885 Surgical Removal of Unerupted Ectopic Maxillary Central Incisors - A Case Report

Abstract Introduction Maxillary incisors have a significant role on the facial aesthetics of an individual. Following trauma to the primary dentition, the maxillary incisors are vulnerable to eruption failure and occasionally root dilaceration. These teeth can be challenging to treat. Discussion This case report demonstrates the complex management of a 10-year-old male who presented with severely displaced and unerupted maxillary central incisors, following a history of dental trauma when he was 4 years old. Cone beam computed tomography revealed the upper maxillary central incisors to be lying transversely across the maxillary arch with the crowns directed superiorly and significantly close to the floor of the nose. The incisal edges of both crowns perforated the labial cortex of the maxilla. The roots of the maxillary central incisors were dilacerated with the apices directed superiorly. A multi-disciplinary approach was taken, with involvement from both maxillofacial surgery and orthodontic teams. Maxillofacial surgeons completed the surgical removal of the ectopic maxillary central incisors, rather than the more common approach of surgical exposure and orthodontic repositioning. In this case, full alignment of these teeth would most likely have led to perforation of the labial cortical plate of bone. Conclusions Although surgery was complex and technique sensitive, both teeth were successfully removed under general anaesthesia with no iatrogenic damage. The patient underwent fixed orthodontics to align the maxillary lateral incisors as central incisors. A multidisciplinary approach along with careful surgical planning and effective communication with the patient and his mother helped to achieve a satisfactory outcome.

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OUTCOME OF DELAYED REPLANTED AVULSED MAXILLARY INCISORS

10.36106/ijsr/1320496 ◽

2020 ◽

pp. 6-7

Author(s):

Seema Yadav

Keyword(s):

Case Report ◽

Dental Trauma ◽

Age Group ◽

Facial Growth ◽

Tooth Avulsion ◽

Maxillary Incisors ◽

Surrounding Bone

Tooth avulsion occurs most frequently in the age group of 7 to 14 years with maxillary central incisors predominantly affected. Avulsion usually occurs in patients during the period of facial growth, therefore in such situation, it is necessary to maintain the replanted tooth and the surrounding bone till the growth is complete . This case report describes the progressive replacement resorption of delayed replanted avulsed maxillary central and lateral incisors following dental trauma after four years

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Primary Tuberculous Lymphadenitis: a Rare Case Report

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2018-0019 ◽

2018 ◽

Vol 22 (2) ◽

pp. 106-110

Author(s):

Mustafa Mert Açikgöz ◽

Ayşem Yurtseven ◽

Gülsüm Ak

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Maxillofacial Surgery ◽

Excisional Biopsy ◽

Oral And Maxillofacial Surgery ◽

Tuberculous Lymphadenitis ◽

Rare Case Report ◽

Long Term Follow Up

SummaryBackground/Aim: Our aim is to describe multidisciplinary approach to primary tuberculous lymphadenitis with a case report.Case Report: A 6-year-old boy was referred to İstanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery with the symptoms of painless extra-oral abscess and lymphadenopathy. The diagnosis of primary tuberculous lymphadenitis was proved by microbiological culture and ultrasound imaging.Conclusions: Combine tuberculosis treatment should be applied and long term follow up is necessary. Excisional biopsy for tissue diagnosis and bacterial examination with culture should be performed for an early diagnosis as a delay in treatment can lead to devastating consequences.

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Cervical myelopathy caused by invagination of anomalous lamina of the axis

Journal of Neurosurgery Spine ◽

10.3171/2013.8.spine13325 ◽

2013 ◽

Vol 19 (6) ◽

pp. 694-696 ◽

Cited By ~ 6

Author(s):

Hironobu Sakaura ◽

Yukihiko Yasui ◽

Toshitada Miwa ◽

Tomoya Yamashita ◽

Kenji Ohzono ◽

...

Keyword(s):

Cervical Myelopathy ◽

Spinous Process ◽

Ossification Center ◽

Surgical Removal ◽

Sensory Disturbance ◽

Satisfactory Outcome ◽

History Of ◽

One Year ◽

The Right ◽

Underlying Pathogenesis

The authors report a case of cervical myelopathy caused by invagination of the bilaterally separated lamina of the axis. They also present a literature review. The patient was a previously healthy 68-year-old man with a 1-year history of slowly progressive gait disturbance, right-hand clumsiness, and right dominant sensory disturbance in his trunk and extremities. Both MRI and CT showed that the spinal cord was markedly compressed at the C2–3 level, on the right side, by a deeply invaginated anomalous lamina of the axis. A bilaterally separated lamina was also visible. The patient underwent removal of the anomalous invaginated fragment of the separated lamina and the spinous process of the axis. One year after surgery, his myelopathic symptoms had almost completely resolved. Here, the authors present the case of a patient with an extremely rare anomaly of the lamina of the axis. The underlying pathogenesis of this anomaly could be the failure of the 2 chondrification centers on either side to fuse into a single ossification center. Surgical removal of the anomalous invaginated lamina produced a satisfactory outcome.

