[Intraoral application of vacuum-assisted closure in the treatment of an extended mandibular keratocyst]. / Intraorale Vakuumtherapie zur Behandlung einer ausgedehnten Zyste des Unterkieferknochens.
Zentralbl Chir
; 129 Suppl 1: S53-6, 2004 May.
Article
em De
| MEDLINE
| ID: mdl-15168287
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecção da Ferida Cirúrgica
/
Doenças Mandibulares
/
Cistos Odontogênicos
/
Técnicas de Sutura
/
Desbridamento
/
Curativos Oclusivos
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
De
Revista:
Zentralbl Chir
Ano de publicação:
2004
Tipo de documento:
Article