1521 Oral Foregut Duplication Cyst in A Neonate: A Case Report and Review of The Literature

Abstract A four-day-old neonate was referred to the Oral and Maxillofacial Surgery department by the Paediatric medical team regarding a cystic lesion associated with the child’s lingual frenulum. The lesion appeared to be affecting feeding causing a potential failure to thrive. An MRI showed a 22 x 14 x 17 mm thin-walled oval cystic structure within the midline of the tongue/floor of the mouth. The decision was made with the family to surgically excise the lesion under a general anaesthetic. The histopathology results demonstrated the cyst to be lined with both gastric surface mucus cells and ciliated respiratory-type epithelium. The patient was diagnosed with having an Oral Foregut Duplication Cyst (OFDC), also known as a lingual choristoma, enteric duplication cyst or heterotopic gastrointestinal cyst of the oral cavity. OFDCs are benign developmental anomalies that contain foregut derivatives. The cyst linings can contain gastrointestinal, respiratory, squamous or mixed cell types. There are only approximately 58 cases reported in the literature, demonstrating the rarity of these lesions. OFDCs can be asymptomatic but in some neonates, they can present with difficulties feeding, swallowing and even has been shown to cause airway obstruction. If left in situ an OFDC can potentially go on to hinder speech development. Although rare, OFDCs should be considered in a differential diagnosis of congenital oral lesions and in particular those of the anterior floor of mouth and tongue. With the use of pre-op imaging to help planning, surgical excision is both diagnostic and therapeutic.

Download Full-text

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.

Download Full-text

Neonatal airway obstruction due to a massive lingual foregut duplication cyst

BMJ Case Reports ◽

10.1136/bcr-2019-233907 ◽

2020 ◽

Vol 13 (10) ◽

pp. e233907

Author(s):

Sepehr Shabani ◽

Bradley J Cheek ◽

Katrin Post-Martens ◽

Steven M Andreoli

Keyword(s):

Oral Cavity ◽

Airway Obstruction ◽

Head And Neck ◽

Alimentary Tract ◽

Surgical Excision ◽

Duplication Cyst ◽

Respiratory Epithelium ◽

Definitive Treatment ◽

Foregut Duplication Cyst

Foregut duplication cysts (FDCs) are rare malformations arising along primitively derived alimentary tract. Head and neck cases comprise 0.3% of all FDCs with 60% occurring in the oral cavity. We present a case of neonatal airway obstruction secondary to a prenatally diagnosed massive lingual FDC. Definitive treatment requires surgical excision. Histologically, the cysts are lined gastric and respiratory epithelium. FDC should be a consideration in prenatally diagnosed masses affecting the oral cavity.

Download Full-text

A Clinical Characters and Prognosis Analysis on 15 Cases With Malignant Melanoma in the Head and Neck

10.21203/rs.3.rs-120767/v1 ◽

2020 ◽

Author(s):

Xiaodong Liu ◽

Weixian Liu ◽

Qiuxu Wang

Keyword(s):

Malignant Melanoma ◽

Parotid Gland ◽

Head And Neck ◽

Histopathological Examination ◽

Maxillofacial Surgery ◽

Neck Region ◽

Surgical Excision ◽

Pathological Examination ◽

Oral And Maxillofacial Surgery ◽

Golden Standard

Abstract Objective: We analyze the pathogenesis, clinical characteristics, diagnosis, treatment and histological feature of Malignant Melanoma in the head and neck. To improve the understanding and help the early diagnosis and treatment of the disease. As a result, improve the treatment and prognosis of Malignant Melanoma in head and neck.Method: We collect 15 cases of Malignant Melanoma in the head and neck region treated in the Department of Oral and Maxillofacial Surgery in Shengjing Hospital of China Medical University. All data were obtained from patient’s medical records which including the pathogenesis, clinical and histological features, diagnosis, treatment and prognosis.Result: This study included 15 cases, there are 9 male and 6 female patients. The average age is 62.9 years lid, the oldest one is 75 years old and the youngest one is 40 years old. 2 cases occurred in the lip, 2 cases occurred in the tongue, 2 cases occurred in the submandibular area, 1 cases occurred in the parotid gland, 1 case occurred in the neck, other 7 cases occurred in the gingiva. The cases occurred in the lip, gingiva, tongue, parotid gland and submandibular area are primary tumor, cases occurred in neck were metastasis. 6 cases were treated by surgical excision. 1 cases occurred in gingiva was treated by surgical excision combine with chemotherapy. 5 years followed up has been taken. 10 cases were dead because of recurrence and metastasis in 5 years after the operation. 5 patients do not have a relapse and still alive.Conclusion: Malignant Melanoma in the head and neck are mostly affected the old people. In this study gingiva is the most commonly primary site, neck is the most commonly transferring site. The diagnosis of malignant Melanoma is mainly relying on the clinical manifestation and pathological examination. Histopathological examination is considered the golden standard for diagnosis. Surgical excision combined with chemotherapy is the main treatment modality for Malignant Melanoma. Cryotherapy and immunotherapy also have been used in the treatment. The prognosis of Malignant Melanoma is poor. So early detection and early treatment is important in the treatment.

