scholarly journals CBCT Evaluation in a Growing Patient With Mandibular Asymmetry Treated With Rapid Palatal Expander and Frankel-III. Case Report.

2021 ◽  
Author(s):  
Monica Macrì ◽  
Fabiola Rendina ◽  
Giada Perrella ◽  
Felice Festa
Keyword(s):  
Rare Condition ◽  
Cone Beam ◽  
Case Presentation ◽  
Mandibular Growth ◽  
Mandibular Asymmetry ◽  
Compensation Mechanisms ◽  
Significant Regression ◽  
The Right ◽  
Fränkel Iii ◽  
Cephalometric Measurements

Abstract BackgroundThis study aims to evaluate the development and the compensation mechanisms of the mandibular asymmetry in a growing patient, using Cone Beam Computed Tomography (CBCT). In this case, the menton was deviated on the right, an extremely rare condition, which may be the consequence of a disorder in the mandibular growth. Case presentationThe patient was treated with Rapid Palatal Expander (RPE) and Fränkel Functional Regulator III (FR-3). The initial CBCT was acquired at the beginning of therapy, when patient was 8 years old (y.o), the final CBCT was acquired at the end of the treatment, when patient was 12 y.o. Patient’s CBCT was performed with the head oriented according to the Natural Head Position (NHP); the NHP is a physiological and reproducible posture defined for morphological analysis.The 3D image of the cranium was oriented in the Dolphin software according to NHP posture; the cephalometric measurements were performed in frontal, laterolateral right and left, posteroanterior and submentovertex views in the aforementioned software. The therapy lasted 3.8 years and ended with a significant regression of the mandibular asymmetry from moderate grade (4.2 mm) to slight grade (1.3 mm). Conclusion The left hemi-mandible has grown more than right side, in accordance with the literature, which affirm that in case of deviation of the menton greater than 4 mm, the bone volume increases on the nondeviated side.

scholarly journals Tubocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Krishnaveni Nayini ◽  
Clive Gie
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Fistulous Tract ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Case Presentation ◽  
Child Birth ◽  
The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

scholarly journals Tumor-induced osteomalacia: a case report

2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Khalid Aligail ◽  
Joel A. Dave ◽  
Ian Louis Ross
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Serum Alkaline Phosphatase ◽  
Rare Condition ◽  
Fragility Fractures ◽  
High Serum ◽  
Mixed Ancestry ◽  
Mineral Density ◽  
Case Presentation ◽  
The Right

Abstract Background Tumor-induced osteomalacia is a rare, acquired paraneoplastic syndrome, including hypophosphatemia, high serum alkaline phosphatase, reduced active vitamin D, suboptimal bone mineral density, bone pain, fragility fractures, and muscle weakness. Case presentation We report a case of 74–year–old male of mixed ancestry with hypophosphatemia resistant to treatment despite optimal compliance, associated with profound reduction of bone mineral density and multiple nontraumatic fractures, including bilateral rib fractures, lower-thoracic (T11, T12) vertebrae, and two fractures involving the surgical and anatomical neck of the right humerus. We discuss an approach to identifying the underlying cause of hypophosphatemia associated with fragility fractures, and options for management of this rare condition. Conclusion Although rare, tumor-induced osteomalacia can be diagnosed if a logical stepwise approach is implemented. Surgery could be curative if the tumor is properly located and is resectable.

scholarly journals The use of three-dimensional cephalometric references in dentoskeletal symmetry diagnosis

2014 ◽  
Vol 19 (6) ◽  
pp. 78-85 ◽  
Author(s):  
Olavo Cesar Lyra Porto ◽  
Jairo Curado de Freitas ◽  
Ana Helena Gonçalves de Alencar ◽  
Carlos Estrela
Keyword(s):  
New York ◽  
Surgical Planning ◽  
Statistical Significance ◽  
Three Dimensional ◽  
Class I ◽  
Cone Beam ◽  
Radiology Service ◽  
Angle Class ◽  
The Right ◽  
Cephalometric Measurements

OBJECTIVE: The aim of this study is to assess dentoskeletal symmetry in cone-beam computed tomography (CBCT) scans of Brazilian individuals with Angle Class I malocclusion.MATERIAL: A total of 47 patients (22 females and 25 males) aged between 11 and 16 years old (14 years) seen in a private radiology service (CIRO, Goiânia, GO, Brazil) were assessed. All CBCT scans were obtained from January, 2009 to December, 2010. Cephalometric measurements were taken by multiplanar reconstruction (axial, coronal and sagittal) using Vista Dent3DPro 2.0 (Dentsply GAC, New York, USA). Minimum, maximum, mean and standard deviation values were arranged in tables, and Student t-test was used to determine statistical significance (P < 0.05).RESULTS: Data were homogeneous, and differences between the right and left sides were not significant.CONCLUSIONS: Cephalometric measurements of Brazilian individuals with Angle Class I malocclusion can be used to establish facial symmetry and three-dimensional standard references which might be useful for orthodontic and surgical planning.

