scholarly journals Lepromatous palate perforation and its surgical repair: a case report

Author(s):  
Amardeep Singh ◽  
Manjunath K. ◽  
Akash Aradhya S. ◽  
Manjunatha Rao S. V.

<p class="abstract">Involvement of oral cavity in lepromatous leprosy has been observed in 19-60% cases and has been described as late manifestation of disease. About 75% of oral lesions have been observed in the anterior part of hard palate which may result in debilitating complications like perforation of hard palate. We present a case of lepromatous perforation of hard palate that was effectively treated by multidrug therapy for the primary disease. The patient was declared disease free by slit skin smear method and reparative surgery of perforation was done with good results.</p>

Author(s):  
Indu Palanivel ◽  

Necrotizing Sialometaplasia is rare and in the oral cavity it accounts <1% of all biopsied lesion. For decades Necrotizing Sialometaplasia were treated by conservative management as it is a self healing lesion. The progressive healing period was reported from 2 weeks to 3 months in the literature. Is necrotizing sialometaplasia a self-limiting disease? Here we report a case of non-healing necrotizing sialometaplasia which was treated by surgical management. Complete regression of the lesion was evident after the surgical management and no recurrence until two years of follow-up.


1970 ◽  
Vol 10 (1) ◽  
pp. 57-59
Author(s):  
M Irfan ◽  
RR Ramli ◽  
AK Shamim ◽  
A Pohchi

Although osteosarcoma is the most common primary bone cancer, the incidence in head and neck bony structures is extremely low. As the surgical treatment requires a wide margin excision, the operation usually will be very challenging especially if it involves midline structures. We report a case of a young gentleman who had a bony growth over the epicenter of the hard palate which rapidly occupies the whole oral cavity within 6 months duration. The outline of management is discussed. Keywords: Osteosarcoma; hard palate. DOI: 10.3329/bjms.v10i1.7322 Bangladesh Journal of Medical Science Vol.10 No.1 Jan 2010 pp.57-59


2017 ◽  
Vol 16 ◽  
pp. 1-6
Author(s):  
Marcelo Carlos Bortoluzzi ◽  
Ramon Cesar Godoy Gonçalves ◽  
Cristina Maria de Freitas Zanellato ◽  
Juliana Cama Ramacciato ◽  
Roberto de Oliveira Jabur

Kaposi’s sarcoma (KS) is a locally aggressive multicentric mucocutaneous malignant neoplasm. The aim of this article is to report and discuss the immunohistochemical profile of a rare case of classic primary Oral Kaposi’s sarcoma presenting on the hard palate of a female patient which was non-HIV and was not immunocompromised.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Ahmed Brahim Ahmedou

Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by Gram positive anaerobic bacteria. Actinomycosis of the head and neck is an uncommon and frequently misdiagnosed, actinomycosis can mimic many other diseases, including neoplasms, and the diagnosis may be difficult to establish. The following study reports a 70-year-old man with a painful ulcerations of the oral cavity for 6 months, he had been a smoker for 18 years; In addition, the patient had been diagnosed with epidermoid carcinoma of the lung 1 years previously, which was in remission after a radio chemotherapy. The diagnosis was confirmed by histopathological examination so he was treated with a regimen of oral ampicillin. Histopathological examination is the most reliable diagnostic tool to define the diagnosis. A high diagnostic index of suspicion for actinomycosis when ulcérative lesion of palate occurs benefits to the patient and the practitioner.


2006 ◽  
Vol 43 (3) ◽  
pp. 367-369 ◽  
Author(s):  
Kusai A. El-Musa ◽  
Ramzi S. Shehadi ◽  
Sameer Shehadi

Epignathus is an extremely rare, benign, congenital teratoma that arises from within the oral cavity and may be attached to the mandible, palate, or base of the skull. Because of its location, it can cause airway and feeding problems, as well as secondary defects due to the presence of an intraoral tumor. This tumor usually causes death in neonates, due to airway obstruction. Surgical removal is usually impossible, especially in large tumors (Stone, 1951; Bennett, 1970). A patient with a neonatally diagnosed nonobstructive palatopharyngeal epignathus is described. It was associated with a shortened palate, cleft uvula, and velopharyngeal insufficiency, and was successfully excised surgically.


