calcific odontogenic benign tumor, Patient-specific surgical guides, Buccal corticotomy, Buccal cortical plate separation
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