Study on the treatment of the odontogenic keratocyst.

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The authors report on the method for the management of keratocysts which was first described by Voorsmitt in 1981. The method is as follows: the cyst was enucleated and the overlying oral mucosa was totally excised. The bone surface under the cyst wall was cauterized with Carnoy's solution. Three cases of keratocyst were treated by this method and no recurrence was seen during a maximum 16-month follow-up period. Case 1 was a 57-yearold female, with a multilocular cyst located in the right mandibular body. Case 2 was a 38-year-old female, with a monolocular cyst located in the left mental region. Case 3 was a 52-year-old male, with a monolocular cyst extending from the left mandibular molar region to the ascending ramus.<BR>This method seems to be beneficial for the management of keratocyst which is multilocular or located in a difficult region such as the ascending ramus.<BR>An experimental histological study on the cauterizing effect of Carnoy's solution was done on Japanese white rabbits and demonstrated that the cauterizing effect of Carnoy's solution was adequate when the application was for 3 minutes.
社団法人日本口腔外科学会の論文