RESUMEN
A case is presented of a unique presentation and treatment of a mandibular nerve schwannoma. Its uniqueness stems from the fact that it consisted of 2 distinct tumors along the same nerve: one within the body of the mandible and the other within the ipsilateral pterygomandibular space. Rather than the standard approach of lip split and hemimandibulectomy, a unique approach of a sagittal split ramus osteotomy was used that allowed access to the 2 lesions and avoided the added morbidity of the former approach. The 2 portions of the lesion were successfully removed and the patient was satisfied with the result. Recurrence has not been detected after 6 months.
Asunto(s)
Neoplasias Mandibulares/cirugía , Nervio Mandibular/cirugía , Neurilemoma/cirugía , Osteotomía Sagital de Rama Mandibular/métodos , Placas Óseas , Regeneración Ósea/fisiología , Tornillos Óseos , Disección/métodos , Femenino , Estudios de Seguimiento , Humanos , Neoplasias Primarias Múltiples/cirugía , Adulto JovenAsunto(s)
Neoplasias Maxilares/diagnóstico , Mixoma/diagnóstico , Tumores Odontogénicos/diagnóstico , Tomografía Computarizada de Haz Cónico , Diagnóstico Diferencial , Humanos , Imagenología Tridimensional , Masculino , Neoplasias Maxilares/patología , Neoplasias Maxilares/cirugía , Mixoma/patología , Mixoma/cirugía , Tumores Odontogénicos/patología , Tumores Odontogénicos/cirugía , Adulto JovenRESUMEN
Dynamic navigation (DN) has been used by many fields previously and recently applied to dental implant surgery. DN allows the implant surgeon to evaluate a patient, scan the patient, plan the implant position, and perform the implant surgery in the same day without the delay or cost of fabrication of a static surgical guide stent. The current DN workflow requires (1) cone-beam computed tomography with fiducials, (2) virtual implant planning, (3) calibration, and (4) implant placement in accordance to the 3-D image on the navigation screen. This technology allows for improved precision and accuracy in the placement of dental implants.