scholarly journals Surgical treatment of unusual osteoma associated with homolateral radicular cyst of the maxillary sinus

2020 ◽  
Vol 26 (3) ◽  
pp. 30
Author(s):  
Elena Cantone ◽  
Aldo Torrisi ◽  
Antonio Romano ◽  
Antonia Cama ◽  
Giulia Foschi ◽  
...  
Keyword(s):  
Growth Factors ◽  
Maxillary Sinus ◽  
Surgical Approach ◽  
Histopathological Examination ◽  
Periodontal Regeneration ◽  
Complete Removal ◽  
Postoperative Recovery ◽  
Nasal Endoscopy ◽  
Radicular Cyst ◽  
The Right

Introduction: We described a rare clinical case of osteoma associated with homolateral radicular cyst of the maxillary sinus. Observation: Imaging showed two different lesions in the right maxillary sinus. We performed a combined surgical approach to completely remove the lesions and used a plasma rich in growth factors membrane to repair dental roots. No relapse after a 2 years follow-up was observed. Commentaries: The simultaneous presence of two large lesions, a 23,7 mm osteoma and a 33,7 mm radicular cyst in the same maxillary sinus, has been rarely described in the literature. Although nasal endoscopy and imaging are mandatory to assess the diagnosis, the definitive diagnosis was obtained after histopathologic examination. A combined surgical approach allowed a complete removal of both lesions, ensuring, at same time, an optimal surgical field. Plasma rich in growth factors membrane due to its cohesive properties was particularly useful in improving bone neoformation and periodontal regeneration. Conclusion: Diagnostic assessment of maxillary lesions requires nasal endoscopy, imaging and histopathological examination. If these lesions are symptomatic, they should be completely removed and minimally invasive surgery is indicated. Plasma rich in growth factors membrane ensures a good postoperative recovery.

scholarly journals Maxillary sinus aspergillosis: A case report of the timely failure to treatment

2019 ◽  
Author(s):  
Asma Beyki ◽  
Mahmud Zardast ◽  
Zahra Nasrollahi
Keyword(s):  
Case Report ◽  
Invasive Aspergillosis ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Tooth Extraction ◽  
Histopathological Examination ◽  
Maxillary Sinusitis ◽  
Eye Pain ◽  
Lower Jaw ◽  
The Right

Invasive aspergillosis of the paranasal sinuses is a rare and often misdiagnosed disease. This study reported a case of max- illary aspergillosis with a complete  headache and eye pain after tooth extraction with a large abscess in the relative jaw. Tenderness in the right temporal, lower jaw numbness and right eye proptosis was found. Histopathological examination was the suggestion of maxillary sinusitis with a fungal ball of aspergillus.

scholarly journals Respiratory Epithelium Lined Cyst of the Maxilla: Differential Diagnosis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
C. P. Martinelli-Kläy ◽  
S. Chatelain ◽  
F. Salvado ◽  
T. Lombardi
Keyword(s):  
Maxillary Sinus ◽  
Coming Out ◽  
Previous History ◽  
Respiratory Epithelium ◽  
Periodontal Pocket ◽  
Radicular Cyst ◽  
Diagnostic Challenge ◽  
Maxillary Cyst ◽  
The Right ◽  
Root Apices

Maxillary cysts, including the cysts lined by respiratory epithelium, can present a diagnostic challenge. We report an unusual case of a maxillary cyst on an endodontically treated tooth #16, in which the cavity was totally lined by a respiratory epithelium. The patient, a 35-year-old male, presented with a generalized chronic periodontitis and complained of a pain in the tooth #16 region. A periodontal pocket extending to the root apices with pus coming out from the gingival was found. A combined endodontic periodontal was observed on a panoramic radiography. CBCT-scan revealed a well-circumscribed radiolucent lesion at the apices of the distobuccal root of the 16. A communication with the right maxillary sinus cavity and a maxillary and ethmoidal sinusitis were also observed. The lesion was removed and histological examination revealed a cyst lined exclusively by respiratory epithelium. Ciliated and rare mucous cells were also observed. The diagnosis could evoke a surgical ciliated cyst mimicking the radicular cyst but the patient has no previous history of trauma or surgery in the maxillofacial region. It could also be an unusual radicular cyst in which the stratified squamous epithelium was destroyed by inflammation and replaced by a respiratory epithelium of the maxillary sinus.

