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Halama D, Hemprich A, Frerich B, et al.
Zentralblatt fur Chirurgie. Date of publication 2004 May 1;volume 129 Suppl 1():S53-6.
1. Zentralbl Chir. 2004 May;129 Suppl 1:S53-6. [Intraoral application of vacuum-assisted closure in the treatment of an extended mandibular keratocyst]. [Article in German] Halama D(1), Hemprich A, Frerich B. Author information: (1)Klinik und Poliklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum Leipzig. dirk.halama@medizin.uni-leipzig.de 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. DOI: 10.1055/s-2004-822669 PMID: 15168287 [Indexed for MEDLINE]
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