scholarly journals Benign Cementoblastoma Associated with an Impacted Third Molar inside Maxillary Sinus

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Rafael Correia Cavalcante ◽  
Maria Fernanda Pivetta Petinati ◽  
Edimar Rafael de Oliveira ◽  
Isabela Polesi Bergamaschi ◽  
Nelson Luis Barbosa Rebelatto ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Treatment Plan ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Computed Tomographic ◽  
Impacted Third Molar ◽  
Intraoral Approach ◽  
Left Maxillary Sinus ◽  
One Year

Introduction. Cementoblastoma is a rare and benign odontogenic mesenchymal tumor, often characterized by the formation of cementum-like tissue produced by neoplastic cementoblasts attached to or around the roots of a tooth.Case Report. 22-year-old male patient was referred to the Federal University of Paraná after occasional finding on a routine panoramic radiograph. Clinical examination suggested no alterations. Medical and family history presented no alterations as well. Computed tomographic (CT) showed the presence of a radiopaque area associated with the roots of the impacted third molar measuring 15 mm × 10 mm inside the left maxillary sinus. The treatment plan suggested was to surgically remove it under general anesthesia. An intraoral approach was conducted, using the Newmann incision from the superior left first molar to the retromolar area with anterior and posterior relaxant incisions. Using a Caldwell-Luc access next to the maxillary tuberosity region, the maxillary sinus was exposed and the calcified mass attached to the roots of the tooth was reached. Pathological mass removed was sent for histopathological investigation. Examination revealed dense, mineralized, cementum-like material and vascular soft tissue areas that consisted of cementoblasts. One-year follow-up shows no recurrence and absence of symptoms.

scholarly journals Conservative technique for the removal of implants displaced into maxillary sinus

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 69-75
Author(s):  
Andreia Moleta ◽  
Luise Machado Brasil ◽  
Edmar Rafael de Oliveira ◽  
Suyany Gabriely Weiss ◽  
Driele Gontarz ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Case Reports ◽  
Treatment Plan ◽  
Surgical Removal ◽  
Left Maxillary Sinus ◽  
The Right

Displaced dental implants into the maxillary sinus are relatively rare. Treatment consists of implant surgical removal. Objective: To present two case reports of the removal of implants displaced into maxillary sinus by a conservative technique. Case report: Report 1: A 44-year-old female sought for treatment complaining about headaches and recurrent sinusitis. In the anamnesis she reported she had been undergone placement of nine maxillary implants, fifteen years ago, with total loss of those elements. At the imaging exams it was possible to observe two displaced implants into the bilateral maxillary sinus, besides radiopaque image on the left maxillary sinus, compatible with maxillary sinusitis. Based on this data, the proposed treatment plan was the removal of the displaced implants through Caldwell Luc approach and sinusotomy in the left side, under general anesthesia. The patient has a follow-up of 6 months without complaints. Report 2: A 42-year-old male was referred to the Surgery and Maxillofacial Traumatology Department for implant removal from the right maxillary sinus. Patient underwent implant installation in the area around 9 months ago. In the computarized tomography it was possible to diagnose the implant migration into the right maxillary sinus. the proposed treatment plan was the removal of the displaced implant via Caldwell Luc Access by repositioning the bony window and sinusotomy. Results: Patient has been with no complaints at 30 days after surgery. Conclusion: The technique has been shown to be effective in treating the condition.

Dumbbell-shaped cervical spinal neurilemmoma presenting as neck mass

2005 ◽  
Vol 119 (12) ◽  
pp. 1018-1020 ◽  
Author(s):  
Cheng-Lin Lu ◽  
Ming-Hong Chen ◽  
Ting-Kuang Chao
Keyword(s):  
Neck Mass ◽  
Decompression Surgery ◽  
Computed Tomographic ◽  
Complete Tumour ◽  
Cervical Approach ◽  
Spinal Roots ◽  
Staged Operation ◽  
One Year ◽  
The Right

