Decompression of Mandibular Odontogenic Keratocyst Using A Custom Drain: A Technical Note

Abstract

The odontogenic keratocyst (OKC) is a benign but locally aggressive cyst that has a potentially high recurrence rate and morbidity associated with different treatment approaches. Decompression of odontogenic cysts is a well-established technique that has been shown to decrease the size of the cyst and need for sacrificing local structures during ensuing definitive treatment. Multiple devices have been previously described for decompression of OKCs utilizing varying drain material and modes of fixation, but have been complicated by device malposition, soft tissue overgrowth, poor hygiene, and suture dehiscence. This paper describes the application of a custom titanium drain (Biomet ® Jacksonville, FL) secured using bone screws for decompression of an OKC in a 77-year-old male.