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J Oral Maxillofac Surg. 2013 Nov;71(11):1861-72. doi: 10.1016/j.joms.2013.05.010. Epub 2013 Jul 25.

Mandibular nerve schwannoma resection using sagittal split ramus osteotomy.

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  • 1Chief Resident, Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Texas Health Sciences Center, Houston, TX. Electronic address:


A case is presented of a unique presentation and treatment of a mandibular nerve schwannoma. Its uniqueness stems from the fact that it consisted of 2 distinct tumors along the same nerve: one within the body of the mandible and the other within the ipsilateral pterygomandibular space. Rather than the standard approach of lip split and hemimandibulectomy, a unique approach of a sagittal split ramus osteotomy was used that allowed access to the 2 lesions and avoided the added morbidity of the former approach. The 2 portions of the lesion were successfully removed and the patient was satisfied with the result. Recurrence has not been detected after 6 months.

Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

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