Radiographic Follow-Up during Orthodontic Treatment for Early Diagnosis of Sequential Supernumerary Teeth

Most supernumerary teeth are impacted and asymptomatic.Objective.The aim of this paper is to describe two cases of sequential development of supernumerary teeth in the mandibular premolar region, identified during orthodontic treatment.Reports.The first case describes the radiographic follow-up of a female patient that presented a supernumerary tooth at the age of 9 years and 10 months in the right mandibular premolar region, followed by a further supernumerary tooth in the left mandibular premolar region identified at the age of 11 years and 3 months. In the second case, the radiographic follow-up of a male patient demonstrated 3 supernumerary teeth in the premolar region at the age of 16 years. During orthognathic surgery planning at the age of 20 years and 5 months, a supplemental supernumerary tooth was found in the left mandibular region.Conclusion.Considering the late developing of supernumerary premolars, appropriate follow-up with panoramic radiographs of patients with previous experience of supernumerary teeth is essential for early diagnosis of supplemental premolars to prevent possible complications.

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Hypo-hyperdontia: a case report

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720150003000121063 ◽

2015 ◽

Vol 63 (3) ◽

pp. 331-336

Author(s):

Henrique Castilhos RUSCHEL ◽

Michelle DIAMANTE ◽

Paulo Floriani KRAMER

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Mixed Dentition ◽

Radiographic Examination ◽

Surgical Removal ◽

Dental Practice ◽

Supernumerary Teeth ◽

Supernumerary Tooth ◽

Adequate Treatment ◽

The Right

The occurrence of hypodontia (absence of teeth) and hyperdontia (presence of supernumerary teeth) in the same patient is a rarely seen condition in dental practice. Early diagnosis and adequate treatment are very important when addressing this abnormality in the mixed dentition. The approach will depend on the severity of the case and the timing of diagnosis. This paper reports the case of an 11-year-old patient with absence of the permanent maxillary lateral incisors and the mandibular second premolars, with concomitant presence of a supernumerary tooth in the region of the right mandibular lateral incisor. Based on physical and radiographic examination findings, a diagnosis of hypo-hyperdontia was made. The diagnostic and therapeutic management of the case is discussed. The treatment adopted was surgical removal of the supernumerary teeth and esthetic restoration to transform the permanent mandibular canines into lateral incisors.

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Unusual intramuscular locations as a first presentation of hydatid cyst disease in children: a report of two cases

BMC Pediatrics ◽

10.1186/s12887-021-02843-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ruba A. Khasawneh ◽

Ziyad M. Mohaidat ◽

Rawand A. Khasawneh ◽

Sohaib B. Zoghoul ◽

Yousef M. Henawi

Keyword(s):

Hydatid Cyst ◽

Hydatid Disease ◽

Rectus Femoris ◽

Mri Imaging ◽

Palpable Lump ◽

First Case ◽

Endemic Areas ◽

Wbc Count ◽

The Right

Abstract Background Hydatid disease is an endemic disease in many countries of the world including the Middle East. It mainly affects the liver and lungs. Intramuscular hydatid disease is rarely reported in children. Such uncommon localization of hydatid cyst may pose difficulties in the clinical and radiological diagnosis; hence affecting patient’s management and outcome even in endemic areas. Case presentation We herein describe intramuscular hydatid cysts in 2 different children. The first case is a 5-year-old boy who presented with a painless palpable lump over the right lumbar paraspinal region. His history was remarkable for sheep contact. His laboratory results revealed a mild increase in white blood cell (WBC) count and C-reactive protein. The lesion showed typical features of a hydatid cyst on ultrasound. Further imaging including ultrasound of the abdomen and CT of the chest, abdomen, and pelvis showed infestation of the liver and lung as well. The lesions were resected surgically without complications. The patient received Albendazole preoperatively and after surgery for 3 months. No evidence of recurrence was seen during follow-up. The second case is a 6-year-old girl who presented with an incidental palpable lump in her left thigh during her hospital admission for recurrent meningitis. Ultrasound and MRI imaging were performed demonstrating a unilocular cystic lesion in the left proximal rectus femoris muscle. A provisional diagnosis of hematoma vs. myxoma was given. Biopsy was performed and yielded blood products only. The lesion was resected surgically with a postoperative diagnosis of hydatid cyst. Blood tests performed afterward showed a positive titer for Echinococcus. The patient received Albendazole for 3 months. No evidence of recurrence was seen during follow-up. Conclusions Despite its rarity; skeletal muscle hydatid cyst should always be considered in the differential diagnosis of cystic muscle lesions in children in endemic areas even if imaging studies did not show any of the typical signs. This will improve patient outcome by preventing unnecessary cystic puncture which might lead to serious complications, such as anaphylaxis and local dissemination.

