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Open Access Methodology

Piezoelectric-assisted removal of a benign fibrous histiocytoma of the mandible: An innovative technique for prevention of dentoalveolar nerve injury

Maximilian EH Wagner1, Majeed Rana1*, Wolfgang Traenkenschuh2, Horst Kokemueller1, André M Eckardt1 and Nils-Claudius Gellrich1

Author Affiliations

1 Department of Cranio-Maxillo-Facial Surgery, Hannover Medical School, Germany

2 Department of Pathology, Hannover Medical School, Germany

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Head & Face Medicine 2011, 7:20  doi:10.1186/1746-160X-7-20

Published: 31 October 2011

Abstract

In this article, we present our experience with a piezoelectric-assisted surgical device by resection of a benign fibrous histiocytoma of the mandible.

A 41 year-old male was admitted to our hospital because of slowly progressive right buccal swelling. After further radiographic diagnosis surgical removal of the yellowish-white mass was performed. Histologic analysis showed proliferating histiocytic cells with foamy, granular cytoplasm and no signs of malignancy. The tumor was positive for CD68 and vimentin in immunohistochemical staining. Therefore the tumor was diagnosed as primary benign fibrous histiocytoma. This work provides a new treatment device for benign mandibular tumour disease. By using a novel piezoelectric-assisted cutting device, protection of the dentoalveolar nerve could be achieved.

Keywords:
Piezosurgery; benign fibrous histiocytoma; mandibular tumor; dentoalveolar nerve; atraumatic bone surgery