Surgical Treatment Difficulties of Mandibular Ramus Lesions

Objective: the aim of this study was to introduce the difficulties in manipulation and accessibility to the cyst and tumour lesions located in mandibular ramus during surgical operation procedures. methods: in this study, 21 patients with cyst and tumours in their mandibular ramus, who were treated by a surgery team at the suleyman demirel university, faculty of dentistry, oral and maxillofacial surgery between the years of 2000-2011 were examined retrospectively in terms of accessibility and manipulation difficulties to the region. while 18 patients were treated with enucleation and curettage, two patients were applied marsupialization and decompression treatment. one patient was subjected to partial resection because of ameloblastoma. results: the complications of permanent alveolar inferior nerve paresthesia in ameloblastoma case and temporary alveolar inferior nerve paresthesia in keratocystic odontogenic tumour case were observed. discussion: in the lesions located in mandibular ramus region, utilization of the tomographic imaging techniques, a very good knowledge about the anatomical structure of the region, and performing the operation by carefully determining the anatomical points for incision and access with the aids of visual examination, careful palpation or at least with a suitable hand tool are necessary.