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Renal adenocarcinoma associated with hypertrophic osteopathy in a cat

Journal of Feline Medicine and Surgery Open Reports ◽

10.1177/2055116920962433 ◽

2020 ◽

Vol 6 (2) ◽

pp. 205511692096243

Author(s):

Sarah Elhamiani Khatat ◽

Rosario Vallefuoco ◽

Meryem El Mrini ◽

Morgane Canonne-Guibert ◽

Dan Rosenberg

Keyword(s):

Abdominal Mass ◽

New Bone Formation ◽

Abdominal Ultrasonography ◽

Radiographic Findings ◽

Renal Adenocarcinoma ◽

First Case ◽

Primary Neoplasm ◽

The Right ◽

Radiographic Changes

Case summary A 10-year-old neutered male domestic shorthair cat was diagnosed with renal adenocarcinoma associated with hypertrophic osteopathy. The cat was referred for chronic ambulation difficulties. The physical examination showed a painful thickening of all four limbs, a right cranial abdominal mass and a conjunctival hyperaemia. Radiographic findings were consistent with extensive periosteal new bone formation involving not only the diaphyses of the fore- and hindlimbs, but also of the pelvis, tarsus and carpus. Abdominal ultrasonography and CT revealed a mass within the right kidney and a primary neoplasm was suspected. A ureteronephrectomy of the right kidney was performed and histopathology confirmed the diagnosis of renal adenocarcinoma. Although clinical improvement of the lameness occurred after surgery, no radiographic changes of hypertrophic osteopathy lesions were observed at the 9-month follow-up. Relevance and novel information Feline cases of hypertrophic osteopathy are rarely reported in the literature and only a few of them were associated with abdominal neoplastic diseases. To our knowledge, this is the first case of renal adenocarcinoma associated with hypertrophic osteopathy in a cat.

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Periocular Cutaneous Mucormycosis Caused by Saksenaea erythrospora

Journal of Pediatric Infectious Diseases ◽

10.1055/s-0037-1608888 ◽

2017 ◽

Vol 14 (04) ◽

pp. 209-212

Author(s):

Bunyada Putthirangsiwong ◽

Pornchai Mahaisavariya ◽

Weerawan Chokthaweesak ◽

Dinesh Selva

Keyword(s):

Complete Recovery ◽

Molecular Techniques ◽

First Case ◽

Chronic Dacryocystitis ◽

Oral Itraconazole ◽

Periocular Region ◽

Cutaneous Mucormycosis ◽

The Right

Abstract Saksenaea erythrospora is a rare pathogen in humans. Ten adult cases have been previously reported, eight manifested with cutaneous infection, and two presented with invasive rhinosinusitis infection. The authors present a 16-month-old boy with progressive painful mass at the right medial canthus and upper cheek that was unresponsive to broad-spectrum antibiotics. He underwent an anterior orbitotomy and biopsy. Histopathology revealed broad nonseptate sterile hyphae and grew S. erythrospora, which was confirmed by molecular techniques. The patient was treated with intravenous liposomal amphotericin B and oral itraconazole combined with aggressive surgical debridement. The patient made a complete recovery without long-term complications at 4 months of follow-up. Primary cutaneous mucormycosis caused by S. erythrospora may rarely involve the periocular region and mimic chronic dacryocystitis. We report the first case of pediatric periocular cutaneous mucormycosis caused by S. erythrospora.

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Accelerated corneal endothelial cell loss in two patients with granulomatosis with polyangiitis following phacoemulsification

BMC Ophthalmology ◽

10.1186/s12886-020-01752-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Fang-Chi Hsiao ◽

Hung-Ta Chen ◽

Kuan-Jen Chen ◽

Yi-Jen Hsueh ◽

Yaa-Jyuhn James Meir ◽

...

