In reply-We thank Drs Rao and Rao for their commentary

摘要

In reply-We thank Drs Rao and Rao for their commentary regarding our publication "Decompression as a Treatment for Odontogenic Cystic Lesions of the Jaw." In this study, our main aim was to evaluate the effectiveness of decompression as the initial treatment of odontogenic cystic lesions of the jaw involving factors that affect relative shrinking speed and bone regeneration, so there was less discussion about secondary definitive surgery and recurrence. Because of its aggressive nature and high recurrence rate, the treatment of keratocyst odontogenic tumor (KCOT) remains varied, which includes curettage plus liquid nitrogen cryotherapy, curettage plus Carnoy solution, curettage with peripheral ostectomy, localized en bloc resection, and occasionally mandibular segmental resection. In our study, for patients with KCOT, decompression followed by curettage with peripheral ostectomy was performed, which decreased the risk of injury to adjacent structures and the recurrence rate. We also support the treatment described by Drs Rao of using Carnoy solution as an adjunct to decompression, which is consistent with studies by Sivanmalai et al and Ribeiro Junior et al showing that Carnoy solution promotes a superficial chemical necrosis and lowers recurrence rates of odontogenic keratocyst.