scholarly journals Aggressive Adenoid Cystic Carcinoma of Maxillary Sinus in a 43-Year-Old Male: Rare Case Report and Review of Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Koorosh Rahmani ◽  
Shokouh Taghipour Zahir ◽  
Mohammad Baghi Yazdi ◽  
Alireza Navabazam
Keyword(s):  
Adenoid Cystic Carcinoma ◽  
Maxillary Sinus ◽  
Histopathological Examination ◽  
Tissue Mass ◽  
Adenoid Cystic ◽  
Sinus Wall ◽  
End Of Treatment ◽  
Rare Case Report ◽  
The Right ◽  
Immunohistochemical Studies

Adenoid cystic carcinoma (ACC) is a rare malignant tumor, mostly involving the minor salivary glands. Herein, we present a case of ACC in a 43-year-old man with symptoms of dental abscess as the initial presentation of the tumor. In spiral computed tomography (CT) scan, soft tissue mass with the erosion of maxillary sinus wall on the right side of the alveolar ridge was evident. Histopathological examination of the excised tumor with immunohistochemical studies (C-kit, Vimentin, pan-cytokeratin, p53, p63, and ki67 positive reaction) confirmed grade 2 ACC in the maxillary sinus. The patient underwent hemimaxillectomy and right-neck dissection. Due to the extension of tumor cells excessively into the surrounding tissues and involvement of orbital bone, complete and total resection of the tumor with safe margins could not be done. After surgery, adjuvant radiotherapy was considered for the patient. At the end of treatment, the patient lost his eye vision. Seventeen months from initial diagnosis, he was still alive without lung or distant metastasis.

scholarly journals Transnasal Marsupialization Using Endoscopic Sinus Surgery for Treatment of Keratocystic Odontogenic Tumor in Maxillary Sinus

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Masafumi Ohki
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Complete Removal ◽  
Odontogenic Tumor ◽  
Sinus Surgery ◽  
Surrounding Tissue ◽  
Nasal Discharge ◽  
Keratocystic Odontogenic Tumor ◽  
Impacted Tooth ◽  
The Right

Objective.We report the first utilisation of transnasal marsupialization to treat a keratocystic odontogenic tumor in the maxillary sinus of a 37-year-old man.Case Report.A 37-year-old man presented with a nasal discharge and right odontalgia. Computed tomography revealed an expanding cystic lesion with a calcificated wall containing an impacted tooth in the right maxillary sinus. The diagnosis was keratocystic odontogenic tumor. Transnasal marsupialization was performed using endoscopic sinus surgery to enlarge the maxillary ostium and remove a portion of the cystic wall. Pathological findings included lining squamous epithelium and inflammation. The remaining tumor shrank, becoming free of infection after surgery, without proliferation.Conclusion.Transnasal marsupialization using endoscopic sinus surgery is effective in treating keratocystic odontogenic tumors. It offers minimal surgical invasion and reductive change, making it advantageous for complete removal with fewer complications in the bones and surrounding tissue in the case of secondary surgery.

scholarly journals Prepubic Minilaparotomy as the Surgical Approach in Treatment of Prostate Disorders in Dogs. A Cadaver Study

2012 ◽  
Vol 56 (4) ◽  
pp. 677-680
Author(s):  
Piotr Trębacz ◽  
Marek Galanty
Keyword(s):  
Body Weight ◽  
Surgical Treatment ◽  
Surgical Procedures ◽  
Surgical Approach ◽  
Histopathological Examination ◽  
Abdominal Cavity ◽  
Cadaver Study ◽  
Tissue Specimens ◽  
The Right ◽  
Minilaparotomy Approach