Keyword(s):

Endothelial Cells ◽

Cataract Surgery ◽

Granulomatosis With Polyangiitis ◽

Corneal Edema ◽

Cell Loss ◽

Multiple Organs ◽

First Case ◽

Before And After ◽

The Right

Abstract Background Generally, the loss rate of human endothelial cells (HCEC) in routine cataract surgery is 8.5%. When the corneal endothelial cells density (ECD) drops, the HCEC may decompensate to keep cornea dehydration which leads to corneal edema. Granulomatosis with polyangiitis (GPA) is an uncommon autoimmune disease involving multiple organs including eyes such as conjunctivitis, scleritis, uveitis, and corneal ulcer. In this study, we report two cases of GPA whose corneal ECD decreased significantly after phacoemulsification cataract surgery. Case presentation In the first case of 69-year-old male with GPA, the ECD dropped 39.6% (OD) four months after phacoemulsification and 38.1% (OS) six months postoperatively respectively. At the final follow-up, the residual ECD was only 55% in the right eye in the 49th month, and 56% remained in the left eye in the 39th month. In the second case of 54-year old female, left ECD dropped 63.9% at the 4th month after surgery and 69.6% ECD remained at the 15th month postoperatively while similar ECD of right eye before and after left eye surgery. Conclusion Extensive preoperative ophthalmic evaluation and meticulous postoperative inflammation control should be applied to prevent severe loss of HCEC in GPA patients.

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Mandibular Tori Limiting Treatment of Carcinoma of the Upper Aerodigestive Tract

Clinical Medicine Insights Case Reports ◽

10.1177/1179547619856599 ◽

2019 ◽

Vol 12 ◽

pp. 117954761985659

Author(s):

Christopher M Low ◽

Daniel L Price ◽

Jan L Kasperbauer

Keyword(s):

Anterior Commissure ◽

Aerodigestive Tract ◽

Surgical Removal ◽

Robotic Assistance ◽

Direct Visualization ◽

Upper Aerodigestive Tract ◽

First Case ◽

Mandibular Tori ◽

The Right

Background: Mandibular tori are a rare cause of difficult direct visualization of the upper aerodigestive tract. In the setting of aerodigestive tract pathology necessitating direct visualization, removal of mandibular tori may be required to facilitate treatment. Methods: In the first case, large bilateral symmetric mandibular tori were removed to facilitate access to the anterior commissure and removal of a T1 glottic squamous cell carcinoma (SCC). In the second case, large bilateral mandibular tori were removed to access a markedly exophytic SCC in the right vallecula. Subsequently, the tumor was removed with robotic assistance with excellent exposure. Results: Both patients were free of recurrence at last follow-up. Conclusion: Mandibular tori are an uncommon cause of difficult direct laryngoscopy. In situations that require direct visualization of the anterior commissure or base of tongue for diagnosis and management of lesions, surgical removal of the tori may be required as in the cases presented here.

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The first case of gland inclusion in an intrapulmonary lymph node: a mimic of metastasis

World Journal of Surgical Oncology ◽

10.1186/s12957-019-1726-1 ◽

2019 ◽

Vol 17 (1) ◽

Author(s):

Chenglong Wang ◽

Yijia Cao ◽

Min Zeng ◽

Lijuan Wang ◽

Xiaojing Cao ◽

...

Keyword(s):

Lymph Node ◽

Mediastinal Lymph Node ◽

Needle Aspiration ◽

The Body ◽

Case Presentation ◽

Ectopic Tissue ◽

First Case ◽

Primary Lung Adenocarcinoma ◽

The Right

Abstract Background Lymph node inclusions are foci of ectopic tissue in lymph nodes, which were reported in different areas of the body. However, inclusions in the mediastinal lymph node are rare. Here, we report the first case of glandular inclusion within the parenchyma of the intrapulmonary lymph node in a patient with primary lung adenocarcinoma. Case presentation A computed tomography (CT) scan showed a solid pulmonary nodule in the right upper lobe in a 44-year-old man. After a fine needle aspiration biopsy diagnosis of adenocarcinoma, lobectomy and lymph dissection were performed. Histological sections of the lung demonstrated a papillary predominant adenocarcinoma and one intrapulmonary lymph node, which displayed glandular inclusion occupying the node parenchyma. The gland inclusion was very similar to metastasis, but was formed by two layers of epithelial cells, and the abluminal cells were positive for P63, P40, and CK5/6. The patient has remained alive without recurrence and metastasis at the last follow-up before publication. Conclusions It is very important to correctly diagnose a lymph node inclusion for proper clinical management.