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A Case Report of Malaria-associated Secondary Hemophagocytic Lymphohistiocytosis and a Review of the Literature

10.21203/rs.3.rs-33600/v1 ◽

2020 ◽

Author(s):

Xiao Zhou ◽

Meili Duan

Keyword(s):

Intensive Care ◽

Hemophagocytic Lymphohistiocytosis ◽

Multidisciplinary Approach ◽

Review Of The Literature ◽

Intermittent Fever ◽

Case Presentation ◽

Satisfactory Outcome ◽

History Of ◽

Secondary Hemophagocytic Lymphohistiocytosis

Abstract Background: Malaria-associated secondary hemophagocytic lymphohistiocytosis (HLH) is rare. Moreover, the literature on malaria-associated HLH is sparse, and there are no similar cases reported in China.Case presentation: We report a case of a 29-year-old young woman with unexplained intermittent fever who was admitted to our hospital due to an unclear diagnosis. The patient concealed her history of travel to Nigeria and Dubai before onset. We made a diagnosis of malaria-associated secondary HLH. The treatment strategy for the patient included treatment of the inciting factor (artemether for 9 days followed by artemisinin for 5 days), the use of immunosuppressants (steroids, intravenous immunoglobulin) and supportive care. The patient was discharged in normal physical condition after 25 days of intensive care. No relapses were documented on follow-up at six months and 1 year. Conclusion: Early diagnosis of the primary disease along with timely intervention and a multidisciplinary approach can help patients achieve a satisfactory outcome.

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Extragenital endometriosis with lesions of the small and large intestine, the formation of a pathological cavity draining to the anterior abdominal wall (case report)

Koloproktologia ◽

10.33878/2073-7556-2021-20-1-46-52 ◽

2021 ◽

Vol 20 (1) ◽

pp. 46-52

Author(s):

I. V. Nazarov ◽

T. Khabibullakh ◽

I. V. Barinova ◽

D. M. Belov

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Anterior Abdominal Wall ◽

Female Reproductive System ◽

Benign Diseases ◽

Target Organs ◽

Extragenital Endometriosis ◽

History Of ◽

Small And Large Intestine

Extragenital endometriosis is one of the most severe benign diseases of the female reproductive system, characterized by different site of target organs. This pathology is associated with the development of severe complications, the treatment of which requires a multidisciplinary approach. This case report is dedicated to the experience of treating a patient with a history of multiple surgical procedures and long-term undiagnosed deep infiltrative endometriosis, complicated by abdominocutaneus endometriotic fistula.

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Outcome of Surgical Excision for Managing the Oral Pyogenic Granuloma

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i32a31724 ◽

2021 ◽

pp. 127-133

Author(s):

Ameer Gul ◽

Muhammad Shahzad ◽

Ali Raza Abbasi ◽

Tariq Hussain Shaikh ◽

Taimoor Ali Khan ◽

...

Keyword(s):

Maxillofacial Surgery ◽

Surgical Excision ◽

Pyogenic Granuloma ◽

Oral And Maxillofacial Surgery ◽

Surgical Removal ◽

Moderate Pain ◽

Mild Pain ◽

Valuable Procedure ◽

History Of ◽

Surgery Department

Objective: To determine the outcome of surgical removal of oral pyogenic granuloma in terms of post-operative pain (POP), post-operative healing and post-operative infection. Materials and methods: This observational study was conducted at Oral and Maxillofacial Surgery department, Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad, from October 2018 to March 2019. Patients of oral pyogenic granuloma, 18-45 years old and either of gender were included. Surgical process of oral pyogenic granuloma were done under local anesthetic by giving infiltration surrounding deep oral pyogenic granuloma by 2% Xylocaine along with adrenaline. Patients were followed for three weeks on weekly basis to access post-operative complications including post-operative healing. Data was collected via study proforma. Results: Total 37 patients took part in the study; their mean age was 47.86+7.61 years. On 1st week assessment all patients were noted with history of mild pain, moderate pain and severe pain (19, 10 and 8 cases respectively), while healing was achieved in 19 patients. On second week assessment 25 patients exhibited mild pain and 6 exhibited moderate pain and healing was achieved by 16 patients. On 3rd week assessment, only 09 patients exhibited mild pain and mostly were healed few cases showed minor infection. Conclusion: It was concluded that surgical removal is valuable procedure for the management of pyogenic granuloma of oral cavity with lower rates of post-operative infection and pain, and highest rates of post-operative healing.

