ABSTRACT
This article describes a case we experienced in which good postsurgical facial profiles were obtained for a patient with jaw deformities associated with facial asymmetry, by implementing surgical planning with SimPlant OMS. Using this method, we conducted LF1 osteotomy, intraoral vertical ramus osteotomy (IVRO), sagittal split ramus osteotomy (SSRO), mandibular constriction and mandibular border genioplasty. Not only did we obtain a class I occlusal relationship, but the complicated surgery also improved the asymmetry of the frontal view, as well as of the profile view, of the patient. The virtual operation using three-dimensional computed tomography (3D-CT) could be especially useful for the treatment of patients with jaw deformities associated with facial asymmetry.
Subject(s)
Adult , Humans , Male , Facial Asymmetry , Diagnostic Imaging , General Surgery , Genioplasty , Imaging, Three-Dimensional , Jaw Abnormalities , Diagnostic Imaging , General Surgery , Mandible , Congenital Abnormalities , Diagnostic Imaging , General Surgery , Occlusal Splints , Oral Surgical Procedures , Methods , Osteotomy, Le Fort , Osteotomy, Sagittal Split Ramus , Patient Care Planning , Surgery, Computer-Assisted , Tomography, X-Ray ComputedABSTRACT
<p><b>OBJECTIVE</b>To report two cases of glandular odontogenic cyst and examine its cytokeratin 18,19 expression.</p><p><b>METHODS</b>Two cases of glandular odontogenic cyst were reported and studied. The cytokeratin 18, 19 expression in these two cases were also investigated using immuno-histochemical staining as well as in the situ hybridization of the cyst epithelium.</p><p><b>RESULTS</b>Histo-pathological examination revealed that ciliated columnar cells, squamous cells and low-columnar cells were found in the superficial layer of the lining epithelium. Several minor salivary glands, mainly composed of seromucous cells were observed near the satellite cyst. CK18 were expressed in all layers of the lining epithelium of varying intensity. CK18 was negative in lining epithelium of the daughter cyst, but CK19 was positive. CK18-mRNA was expressed in all the layers of the lining epithelium, the salivary glands and daughter cysts.</p><p><b>CONCLUSIONS</b>Histological features and CK18 expression may be indicative of the possibility of salivary glandular and odontogenic differentiation.</p>