Cervical neurilemmoma may originate from any nerve sheath tissue in the neck including the vagus nerve, glossopharyngeal nerve, brachial plexus, sympathetic trunk and cervical spine. We report an unusual case of a dumbbell-shaped neurilemmoma arising from the cervical spinal roots in a patient who complained of having had a neck mass for several months. Computed tomographic scan and magnetic resonance imaging revealed a dumbbell-shaped tumour extending from the C4 spinal level through the intervertebral foramen into the right parapharyngeal space. Decompression surgery was performed first via the cervical approach. Five months later, the patient received laminectomy and a complete tumour excision. The symptoms and signs were significantly relieved without neurological sequelae. No evidence of recurrence was noted after one-year follow up. This two-staged operation could offer an alternative surgical approach yielding ideal therapeutic results in such a rare disease.

scholarly journals Dentigerous Cyst with Ectopic Third Molar Tooth in Maxillary Sinus causing Chronic Rhinosinusitis

2013 ◽  
Vol 6 (2) ◽  
pp. 106-107 ◽  
Author(s):  
Nitin Kumar Jain ◽  
Siddharth Vashistha ◽  
Megha Jain
Keyword(s):  
Maxillary Sinus ◽  
Chronic Rhinosinusitis ◽  
Nasal Septum ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Mandibular Condyle ◽  
Molar Tooth ◽  
Ectopic Eruption ◽  
Left Maxillary Sinus ◽  
Ectopic Third Molar

ABSTRACT Ectopic eruption of teeth into a region other than the oral cavity is rare although there have been reports of teeth in the nasal septum, mandibular condyle, coronoid process, palate, chin and maxillary sinus. Eruption of ectopic teeth in maxillary sinus usually is found incidentally on routine radiological investigations. We present a case of an ectopic maxillary third molar tooth with dentigerous cyst that caused chronic purulent sinusitis in left maxillary sinus. How to cite this article Jain NK, Vashistha S, Jain M. Dentigerous Cyst with Ectopic Third Molar Tooth in Maxillary Sinus causing Chronic Rhinosinusitis. Clin Rhinol An Int J 2013;6(2):106-107.

Re: Computed tomographic colonography (CTC) performance: one-year follow-up

2007 ◽  
Vol 62 (7) ◽  
pp. 711-712
Author(s):  
E.M. Armstrong ◽  
D.J.M. Tolan ◽  
A.H. Chapman ◽  
S.A. Taylor
Keyword(s):  
Computed Tomographic Colonography ◽  
Computed Tomographic ◽  
One Year

scholarly journals A Triage Approach to Managing a Two Year Wait-List in a Chronic Pain Program

2005 ◽  
Vol 10 (3) ◽  
pp. 155-157 ◽  
Author(s):  
Alexander J Clark ◽  
Ian Beauprie ◽  
Lynne B Clark ◽  
Mary E Lynch
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Fast Track ◽  
Treatment Plan ◽  
Treatment Recommendations ◽  
Management Unit ◽  
Waiting List ◽  
One Year ◽  
Referring Physicians

OBJECTIVE: Individuals with chronic pain referred to specialist chronic pain management programs frequently wait months to years for assessment and care. In the authors' pain management program, approximately 600 patients are on the waiting list. An innovative recommendation program to encourage and educate referring physicians to continue active care of pain during this waiting period was developed.METHODS: All referrals to the Queen Elizabeth II Health Sciences Centre's Pain Management Unit for a one-year period were reviewed and triaged as either 'regular waiting list' or 'fast track'. Patients in the fast track group were seen within four months and required limited interventions or were urgent in nature. The regular waiting list group waited up to 27 months for assessment and development of a treatment plan. Treatment recommendations were faxed to the referring physician. A follow-up questionnaire was sent to each physician to assess whether these treatment recommendations were useful.RESULTS: Recommendations were faxed for 297 patients. One hundred forty-nine physicians returned the follow-up questionnaire. Ninety-five physicians used the recommendations and 68 patients followed the recommendations. Seventy-nine physicians felt that the recommendations were helpful to them in their care of the patient. For 39 patients, the recommendations were helpful. The most frequently used recommendations were those on medications (eg, tricylic antidepressants, anticonvulsants, nonsteroidal anti-inflammatory drugs and controlled-release opioids). Other modalities included participation in an interdisciplinary group program and physiotherapy.CONCLUSIONS: A triage review process with recommendations faxed to referring physicians was developed and put into action for one year. The recommendations were used by 32% of the physicians (64% of responding physicians). Fifty-three per cent of responding physicians felt that the recommendations were helpful in the care of their patient. This process led to a benefit in care, as perceived by the physician, in 26% of patients (of physicians who returned the questionnaire [13% of all patients]) on the waiting list for a tertiary care pain management unit.