Abstract The aim of the study was to assess the prepubic minilaparotomy approach in the surgical treatment of prostatic disorders in dogs. The technique of a limited approach to the prostate was developed on the fresh cadavers of 14 intact adult male dogs, diversified in regard to size and body weight. The abdominal cavity was opened in midline, from the right-sided prepubic parapenile incision. The cut was limited to 7 cm. Afterwards, it was expanded by self-retaining retractors: Gelpi, Weislander, Finnochetto Baby, and Adson. Finnochetto Baby and Gelpi retractors used in pairs enabled an adequate exposition of the prostate in small dogs. The Finnochetto Baby retractor enabled an adequate exposition of the prostate in medium dogs and the Adson retractor - in large and giant dogs. The Weislander and Gelpi retractors used individually did not allow for sufficient access to the prostate in any group of the cadavers. Prepubic minilaparotomy can be a useful surgical approach in the treatment of prostate disorders in dogs. It can be used especially for minor surgical procedures, e.g. sampling of large tissue specimens for histopathological examination, partial prostatectomy, or treatment of intraparenchymal cavitary lesions.

scholarly journals Primary sinonasal ameloblastoma - a rare cause of unilateral nasal obstruction

2019 ◽  
Vol 147 (9-10) ◽  
pp. 639-641
Author(s):  
Ognjen Cukic ◽  
Aleksandar Oroz ◽  
Nenad Miladinovic
Keyword(s):  
Computed Tomography ◽  
Nasal Cavity ◽  
Maxillary Sinus ◽  
Nasal Obstruction ◽  
Complete Removal ◽  
Odontogenic Epithelium ◽  
Complete Surgical Resection ◽  
History Of ◽  
Histopathologic Analysis ◽  
The Right

Introduction. Ameloblastoma is a rare, locally invasive benign jaw tumour, originating from odontogenic epithelium, and their presence in the sinonasal tract is usually due to their spread from the gnathic region of the maxilla. Primary sinonasal ameloblastoma is extremely rare, with only a handful of reported cases so far. The objective of this article was to describe a patient with a primary ameloblastoma of the right maxillary sinus and nasal cavity. Case outline. We report a case of a 67-year-old male patient with a year-long history of progressive unilateral nasal obstruction. Clinical and computed tomography examination revealed a mass in the right maxillary sinus and right nasal cavity. After an in-office biopsy under local anesthesia, which suggested the diagnosis of ameloblastoma, the patient underwent complete removal of the mass by a medial partial maxillectomy. Histopathologic analysis confirmed the diagnosis of ameloblastoma. Conclusion. Primary sinonasal ameloblastoma is clinically and radiographically similar to the more common pathology of this particular area and should be included in the differential diagnosis of the unilateral nasal obstruction. The treatment of choice is complete surgical resection. Due to the rarity of the disease, and a small number of cases described so far in the literature, there is still no consensus regarding the optimal surgical technique.

scholarly journals Emphysematous lesions in the right cranial lung lobe and torsion of the right medial lung lobe in a British shorthair cat: a case report

2017 ◽  
Vol 60 (No. 12) ◽  
pp. 706-711 ◽  
Author(s):  
Z. Dokic ◽  
W. Pirog
Keyword(s):  
Histopathological Examination ◽  
Serum Biochemistry ◽  
Postoperative Recovery ◽  
Clinical Findings ◽  
Acute Onset ◽  
Middle Lobe ◽  
Venous Flow ◽  
Lung Lobe ◽  
The Right ◽  
Lung Lobes