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Multidisciplinary Approach for Correction of Obstructive Sleep Apnea

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1170 ◽

2016 ◽

Vol 6 (3) ◽

pp. 189-193

Author(s):

VK Ravindranath ◽

Aarti B Madhaswar ◽

Prateek N Daga

Keyword(s):

Obstructive Sleep Apnea ◽

Case Report ◽

Sleep Apnea ◽

Multidisciplinary Approach ◽

Facial Trauma ◽

Surgical Removal ◽

Central Incisor ◽

Lower Lip ◽

Obstructive Sleep ◽

Patient Reported

ABSTRACT Obstructive sleep apnea (OSA) is the most common type of sleep apnea and is caused by complete or partial obstructions of the upper airway. In this study we are presenting a case report of 11-year-old male patient with enlarged adenoids and tonsils, convex profile, receded chin, lower lip trap, class II skeletal and dental relationship with increased overjet. Surgical removal of enlarged adenoids was done before commencement of twinblock therapy. After this, two-step advancement with expansion in both arches utilizing twin blocks was planned. Four months into the treatment, patient reported with history of facial trauma with avulsed maxillary left central incisor. Twin block was then modified with pontic as replacement for maxillary left central incisor. Sagittal correction resulting in class I molar relationship was achieved in next 6 months. Fixed appliance therapy was followed. The design of the appliance and the results achieved after the postfunctional therapy are presented in this case report. How to cite this article Madhaswar AB, Ravindranath VK, Daga PN. Multidisciplinary Approach for Correction of Obstructive Sleep Apnea. J Contemp Dent 2016;6(3):189-193.

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First Autochthonous Infection of a Cat with Dirofilaria immitis in Austria

Pathogens ◽

10.3390/pathogens10091104 ◽

2021 ◽

Vol 10 (9) ◽

pp. 1104 ◽

Cited By ~ 1

Author(s):

Lisa-Maria Kulmer ◽

Maria Sophia Unterköfler ◽

Hans-Peter Fuehrer ◽

Varvara Janovska ◽

Matus Pagac ◽

...

Keyword(s):

Case Report ◽

Dirofilaria Immitis ◽

Complete Blood Count ◽

Clinical Signs ◽

Surgical Removal ◽

Negative Results ◽

Heartworm Disease ◽

History Of ◽

One Year ◽

The Right

This case report is about a seven-year-old male neutered European Shorthair cat infected by Dirofilaria immitis as the first reported autochthonous Dirofilaria immitis infection in Austria. There was no history of periods abroad. Echocardiography showed suspected D. immitis in the right cardiac chamber with increased pulmonary pressure and ascites. Surgical removal of the heartworms was performed. Twenty adult heartworms were removed by transvenous jugular approach under general anesthesia and stored in 4% formalin. Five out of 20 specimens were examined via light and stereomicroscopy and feline heartworm infection was confirmed. Amplification of a 203 bp or 724 bp fragment of the cytochrome c oxidase subunit I gene was unsuccessful. After surgery the cat developed acute renal failure but recovered quickly. One year later, the cat underwent a control examination including echocardiography and blood work. There were no more D. immitis detectable at echocardiography. Lung pressure was mildly increased. Complete blood count and creatinine were unremarkable. The Knott’s test and Dirofilaria-Antigen-test produced negative results. The cat did not show any clinical signs during the follow-up period. The aim of this case report is to highlight the growing risk of acquiring infection with D. immitis not only for Austrian dogs, but also for cats. This case report represents the first report of autochthonous D. immitis infection in Austria. Moreover, even if the prognosis in cats with caval syndrome due to feline heartworm disease is guarded to poor, surgical removal of the filariae can be a successful treatment option.

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Compound odontoma associated with dentigerous cyst in the anterior mandible – case report

RSBO ◽

10.21726/rsbo.v12i1.178 ◽

2016 ◽

Vol 12 (1) ◽

pp. 98

Author(s):

Radamés Bezerra Melo ◽

Yuri Edward de Souza Damasceno ◽

Celio Armando Couto da Cunha Junior ◽

Igor Vasconcelos Pontes

Keyword(s):

Case Report ◽

Dentigerous Cyst ◽

Maxillofacial Surgery ◽

Young Patients ◽

Radiographic Examination ◽

Oral And Maxillofacial Surgery ◽

Surgical Removal ◽

Impacted Tooth ◽

Follicular Cyst ◽

Compound Odontoma

Introduction: The dentigerous cyst, also called a follicular cyst is an odontogenic cyst that develops in association with crown of an impacted tooth, predominantly in mandibular third molars of young patients. The Odontoma is a ectomesenquimal tumor of unknown origin that are more considered developmental malformations (harmatomas) than benign neoplasms. Occasionally, the dentigerous cyst is associated with odontoma. Objective: The article aims to report a case of surgical treatment of dentigerous cyst associated with compound odontoma and unerupted tooth in anterior region of the mandible. Case report: A male patient, 17 years of age, without systemic changes, was sent to the Center for Dental Specialties of Horizonte, Ceará, Brazil, specialty of Oral and Maxillofacial Surgery, for diagnosis and treatment of oral lesions visualized after periapical radiographic examination to determine failed eruption of element 42. Observing the periapical radiograph it was possible to visualize radiopaque lesion suggestive of a compound odontoma and a cystic capsule in association with the element 42. A panoramic radiographwas requested and it was planned a surgical removal of odontoma with curettage of bone cavity and removing the cystic capsule and element 42. There were no significant postoperative complications, the suture removal was performed 7 days after surgery where it was possible to observe a good healing, no swelling and no paresthesia. Conclusion: The treatment of choice is surgical excision of the lesions with the tooth associated to the cyst, it should be performed with proper planning, avoiding injury to vital structures and should not be delayed in order to avoid possible occlusion sequelae.

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