title: [Intraoral application of vacuum-assisted closure in the treatment of an extended mandibular keratocyst].
abstract: In extended cysts of the jaw bone particular demands are made in terms of wound closure, especially if an intraoral surgical approach is chosen. A tight closure is even more important if the bony defect has been filled with an alloplastic material or autologous cancellous bone. In our case a keratocyst of the left mandibular angle and ascending ramus was treated. After enucleation of the cyst and grafting with autologous cancellous bone the graft was lost following a wound breakdown. Subsequently a system was developed to apply intraoral V.A.C.-therapy. This led to a safe separation of the cystic defect and the oral cavity and a conditioning of the wound ground. A grafting with an alloplastic material was carried out successfully. With this method the length of treatment could be reduced by several months compared to a conventional therapy with an obturator.
authors.affiliation: Klinik und Poliklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum Leipzig. dirk.halama@medizin.uni-leipzig.de
authors.forename: D
authors.initials: D
authors.lastname: Halama
authors.forename: A
authors.initials: A
authors.lastname: Hemprich
authors.forename: B
authors.initials: B
authors.lastname: Frerich
mesh_terms: D016025:Bone Transplantation; D003646:Debridement / Q000295:instrumentation*; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008838:Microcomputers; D008875:Middle Aged; D009779:Occlusive Dressings; D009807:Odontogenic Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D019919:Prosthesis Implantation / Q000295:instrumentation; D011862:Radiography, Panoramic; D012086:Reoperation / Q000295:instrumentation; D012828:Silicones; D012833:Siloxanes; D025321:Surgery, Computer-Assisted / Q000295:instrumentation; D015503:Surgical Sponges; D013530:Surgical Wound Infection / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed; D014618:Vacuum; D014753:Vinyl Compounds; D014945:Wound Healing / Q000502:physiology
chemical_list: D012828:Silicones; D012833:Siloxanes; D014753:Vinyl Compounds