2020 ◽  
Vol 11 (02) ◽  
pp. 349-352
Author(s):  
Rajeev Sharma ◽  
Prasenjit Das ◽  
Arvind Kairo ◽  
Shashank S. Kale

AbstractDrug-induced gingival overgrowth (DIGO) secondary to chronic phenytoin intake for seizure control is a well-recognized phenomenon. Phenytoin-induced gingival overgrowth (PIGO) usually resolves gradually following cessation of phenytoin intake. It is usually seen throughout the dentate regions of the maxillary and mandibular dental arches, but more severely affect their anterior portions exposed to atmosphere. We report a rare case of PIGO predominantly involving hard palate and floor of oral cavity, which has not been reported in English literature till date.


2022 ◽  
pp. 004947552110686
Author(s):  
Pallavi Hegde ◽  
Deepti Jaiswal ◽  
Varsha M Shetty ◽  
Kanthilatha Pai ◽  
Raghavendra Rao

Reactions in leprosy represent sudden shift in the immunological response and are seen in 11–25% of affected patients. It can be seen before, during or after the completion of multidrug therapy (MDT). 1 Two types of reactions are recognized; Type 1 reaction (T1R), seen in borderline leprosy, affecting mainly skin and nerves; type 2 reaction (T2R) or erythema nodosum leprosum (ENL), seen in lepromatous leprosy, characterized by systemic features in addition to cutaneous lesions. Trophic ulcers and ulcerating ENL are well known entities while cutaneous ulceration in T1R is extremely rare; we describe an immune-competent woman with cutaneous ulceration as a presenting feature to highlight the need to recognize this entity at the earliest opportunity.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mekonen Eshete ◽  
Fikre Abate ◽  
Taye Hailu ◽  
Mulualem Gessesse ◽  
Azeez Butali

Foreign bodies embedded in the palate are uncommon findings and may occasionally mimic oral lesions. In the majority of the cases, foreign body embedment in the palate happens in infants and children who are unable to give history. Physical examination in the oral cavity of this group of patients in order to arrive at a definitive diagnosis is limited. We present two female infants with foreign bodies adherent to the hard palate. The first was ten months old and the second was 11 months old. In both cases the materials removed from the palate were plastic in nature (black or red in color and circular in shape). The first simulated a palatal fistula and the second a vascular anomaly.


2007 ◽  
Vol 8 (4) ◽  
pp. 74-80 ◽  
Author(s):  
Rajeev Kr. Garg ◽  
Pawan Singhai

Abstract Aim The purpose of this article is to report a rare case of primary tuberculosis of the tongue. Background Tuberculosis is an infectious, chronic granulomatous disease that can involve almost any organ in the body, but primary lesions are usually confined to the lungs. Oral lesions are an infrequent occurrence in tuberculosis, and tuberculosis of the oral cavity is often a consequence of active pulmonary tuberculosis. Although primary tuberculosis in the oral cavity has been documented, it is a rare occurrence. Report A 42-year-old male patient presented with chief complaints of severe pain and ulceration on the ventrolateral surface of the left side of the tongue, measuring about 1.25×1.50 cm with surrounding erythema and induration of one-month duration. The ulcer was initially painless but became painful later with increased severity over time. The sore tongue caused difficulty in eating, drinking, swallowing, and even talking. The patient also complained of malaise for some duration, but there was no history of fever, cough, weight loss, and his bladder-bowel habits were normal. An excisional biopsy differentiated the lesion from squamous cell carcinoma and confirmed the diagnosis. Summary Even though primary tuberculosis in the oral cavity is a rare finding, it must be included in the differential diagnosis of mucosal lesions. This case provides a clinical example of the importance of this inclusion for the well being of the patient and for the community due to the communicable nature of the disease. Citation Garg RK, Singhal P. Primary Tuberculosis of the Tongue: A Case Report. J Contemp Dent Pract 2007 May;(8)4:074-080.


2021 ◽  
Vol 22 (1) ◽  
pp. 27-36
Author(s):  
Anastasia Panagiotarea ◽  
Panagiota Karteri ◽  
Georgios Lagios ◽  
Barbara Arvanitidi ◽  
Vassilios Petsinis

Palatal perforation is a lesion of various etiologies, including chronic intranasal abuse of cocaine. Only a few data, however, correlate this damage with heroin. The growing intranasal abuse of heroin and the fact that it is one of the five most popular drugs in most European countries, especially in the lower social classes, increase the need for further investigation of its effects on the oral cavity and nasopharynx. This report presents a case of chronic snorting of heroin, which caused perforation of the hard palate, the diagnostic approach, the selected surgical technique, the final outcome, as well as a review of literature.


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