A three-year-old male British shorthair cat that had exhibited progressive lethargy and intermittent dyspnoea for 14 days was referred for evaluation of acute respiratory deterioration. Clinical findings included rapid and shallow breathing, pale mucous membranes, sound suppression on the right side, and a subcutaneous haematoma in the right epigastric area. Serum biochemistry analysis showed leukocytosis and thrombocytosis. Radiographs revealed hydropneumothorax, a broken eighth right rib, atelectatic right cranial lung lobe (RCrL), and consolidation of the right middle lobe (RML). Doppler examination revealed sonographic changes in the echotexture of both lobes and venous flow was absent in the twisted RML. Furthermore, bronchoscopy showed proximal narrowing of the cat’s RML bronchus. Exploratory surgery via medial sternotomy confirmed torsion of the RML and identified deteriorated gas-containing lesions in the collapsed RCrL. Both lung lobes were removed by standard lobectomy, and postoperative recovery was without major complications. Histopathological examination diagnosed multiple bullae and blebs, with significant subpleural haemorrhages in the atelectatic RCrL, whereas tissue congestion with haemorrhages, necrosis, and thrombosis typical for lung lobe torsion were observed in the RML. No other underlying aetiology was apparent. Two months post-operatively, the cat presented with similar acute onset of dyspnoea and spontaneous pneumothorax and was euthanised at the owner’s request. The autopsy revealed identical new emphysematous changes in the contra-lateral lung lobes that had been absent at the time of surgery. Emphysematous lesions, regardless of their origin, should be considered in the etiopathology of lung lobe torsion.  

scholarly journals Decompression as an effective primary approach to large radicular cyst in maxillary sinus: A case report

2015 ◽  
Vol 72 (7) ◽  
pp. 634-638 ◽  
Author(s):  
Vladimir Biocanin ◽  
Denis Brajkovic ◽  
Momir Stevanovic ◽  
Zoran Tatic ◽  
Miroslav Andric ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Cystic Lesion ◽  
Treatment Protocol ◽  
Radicular Cyst ◽  
Jaw Cysts ◽  
Intimate Contact ◽  
Close Proximity ◽  
Maxillary Cyst ◽  
The Right

Introduction. Therapeutic approach to jaw cysts may depend on their dimensions and localization. Enucleation of cystic lesion is not always preferable in the first act, especially if large cysts are in close proximity to important anatomical structures. The aim of this paper was to present the outcome of the treatment protocol comprising preoperative decompression and subsequent enucleation of a large maxillary cyst. Case report. A 21-year-old male patient with large asymptomatic radicular cyst in the right maxillary sinus was presented to our clinic. Cone-beam computed tomography (CBCT) showed a large cyst, which perforated the right anterior maxillary wall by 1.5 cm, and was in the intimate contact with the orbital floor. Surgical treatment of the cystic lesion comprised: preoperative decompression with biopsy in the first act and enucleation, performed under general anesthesia, 6 months after the observation period. Conclusion. Decompression with subsequent enucleation proved to be effective treatment of large radicular cyst in maxillary sinus with low-morbidity.

scholarly journals Neglected Giant Schwannoma of the Sciatic Nerve – A Case Report

2020 ◽  
Vol 5 ◽  
Author(s):  
Tariq Elemam Awad ◽  
Mohamed Hassan Mahmoud
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Postoperative Recovery ◽  
Good Prognosis ◽  
University Hospital ◽  
Sensory Deficits ◽  
Giant Schwannoma ◽  
The Right

Background : Schwannomas originating from the sciatic nerve are extremely rare and usually present as a pathological mass in palpable examination or pain located in the thigh. Motor and sensory deficits are observed more often when the size of the tumor is more than 40 mm.Case Description : A 19-years- old female patient was referred to Suez Canal University Hospital after 6 years of pain and 2 years of improper management. Neurological examination and MRI of the right thigh was done and revealed huge mass attached to the right sciatic nerve. Surgical excision was undertaken, carefully dissecting the lesion from the sciatic nerve. Histopathological examination revealed the tumor to be a schwannoma. The patient had marked postoperative recovery with marked pain reduction and improved neurological deficits.Conclusions : Schwannomas of the sciatic nerve are rare tumors eccentrically located on the nerve. Although rare, schwannoma of the sciatic nerve should be systematically suspected if thigh mass or persistent sciatica is reported. Surgical excision has good prognosis.

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