scholarly journals Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis

2017 ◽  
Vol 10 (2) ◽  
pp. 78-85
Author(s):  
Anjali Prakash ◽  
Anoop Raj ◽  
Vikram Wadhwa ◽  
Swati Tandon ◽  
Praveen K Rathore
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Multidetector Ct ◽  
Sinus Surgery ◽  
Prospective Clinical Study ◽  
Computed Tomographic ◽  
Preoperative Ct ◽  
Left Maxillary Sinus ◽  
Operating Surgeon

ABSTRACT Objective Chronic sinusitis affects more than 30 million people each year worldwide. Computed tomography (CT) has become a standard diagnostic tool in the evaluation of paranasal sinuses (PNS), but medical literature lacks studies correlating preoperative CT and intraoperative findings of functional endoscopic sinus surgery (FESS). The aim of our study was to evaluate ostiomeatal unit on multidetector CT (MDCT) and correlate findings of MDCT with intraoperative findings during FESS in patients with chronic sinusitis and hence check for its usefulness during surgery. Study design Prospective clinical study. Materials and methods Forty-nine patients with chronic sinusitis who visited the Lok Nayak Hospital, Delhi, India, between October 2010 and February 2012 were included in the study. All such patients underwent preoperative CT scan of PNS before surgery, i.e., FESS with or without septoplasty under general anesthesia. Results Maxillary sinus was found to be the most common sinus involved in chronic sinusitis. Preoperative CT findings correlated well with intraoperative findings for all sinuses except left maxillary sinus. Conclusion Multiplanar CT of nose and PNS helps to deli­neate the anatomy of nose and PNS, and drainage pathways of sinuses preoperatively. Therefore, the operating surgeon should be well versed with it. Progress of endoscopic sinus surgery can be partially attributed to revolution in imaging modalities. How to cite this article Tandon S, Rathore PK, Raj A, Prakash A, Wadhwa V. Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis. Clin Rhinol An Int J 2017;10(2):78-85.

scholarly journals An Easy and Effective Technique for Silicone Facial Implant Insertion and Fixation to Periosteum

2020 ◽  
Vol 10 (18) ◽  
pp. 6508
Author(s):  
Raffaele Rauso ◽  
Giorgio Lo Giudice ◽  
Carmelo Lo Faro ◽  
Giovanni Francesco Nicoletti ◽  
Romolo Fragola ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Complete Understanding ◽  
Effective Technique ◽  
Implant Placement ◽  
Intraoral Approach ◽  
One Year ◽  
The One ◽  
Implant Dislocation ◽  
Implant Displacement

In this paper, we present a simple way to place the implant into a harvested pocket and to subsequently fix it percutaneously. Eighteen patients (1 male, 13 females, 4 transgender), underwent facial implant placement; a total of 31 implants were placed (1 pair of angles of the mandible implants, 12 pairs of malar/sub-malar implants, and 5 chin implants). The intraoral approach was performed on 15 patients, and on the remaining three patients, the sub-ciliary lower lid approach was preferred. Patients were followed up for at least one year with a maximum follow-up of seven years (mean 1.8 years). In all the cases, except one, patients healed without complications. One case of implant displacement and infection was recorded. No other complication was documented. The technique described is similar to the one suggested by Peled, although some useful tips were added, namely the use of sutures, not only to fix the implant but also to drive it into the harvested pocket. In addition, larger absorbable “left in place” sutures were used, avoiding accidental implant dislocation during their removal. Further studies are required to gain a more complete understanding of the effectiveness and reproducibility of this surgical technique.

