Pregnancy epulis is a common and benign vascular tumor that reaches 5% of pregnant women; it respects adjacent structures, such as bone, teeth, and sinus mucosa. This paper reports a rare case of ...extensive pregnancy epulis with alveolar bone lysis, tooth displacement, and sinusal floor lysis. A 23-year-old pregnant woman with 23 weeks of amenorrhea was referred to the Department of Oral and Maxillofacial Surgery with a large maxillary mass and spontaneous bleeding, causing difficulty in speaking and swallowing. Due to the rapid development, the stage of pregnancy, and the need for a sure diagnosis of a benign lesion, a surgical excision was performed. After 1 month, the patient recovered from swallowing and speaking. Pregnancy epulis can be locally aggressive and involve alveolar bone. Biopsy allows to confirm the diagnosis. Surgery during pregnancy or birth waiting should be well ponderated in correlation with the size of the tumor and the delay to birth.
Repairing surgical defects of the nose is still challenging due to its tridimensional shape and its aesthetic concern. Difficulty in reconstructing nasal subunits lies in their contour, skin texture ...and limited availability of adjacent skin. For lower nasal dorsum and supra-tip regions, we design a new combined local flap as existing local flaps may give disappointing results. This combination flap was performed on two patients for reconstruction of the lower nasal dorsum area after basal cell carcinoma excision. Size of the excision ranged from 20 to 25 mm diameter and safe margins were obtained. The defects were reconstructed with a local flap that combined a rotation nasal flank flap and a V-Y advancement nasolabial flap. Excision and reconstruction were performed in a one-stage surgery under intravenous sedation and local anesthesia. There were no postoperative complications and no flap loss occurred. Aesthetic and functional results after 6 months postoperatively were satisfying without modification of nasal shape. This flap is reliable and offers interesting functional and aesthetic outcomes. It can be considered as a new reconstruction alternative for supra-tip and lower nasal dorsum skin defects performed in a one-stage procedure under local anesthesia.
Gout is a frequent benign disease that rarely affects the temporomandibular joint (TMJ) alone. When it does, the disease is usually confined to the joint space and leads to pain and limitation of jaw ...opening (acute gout). The case described in this report is atypical in so far as it extended beyond the joint capsule into the pterygoid muscle and destroyed the head of the mandible, the temporal bone and the greater wing of the sphenoid bone. This clinical behaviour in combination with the radiographic appearance created the appearance of a benign but osteolytic lesion. The clinical, radiographic and biological features of gout in the TMJ are reviewed and treatment options are discussed.
Oculo-facio-cardio-dental syndrome: Two new cases Barthelemy, Isabelle; Samuels, Lesley; Kahn, David M. ...
Journal of oral and maxillofacial surgery,
08/2001, Letnik:
59, Številka:
8
Journal Article
The authors report their experience with a new procedure: the combination of a prefabricated superficial temporal fascia flap and a submental flap performed in an African hospital on five patients ...with cheek deformities caused by noma. The prefabricated superficial temporal fascia flap makes the inner lining of the cheek, which is anchored on the peripheral scar tissue. The submental flap is released during the second operation and makes the outer lining. The main advantages are the excellent aesthetic color of this last flap and the short distance between the donor site and the recipient site. Moreover, the submental flap is positioned in a single operation (when the outer-lining reconstruction is performed with a deltopectoralis flap, a third operation is necessary to cut the pedicle). None of the flaps failed, and the functional results were good. The prefabricated superficial temporal fascia flap and submental flap are versatile and reliable flaps, with reasonably long vascular pedicles, that can be used successfully, even under suboptimal conditions in weak patients with huge defects of the face.
Introduction : Les leucémies constituent un ensemble d’hémopathies malignes caractérisées par la prolifération de précurseurs des cellules sanguines appelés blastes. Elles sont classées en formes ...aiguës ou chroniques selon leur comportement clinique, et en type lymphoïde ou myéloïde, en fonction de leur origine histologique. Cette maladie peut survenir à tout âge, mais c’est après 40 ans que sa fréquence augmente, l’âge moyen du diagnostic étant de 65 ans. 25 % des cas sont diagnostiqués avant 25 ans ; les leucémies aiguës (notamment lymphoïdes) sont également la pathologie maligne la plus fréquemment rencontrée chez les moins de 15 ans. Des manifestations buccales sont retrouvées dans 95 % des cas pour les formes aiguës myéloïdes. Cette pathologie se traduit sur les plans clinique et biologique par la survenue d'une anémie, d'une neutropénie et d'une thrombopénie. Observation : Les manifestations buccales de notre cas reflètent toutes ces anomalies : pâleur des muqueuses, présence de pétéchies et d’une ulcération muqueuse probablement d’origine neutropénique. Discussion : Ce sont ces manifestations qui ont alerté l'équipe de soins et ont conduit à la prescription d’un bilan hématologique révélant la leucémie. Ceci montre qu’un simple examen attentif de la cavité buccale peut permettre de dépister une affection systémique sous-jacente. Introduction: Leukemias are a group of malignancies characterized by proliferation of precursors of blood cells named blasts. They are classified into acute and chronic forms, depending on their clinical behavior, and lymphocytic or myeloid, depending on their histological origin. This disease can occur at any age, but the incidence of the disease increases especially after 40 years of age; the average age at diagnosis is 65. 25% of cases are diagnosed before age 25; acute leukemias (especially lymphoid) are also the malignant disease most commonly found in children under 15 years old. Oral manifestations are found in 95% of cases for acute myeloid forms. This condition is reflected in the clinical and laboratory plans by the development of anemia, neutropenia and thrombocytopenia. Observation: The oral manifestations observed in the case presented in this article reflect these anomalies, with pale mucous membranes, petechiae and mucosal ulceration of neutropenic origin. Discussion: These events alerted the care team and led to the prescription of hematological evaluation revealing leukemia. This shows that a careful examination of the oral cavity may indicate an underlying systemic disease.
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