Download Full-text

Pyogenic Granuloma: A Case Report

Journal of Gandhara Medical and Dental Science ◽

10.37762/jgmds.8-4.261 ◽

2021 ◽

Vol 8 (4) ◽

pp. 61-64

Author(s):

Maria Jabbar ◽

Hira Butt ◽

Nauman Rauf Khan

Keyword(s):

Case Report ◽

Oral Cavity ◽

Maxillofacial Surgery ◽

Surgical Excision ◽

Pyogenic Granuloma ◽

Oral And Maxillofacial Surgery ◽

Granulomatous Disease ◽

Second Trimester ◽

Solitary Nodule ◽

Abnormal Growth

Pyogenic granuloma is a type of inflammatory hyperplasia of the oral mucosa and skin that occurs commonly. Histopathologically, it mimics an angiomatous lesion instead of granulomatous disease. These lesions generally appear as a sessile papule or solitary nodule and may have a smooth or lobulated surface clinically. These granulomas present in a variety of sizes, ranging from a few millimeters to several centimeters. About 75% of the pyogenic granulomas of the oral cavity are associated with the gingiva. In this case report a 31 years old female presented in the department of oral and maxillofacial surgery with the complaint of abnormal growth of gingiva in maxillary anterior region. The patient was diagnosed with the pyogenic granuloma (pregnancy tumor), which had developed in the second trimester of her pregnancy. Surgical excision was done to remove the lesion.

Download Full-text

Treatment Modalities of Odontogenic Keratocyst of Maxilla and Mandible: Our Experience

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1344 ◽

2015 ◽

Vol 6 (4) ◽

pp. 208-212 ◽

Cited By ~ 1

Author(s):

Parveen Akhter Lone ◽

Mohan Singh ◽

Harpreet Singh Johar

Keyword(s):

Recurrence Rate ◽

Maxillofacial Surgery ◽

Surgical Excision ◽

Odontogenic Keratocyst ◽

Treatment Modalities ◽

High Recurrence Rate ◽

Oral And Maxillofacial Surgery ◽

Anterior Maxilla ◽

Radiographic Appearance ◽

Maxilla And Mandible

ABSTRACT Background Odontogenic keratocyst (OKC) is known for its most aggressive behavior, high recurrence rate and is most common odontogenic cyst of the jaws. After completion of odontogenesis, some remnants of dental epithelium remain in oral cavity and variety of cysts and tumor can develop from this odontogenic epithelium the most common being odontogenic keratocyst. The most common site of occurrence of OKC reported is mandibular body and ramus region. Objectives The aim of this study is to report the other frequent site of occurrence, different size of OKC in mandible and maxilla and different treatment modalities depending on size, age, and extent of the lesion. Materials and methods Ten patients were selected among the patients referred to the department of oral and maxillofacial surgery with cystic lesions on mandible and maxilla. After making diagnosis treatment planning was done depending upon the age, radiographic appearance and size of the lesion. Results Odontogenic keratocyst was found more in males than females, was found more in mandible than maxilla. Majority of the cases were in mandible angle ramus region followed by anterior maxilla. Seventy-six percent cases were multilocular radiolucencies, whereas 24% unilocular. Multilocular radiolucencies were treated by wide surgical excision, hemimandibulectomy, whereas unilocular radiolucencies were treated by enucleation. Conclusion It is concluded that treatment of OKC depends upon age, radiographic and clinical extent of lesion, unilocular or multilocular appearance, presence of daughter cysts, recurrence rate. How to cite this article Lone PA, Singh M, Johar HS. Treatment Modalities of Odontogenic Keratocyst of Maxilla and Mandible: Our Experience. World J Dent 2015;6(4):208-212.

Download Full-text

Foregut duplication cyst of the pharynx

The Journal of Laryngology & Otology ◽

10.1017/s0022215107001260 ◽

2007 ◽

Vol 122 (7) ◽

pp. 754-756 ◽

Cited By ~ 4

Author(s):

L Fraser ◽

A G Howatson ◽

F B MacGregor

Keyword(s):

Head And Neck ◽

Neck Region ◽

Rare Condition ◽

Surgical Excision ◽

Duplication Cyst ◽

Definitive Diagnosis ◽

Resonance Imaging ◽

Head And Neck Region ◽

Foregut Duplication Cyst ◽

Operative Evaluation

AbstractIntroduction:Foregut duplication cysts are heterotrophic rests of foregut-derived epithelium which are usually found in the abdomen and thorax; rarely are they found in the head and neck.Case report:We describe the case of a pharyngeal foregut duplication cyst presenting with airway obstruction in a neonate. We also review the pathology, investigation and management of this rare condition.Discussion:The occurrence of a foregut duplication cyst in the head and neck region mandates vigilance with respect to the airway. Magnetic resonance imaging is a useful part of pre-operative evaluation but cannot be relied upon for definitive diagnosis. Although foregut duplication cysts are benign lesions, definitive cure ultimately requires surgical excision, and this is often the means by which a definitive diagnosis is made. The prognosis for these lesions is excellent, with no reports in the literature of recurrence following excision.

