Maxillofacial Plastic and Reconstructive Surgery

  • Volume 42
  • /
  • Pages.16.1-16.8
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  • 2020
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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A clinical study of inferior alveolar nerve damage caused by Carnoy's solution used as a complementary therapeutic agent in a cystic lesion

  • Jo, Hyun-Jun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Kim, Hee-Youl (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Kang, Dong-Cheol (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital)
  • Received : 2020.01.30
  • Accepted : 2020.04.13
  • Published : 2020.12.31
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Abstract

Background: Cyst enucleation, which extracts only the tumor with the application of Carnoy's solution (CS), has been suggested as a conservative treatment with a low recurrence rate and morbidity. However, there has been a concern that CS's contact with inferior alveolar nerve (IAN) can cause neurons to degenerate and cause sensory dysfunction. The purpose of this retrospective cohort study aimed to investigate the neurosensory function after surgical treatment with or without the application of CS. Methods: While controlling the effects of sex, age, follow-up period, and invasion size of the tumor, we performed the binary logistic regression analysis to examine whether or not the sensory function of the patients who were treated with CS (n = 19) for the cyst enucleation procedure was significantly different from those who were not treated with CS (n = 58) at the end of the follow-up period. Results: The logistic regression result showed that the use of CS was not significantly related to the normalness of sensory function at the end of the follow-up period. Rather, the invasion size of the cyst was significantly associated with sensory dysfunction. Conclusions: CS may be used for patients who are diagnosed with OKC and UAM without much fear of its impact on sensory dysfunction. However, a small number of patients who were treated with CS experienced severe sensory damage and did not recover at the end of the follow-up period, suggesting the need for further analysis of these patients.

Keywords

Acknowledgement

We would like to thank Globit (www.globit.kr) for English language editing.

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