scholarly journals Complete Cubonavicular Coalition Associated with Midfoot Osteoarthritis

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Anne Kummer ◽  
Eric Dugert ◽  
Mouas Jammal
Keyword(s):  
Incidental Finding ◽  
Young Patients ◽  
Rare Condition ◽  
Additional Stress ◽  
Fibrous Band ◽  
Case Presentation ◽  
Achilles Tendinosis ◽  
The Right ◽  
Radiological Studies ◽  
Arthritic Changes

Introduction. Cubonavicular coalitions represent a relatively rare condition with less than forty cases described in the literature, the majority of which are fibrocartilaginous. To our knowledge, cubonavicular osseous coalition associated with osteoarthritis of the midfoot has never been described. Case Presentation. We present the case of a 26-year-old man with bilateral Achilles tendinosis, in whom radiological studies show an incidental finding of a complete osseous cubonavicular coalition, as well as a partial osseous cubo-third cuneiform coalition and a fibrous band between the first and second cuneiforms of the right foot, associated with arthritic changes of the tarsometatarsal joint. A nonosseous calcaneocubonavicular coalition was found on the left foot. These multiples coalitions were asymptomatic in this case. Discussion. Cubonavicular coalition, even asymptomatic, can cause midfoot osteoarthritis in young patients. We may therefore suspect that the immobility of the cubonavicular joint causes additional stress on the midfoot.

scholarly journals Surgical treatment for breast cancer in a patient with erythropoietic protoporphyria and photosensitivity: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Akiko Shimazaki ◽  
Takuma Hashimoto ◽  
Masaya Kai ◽  
Tetsuzo Nakayama ◽  
Mai Yamada ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Rare Condition ◽  
Perioperative Period ◽  
Polyimide Film ◽  
Lymph Node Biopsy ◽  
Erythropoietic Protoporphyria ◽  
Case Presentation ◽  
History Of ◽  
Close Cooperation ◽  
The Right

Abstract Background Erythropoietic protoporphyria (EPP) is a rare disorder of heme synthesis. Patients with EPP mainly show symptoms of photosensitivity, but approximately 20% of EPPs are associated with the liver-related complications. We report a case of breast cancer in a 48-year-old female patient with EPP in whom meticulous perioperative management was required in order to avoid complications resulting from this disease. Case presentation The patient was diagnosed with EPP at the age of 33 and had a rich family history of the disease. For right breast cancer initially considered as TisN0M0 (Stage 0), the right mastectomy and sentinel lymph node biopsy were performed, while the final stage was pT1bN0M0, pStage I. In the perioperative period, we limited the drug use and monitored light wavelength measurements. Besides, we covered surgical lights, headlights, and laryngoscope’s light with a special polyimide film that filtered the wavelength of light causing dermal photosensitivity. After the surgery, any emerging complications were closely monitored. Conclusions The surgery, internal medicine, anesthesiology, and operation departments undertook all possible measures through close cooperation to ensure a safe surgery for the patient with a rare condition.

Chigger Mite Infestation

2003 ◽  
Vol 93 (5) ◽  
pp. 399-401 ◽  
Author(s):  
Wayne R. Axman ◽  
John J. Brummer
Keyword(s):  
Physical Examination ◽  
Unusual Case ◽  
Rare Condition ◽  
Mite Infestation ◽  
Chigger Mite ◽  
Case Presentation ◽  
History Of ◽  
The Right ◽  
Comprehensive History

This article reports on a 45-year-old woman who presented with pruritus and was diagnosed as having chigger mite infestation, a rare condition. The chigger mite larvae were encountered while the patient was traveling in South America. A small erythematous area with a well-circumscribed papule in the sulcus of the second digit of the right foot was incised and drained. Follow-up examination showed relief of all symptoms, including pain and pruritus. This unusual case presentation underscores the need for all podiatric physicians to obtain a comprehensive history, including history of travel, along with performing a thorough physical examination. (J Am Podiatr Med Assoc 93(5): 399-401, 2003)

scholarly journals Amyand’s hernia associated with mesenteric chylous cyst in infant: a rare case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Supangat ◽  
Muhammad Yuda Nugraha ◽  
Meiske Margaretha
Keyword(s):  
Rare Condition ◽  
Mesenteric Cyst ◽  
Amyand’S Hernia ◽  
Case Presentation ◽  
Rare Case Report ◽  
The Right ◽  
Chylous Cyst ◽  
Chylous Mesenteric Cyst ◽  
Variable Presentation ◽  
Histopathology Examination