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A Sialolith and a Megalith: a Report of Two Cases

Dental Update ◽

10.12968/denu.2020.47.1.71 ◽

2020 ◽

Vol 47 (1) ◽

pp. 71-74

Author(s):

Jawaad Ahmed Asif ◽

Paras Ahmad ◽

Tahir Yusuf Noorani

Keyword(s):

Early Diagnosis ◽

Salivary Glands ◽

Submandibular Gland ◽

Male Patient ◽

Clinical Relevance ◽

Diagnosis And Treatment ◽

Normal Functioning ◽

First Case ◽

Free Swelling

Sialolithiasis is considered as one of the most frequently encountered diseases of the salivary glands. The most susceptible site is the submandibular gland and its duct. However, megaliths have been sparsely reported in the literature. This article portrays management of a sialolith and a megalith in a 26-year-old and a 59-year-old male patient, respectively. The sialolith in the first case case was 4 mm long, whereas the second case demonstrated a megalith measuring 46 mm at its greatest size. Follow-up revealed normal functioning and a painless gland in the first case, while the second case showed no eventful complications. It is interesting to know that both patients remained relatively pain-free, despite having such longstanding sialolith/megaliths. After removal of the small sialolith, the gland regained its normal functioning swiftly, whereas in the case of the megalith, the gland removal was mandatory because such a longstanding megalith led to irreversible functional injury to the gland. CPD/Clinical Relevance: A giant sialolith can be easily misdiagnosed as a submandibular infection or neoplasm, especially when the patient presents with a longstanding pain-free swelling. Hence, early and appropriate referral and investigation is necessary for early diagnosis and treatment.

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Convexity Meningioma Presenting as Postpartum Eclampsia

Tropical Doctor ◽

10.1177/004947550303300126 ◽

2003 ◽

Vol 33 (1) ◽

pp. 53-54 ◽

Cited By ~ 2

Author(s):

Bello B Shehu ◽

Nasiru J Ismail

Keyword(s):

Early Diagnosis ◽

The Body ◽

History Of ◽

Neurological Features ◽

The Right ◽

The Brain ◽

Tomography Scan ◽

Progressive Weakness ◽

In Pregnancy

A 37-year-old woman, Para 5+0 presented with a 1 year history of recurrent convulsions and progressive weakness of the right side of the body. She had been treated for postpartum eclampsia in her last delivery but symptoms recurred 3 months later. Evaluation including computerized tomography scan of the brain suggested a parieto-temporal meningioma, which was completely excised at craniotomy. Histology confirmed this to be a meningioma. The patient was well at 8 months of follow up. The growth of meningiomas may increase during pregnancy due to presence of receptors for progestational hormones in the tumour and the meningioma may become symptomatic in pregnancy, presenting as eclampsia. Close follow up of patients with eclampsia is necessary to identify neurological features that may lead to a diagnosis of meningioma. Early diagnosis is essential if a good outcome is to be ensured.

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Two-Stage Treatment of Facial Asymmetry Caused by Unilateral Condylar Hyperplasia

Brazilian Dental Journal ◽

10.1590/0103-6440201302150 ◽

2014 ◽

Vol 25 (3) ◽

pp. 257-260 ◽

Cited By ~ 5

Author(s):

Samuel Porfírio Xavier ◽

Thiago de Santana Santos ◽

Erick Ricardo Silva ◽

Ana Célia Faria ◽

Francisco Verissimo de Mello Filho

Keyword(s):

Orthognathic Surgery ◽

Orthodontic Treatment ◽

Facial Asymmetry ◽

Two Stage ◽

Condylar Head ◽

Condylar Hyperplasia ◽

And Function ◽

Spontaneous Onset

Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.

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