scholarly journals Coronectomy of Deeply Impacted Lower Third Molar: Incidence of Outcomes and Complications after One Year Follow-Up

2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Jimoh Olubanwo Agbaje ◽  
Guido Heijsters ◽  
Ahmed Sobhy Salem ◽  
Sarah Van Slycke ◽  
Serge Schepers ◽  
...  
Keyword(s):  
Third Molar ◽  
One Year

scholarly journals Primary epithelioid angiosarcoma originating from the mandibular gingiva: a case report of an extremely rare oral lesion

2020 ◽  
Author(s):  
Yuko Komatsu ◽  
Ikuya Miyamoto ◽  
Yu Ohashi ◽  
Katsunori Katagiri ◽  
Daisuke Saito ◽  
...  
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Oral Lesion ◽  
Epithelioid Angiosarcoma ◽  
Case Presentation ◽  
Mandibular Third Molar ◽  
Old Japanese ◽  
Molar Region

Abstract Background Angiosarcoma occurs very rarely in the oral cavity, and the epithelioid type is even rarer. Here, we report a rare case involving an elderly man with a primary epithelioid angiosarcoma that originated from the mandibular gingiva and resembled a dentigerous cyst on radiographs. Case presentation A 66-year-old Japanese man visited our hospital with a chief complaint of gingival swelling in right mandibular third molar region. A panoramic radiograph showed bone resorption around the crown of right mandibular third molar, which was impacted. Incisional biopsy confirmed a diagnosis of epithelioid angiosarcoma. The lesion exhibited aggressive proliferation after biopsy resulting in uncontrolled bleeding and difficulty in closing the mouth. Mandibular segmental resection including the tumor was performed without reconstruction. Because of the aggressive preoperative course of the tumor, the patient received adjuvant chemotherapy. There were no signs of recurrence during a 2-year follow-up period. ConclusionsA review of the literature yielded only four reported cases of epithelioid angiosarcoma in the jaw region, with the lesions occurring in the maxilla in three cases. To our knowledge, this is the second case of primary epithelioid angiosarcoma in the mandible.

scholarly journals Implants displaced into the maxillary sinus, an endoscopic approach - a report of two cases

2021 ◽  
Author(s):  
Antoine Berberi ◽  
Georges Aoun ◽  
Bouchra Hjeij ◽  
Maissa AboulHosn ◽  
Roy Hallak ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Natural Ventilation ◽  
Treatment Plan ◽  
Nasal Endoscopy ◽  
Surgical Approaches ◽  
Intraoral Approach ◽  
Appropriate Treatment ◽  
Oroantral Communication ◽  
Implant Displacement ◽  
Clinical Cases

Accidental implant displacement into the maxillary sinuses and accompanying complications are well documented in the literature. Two surgical approaches have been suggested to remove the displaced implants and to handle the related complications: an intraoral approach and the nasal endoscopy. The intraoral approach is preferred in cases of absence of local infection, ostium obstruction, and oroantral communication needing to be closed. The nasal approach, besides retrieval of displaced implants, allows the treatment of any associated pathology and reestablishment of the mucociliary clearance as well as the natural ventilation through the ostium. This article reports two clinical cases of implant displacement in the maxillary sinus treated with a nasal endoscopy through the middle meatal meatotomy. This article reports two clinical cases of implant displacement in the maxillary sinus treated with a nasal endoscopy through the middle meatal meatotomy. Implants accidentally displaced can be avoided by a proper exploration of the preoperative x-ray, selecting an appropriate treatment plan, and esteeming the surgical skills. The most appropriate approach to handle these complications is close cooperation between oral surgeons and otolaryngologists.

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