Abstract Background Amyand’s hernia is a rare condition approximately 0.4–0.6% of all inguinal hernias. Although rare, the Amyand’s hernia is worthy of discussion since the variable presentation that make clinical challenge to diagnose especially in infant. A mesenteric chylous cyst is rare disease and has not been reported in Amyand’s hernia. Case presentation We report an unusual case of Type II Amyand’s hernia with an enlarging chylous mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. A-2-months old infant presented with enlarging mass in the right scrotal. During laparotomy exploration, we found inguinal sac with intestinal and appendix content in the sac. In the edge site of the sac we found enlarging of mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. Based on the histopathology examination, the morphological feature is suitable for mesenteric chylous cyst appearance. Conclusion Presentation of mesenteric chylous cyst is rare, and there was no report about it in Amyand’s hernia. This unusual presentation should be considered by the surgeon, especially pediatric surgeon, in Amyand’s hernia cases.

scholarly journals The evolution of an active solitary idiopathic choroiditis (focal scleral nodule): a case report of the natural course and a review of the literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yilin Feng ◽  
Christopher D. Conrady ◽  
Hakan Demirci
Keyword(s):  
Case Report ◽  
Clinical Course ◽  
Subretinal Fluid ◽  
Rare Condition ◽  
Natural Course ◽  
Central Scotoma ◽  
Granulomatous Reaction ◽  
Case Presentation ◽  
The Right ◽  
New Onset

Abstract Background To describe the clinical course of an active solitary idiopathic choroiditis (focal scleral nodule) that nearly resolved over six weeks without intervention. Case presentation An 18-year-old man presented to the emergency department with headaches and new onset central scotoma in the right eye. Visual acuity was 20/20 in both eyes. Fundus examination revealed an amelanotic choroidal lesion with associated shallow subretinal fluid. It measured 6.1 × 6.3 × 1.4mm on A- and B-scan. Evaluation for systemic inflammatory and infectious diseases was negative. A week later, the lesion remained stable, and a month later, there was improvement of the lesion with a decrease in size on OCT and exam and resolution of the subretinal fluid suggesting that the lesion had become inactive. Conclusions Solitary idiopathic choroiditis (Focal scleral nodule) is a rare condition characterized by inflammatory granulomatous reaction. This case report sheds light on the unknown natural course of a solitary idiopathic choroiditis (focal scleral nodule).

scholarly journals Phlebosclerotic colitis in a non-Asian patient: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
J. Mohigefer ◽  
P. Gómez-Millán ◽  
J. J. Borrero
Keyword(s):  
Herbal Medicines ◽  
Rare Condition ◽  
Case Presentation ◽  
Asian Ethnicity ◽  
Old Spanish ◽  
Male Predominance ◽  
Asian Patients ◽  
History Of ◽  
The Right ◽  
High Level

Abstract Background Phlebosclerotic colitis is a rare condition with a high mortality. It has been seen almost exclusively in Asian patients who are ≥ 60 years old, with a slight male predominance. Although it predominantly affects the right colon and seems to be related in some cases to using natural herbal medicines, neither its etiology nor its pathogenesis are known. Case presentation We present an extremely rare case of a 62-year-old Spanish white man patient of non-Asian ethnicity with no history of using natural medications, who was diagnosed with phlebosclerotic colitis of submucosal veins. Conclusion To date, this is the only case reported in Spain, and only the second reported for Europe, in the literature. Due to the nonspecific symptoms and insidious radiological findings of this disease (both in early and mild stages) as well as exclusive submucosal involvement presented here, it is necessary that the treating physician has a high level of suspicion for its diagnosis.

Unilateral Obturator Hernia in Elderly Male: A Case Presentation

2021 ◽  
Vol 23 (09) ◽  
pp. 496-505
Author(s):  
Dr. Praveen K Sharma MDRD ◽  
◽  
Dr. Dinesh J Babu ◽  
Dr. Samaran Meganathan ◽  
Dr. Pavankumar Mathapati ◽  
...  
Keyword(s):  
Preoperative Diagnosis ◽  
Rare Condition ◽  
Unknown Origin ◽  
Signs And Symptoms ◽  
Obturator Hernia ◽  
Medial Aspect ◽  
Elderly Male ◽  
Case Presentation ◽  
Mortality And Morbidity ◽  
The Right

OBTURATOR HERNIA is a rare condition of pelvic hernia in which abdominal contents protrude through the obturator canal. This condition can lead to bowel obstruction with relatively high mortality and morbidity due to bowel ischemia/gangrene. Most commonly presents in elderly thin females. It is primarily asymptomatic unless there is compression of the obturator nerve. Therefore, obturator hernia in the differential diagnosis of intestinal obstruction of unknown origin. Computed tomography is the modality of choice for preoperative diagnosis as obturator hernia. Sometimes mistakenly diagnosed as femoral or inguinal hernia on Ultrasonography. Its early diagnosis is challenging since the signs and symptoms are non-specific make a preoperative diagnosis difficult. We present a case of obturator hernia in an 81-year-old male with a known prostate carcinoma who presented with a painless soft swelling in the medial aspect of the right upper thigh and a negative Howship-Romberg sign.

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