Download Full-text

Congenital granular cell epulis: report of a case and review of the literature

African Journal of Oral Health ◽

10.4314/ajoh.v9i1.6 ◽

2019 ◽

Vol 9 (1) ◽

pp. 46-50

Author(s):

E.B. Edetanlen ◽

C.B. Ogboh

Keyword(s):

Soft Tissues ◽

Clinical Presentation ◽

Benign Lesion ◽

Maxillofacial Surgery ◽

Granular Cell ◽

Surgical Excision ◽

Oral And Maxillofacial Surgery ◽

Granular Cell Tumour ◽

Review Of The Literature ◽

New Born

Congenital granular cell tumour of the new born is a rare benign lesion of soft tissues which normally affects the maxillary alveolar ridge in neonates. Though benign, it can cause respiratory embarrassment and prevent feeding causing physical distress to the infant and psychological distress to the parents or guardian. Very few cases are reported in the literature. We aimed to highlight the clinical presentation, management and a brief review of the literature of the lesion.A case of a 3-day old baby who presented to the Oral and Maxillofacial Surgery Clinic University of Benin Teaching Hospital (UBTH) was used to illustrate the clinical presentation and management of congenital epulis.Congenital epulis of the new-born is a rare occurrence, though it can grow to a frightening size, it still remains a benign lesion with li le or no recurrence following surgical excision. The role of counselling to the parents cannot be over-emphasized.Keywords: Congenital, epulis, granular, newborn

Download Full-text

SURGICAL MANAGEMENT OF GENERALIZED GINGIVAL ENLARGEMENT – A CASE SERIES

Annals of King Edward Medical University ◽

10.21649/akemu.v20i3.1293 ◽

2016 ◽

Vol 20 (3) ◽

Author(s):

Muhammad Usman Akhtar ◽

Asif Nazir ◽

Samera Kiran

Keyword(s):

Surgical Management ◽

Tertiary Care ◽

Maxillofacial Surgery ◽

Case Series ◽

Surgical Excision ◽

Oral And Maxillofacial Surgery ◽

Lack Of Information ◽

Dental Practitioners ◽

Gingival Enlargement ◽

Tertiary Care Centers

Introduction: Generalized gingival enlargement is characterized by massive and exuberant gingival over-growth that poses social, aesthetic, phonetic and functional problems for the patient. Therefore, it requires meticulous management.Objective: To describe the surgical management of generalized gingival enlargement by electrosurgical excision of patients presenting to a tertiary care centre.Study Design: Case series.Materials and Methods: The study was conducted at the Department of Oral and Maxillofacial Surgery, de’Montmorency College of Dentistry, Lahore, from January 2010 to December 2012. A total of sixteen patients were operated by using electrosurgical approach under general anaesthesia for surgical excision of generalized gingival enlargement.Results: All of the sixteen patients, 11 males and 5 females, showed excellent healing postoperativelywithout any recurrent gingival overgrowth.Discussion: To the best of our knowledge, the current study presents the largest case series of generalized gingival enlargement. Most of these cases were with massive disease due to lack of information of the study population about their disease, delay in referral by the general dental practitioners, painless and innocent nature of the problem. Early referral of such patients to tertiary care centers can prevent the patients from social and psychological embarrassment.Conclusion: Electrosurgical excision is an excellent surgical technique for management of generalized gingival enlargement. Moreover, cross comparative studies are required to establish some diagnostic and therapeutic standards for such patients.

Download Full-text

Oral ulceration in Stüve-Wiedemann syndrome: a new presentation

BMJ Case Reports ◽

10.1136/bcr-2020-241530 ◽

2021 ◽

Vol 14 (8) ◽

pp. e241530

Author(s):

Kiran Singh ◽

Khaled Borghol ◽

Rhodri Williams ◽

Kevin McMillan

Keyword(s):

Autosomal Recessive ◽

Pain Threshold ◽

Maxillofacial Surgery ◽

Autosomal Recessive Disorder ◽

Oral And Maxillofacial Surgery ◽

General Anaesthetic ◽

Oral Lesions ◽

Skeletal Malformations ◽

Intralesional Steroid ◽

Pain Patients

Stüve-Wiedemann syndrome (SWS) is a rare, autosomal recessive disorder, causing dysautonomia and multisystem failure. Symptoms include skeletal malformations, restricted joint mobility and desensitisation to pain. Patients with SWS presenting with intraoral lesions are extremely rare and this is probably due to their shortened lifespan. We present a case of a 9-month-old patient who presented to our Oral and Maxillofacial Surgery (OMFS)Unit with a chronic inflamed ulcer affecting the tongue, secondary to trauma from erupting central incisors. We believe that depapillation in conjunction with an increased pain threshold contributed to its development. The patient was successfully treated by extraction of the lower central incisors and intralesional steroid injections under general anaesthetic. This case highlights that patients with SWS can present to the OMFS clinician with oral lesions and that they can be safely managed under general anaesthesia.

Download Full-text