Surgical access to multicystic lesions, by sagittal splitting of the lower jaw.
A case is presented of a large, multiloculated primordial cyst in the lower jaw. In treatment planning of the lesion, a hemimandibulectomy had been seriously considered, but seemed to be too agressive a therapy for a non-malignant lesion. However, the recurrence rate of multiloculated cysts made a meticulous enucleation necessary. By employing a sagittal splitting of the right half of the mandible a good surgical access was provided and the cysts could be removed very thoroughly. Recurrence was not observed during a 3 years follow up period.
D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009807:Odontogenic Cysts / Q000473:pathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*