Curettage and bone cementation is a commonly done procedure in the GCT of bone. The recurrence rates after this surgery are significant. We are trying to find the causes of recurrence and what all could be done to avoid or decrease its incidence.
A central mandibular giant cell tumor was diagnosed by aspiration puncture biopsy in a 25-year-old female patient. The "in toto" tumor surgery was performed, then the surgical bed was irrigated for 5 minutes with Carnoy's solution (acetic acid, chloroform and ethanol). This Carnoy solution is used to fix and destroy the residual tissue of the lesion by chemical cauterization. The bone defect is filled with iodoformed gauze. The immediate postoperative period showed normal healing due to a second intention and no signs of recurrence were observed in the 15-year clinical-radiological follow-up. In this treatment protocol, bone grafting should not be placed, because chemical cauterization damages the surface of the recipient bone bed.
Dear Raju: I send the poster in Spanish language of the year 2012 sent to the II International Conference of the FACULTY OF DENTISTRY National University of Córdoba. Argentina. When I find the last control Rx I send them to you. Best regards.
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