scholarly journals Ultrasound in the Detection of Floating Sialoliths

2019 ◽  
Vol 3 (8) ◽  
pp. 196-197
Author(s):  
Oleksii Tymofieiev ◽  
Olha Cherniak
Keyword(s):  
General Anesthesia ◽  
Submandibular Gland ◽  
Postoperative Period ◽  
Smooth Surface ◽  
Maxillofacial Surgery ◽  
Pellet Surface ◽  
Oval Form ◽  
History Of ◽  
Surgery Department

A 36-year-old man with a 3-year history of recurrent salivary colic was referred to a maxillofacial surgery department. Gray scale ultrasound (US) showed enlarged right submandibular gland, significantly dilated intraglandular duct with two sialoliths (with an artifact of acoustic shadowing) inside, one – floating (Video-Panel A and B, arrow) and another – nonmovable (arrowhead). Left nonsymptomatic normal in size gland (asterisk) is showed at Panel C. The affected gland was excised under general anesthesia due to the diagnosis of chronic submandibular obstructive sialolithiasis. Intraglandular duct contained two yellowish stones, first was an oval form with a pellet surface (Panel D, arrow), second – a round shaped with a smooth surface (Panel D, asterisk) and it was presented at US as a floating sialolith; both are easily crumbled on palpation. As the specimen and intraglandular duct were dissected longitudinally, that`s why dissected intraglandular duct (Panel D, arrowheads) is visible in both parts of the gland. Also, a 1 small calculus (Panel D, curved arrow) was found in the parenchymal ducts. Postoperative period was smooth, and 1-year follow-up after surgery, the patient has no complaints.

scholarly journals How Multiple the Submandibular Gland Sialoliths Can Be?

2019 ◽  
Vol 3 (7) ◽  
pp. 174-175
Keyword(s):  
Submandibular Gland ◽  
Maxillofacial Surgery ◽  
Fibrous Tissue ◽  
Duct System ◽  
Glandular Tissue ◽  
Longitudinal Size ◽  
History Of ◽  
The Right ◽  
Surgery Department

A 52-year-old man presented to the Maxillofacial Surgery Department of Kyiv Regional Clinical Hospital with a several-year history of swelling in the right submandibular area and salivary colic during exacerbation. A physical examination showed significantly enlarged and firm right submandibular gland (Panel A, arrow). The gland was permanently increased in size during last months. Ultrasound (Panel B – Video) shows dilated intragandular ducts and multiple sialoliths (arrowheads), which visualized as hyperechoic bodies with artifact of acoustic shadowing). Replacement of glandular tissue with fibrous one was also noted. The patient underwent a complete gland removal and 8 different sized salivary stones have been found in the intraglandular duct system of the specimen (Panel C, arrows indicate sialoliths, and a fibrous tissue is indicated by asterisks). Two stones reached 8 and 10 mm in longitudinal size, and six another sialoliths measured no more than 3 mm. The two microsialoliths, with less than 1 mm in size, were also found. At follow up 6 months after the surgery no complaints were noted.

Phosphaturic Mesenchymal Tumor: A Case Report

2020 ◽  
Author(s):  
Tahir Ullah Khan
Keyword(s):  
Early Stage ◽  
Maxillofacial Surgery ◽  
Mesenchymal Tumor ◽  
Oral And Maxillofacial Surgery ◽  
Phosphaturic Mesenchymal Tumor ◽  
Mesenchymal Neoplasms ◽  
History Of ◽  
Surgery Department ◽  
And Inversion

Phosphaturic Mesenchymal Tumor (PMT) is a polymorphic group of extremely rare and usually benign, slow-growing tumors. PMT is frequently associated with tumor-induced osteomalacia (TIO), a paraneoplastic syndrome that manifests as renal phosphate wasting. The diagnosis is often delayed due to the non-specific nature of the symptoms and is also misdiagnosed due to histological overlap with other mesenchymal neoplasms. Serious disabilities may occur if they are not treated. Complete resection of the tumor is curative and leads to the normalization of biochemical abnormalities and inversion of symptoms. The majority of these tumors occur in the extremities (95%) with rare cases reported in the jaws. This patient presented to the Oral and Maxillofacial Surgery Department, Lady Reading Hospital Peshawar Pakistan with a recurrent PMT involving a mandible with a history of three months, which had already been misdiagnosed previously. Biochemical reports were normal as our case was diagnosed at a very early stage due to a prominent location and rapidly increasing size. Resection of the tumor was performed with a 1.5 cm safe margin. The mandibular reconstruction was then done with an L-type reconstruction plate fixed with bi-cortical screws on the remaining mandible on each side. Patient recovery was uneventful and he is now on follow up. At present, the patient remains well without any evidence of local recurrence.

scholarly journals Pleomorphic adenoma of the palate

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Naourez Kolsi ◽  
◽  
Emna Bergaoui ◽  
Rachida Bouatay ◽  
Jamel Koubaa ◽  
...  
Keyword(s):  
Ct Scan ◽  
General Anesthesia ◽  
Pleomorphic Adenoma ◽  
Soft Palate ◽  
Smooth Surface ◽  
Surgical Excision ◽  
Radiographic Evidence ◽  
History Of ◽  
Slow Growing

A woman 43 years, presented with 9 years history of a painless swelling in the palatal region, slow-growing. Her medical history was not significant. On intraoral examination, a median ovoid mass measuring 4 cm diameter was found at the junction of hard and soft palate. The mass was firm, with smooth surface. No radiographic evidence of bone involvement was seen on the CT scan (Figure A). Surgical excision under general anesthesia: excision of the mass was carried out, the overlying mucosa was healthy, so conserved (Figure B,C&D). Histopathologic report confirmed the lesion to be “pleomorphic adenoma”. The lesion has not recurred after four years follow-up.

scholarly journals Oral myopericytoma: a rare pediatric case report and a review of the literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalit Porat Ben Amy ◽  
Victoria Yaffe ◽  
Rawan Kawar ◽  
Sharon Akrish ◽  
Imad Abu El-Naaj
Keyword(s):  
Subcutaneous Tissue ◽  
Maxillofacial Surgery ◽  
Young Patients ◽  
Conservative Approach ◽  
Case Presentation ◽  
Mesenchymal Neoplasm ◽  
The Right ◽  
Surgery Department ◽  
Histology And Immunohistochemistry

Abstract Background Myopericytoma is a rare mesenchymal neoplasm with perivascular myoid differentiation that arises most commonly in middle adulthood. The lesion generally involves the subcutaneous tissue of distal extremities. Myopericytoma of the oral cavity is extremely rare. Herein we report a case of oral myopericytoma in a pediatric patient, who was treated via a conservative approach with a follow up of 8 years. The case is followed by a literature review. To our knowledge this is the first documented case of oral myopericytoma affecting a patient of such a young age. Case presentation A 6 years old boy was referred to the maxillofacial surgery department for the evaluation of a solitary growth of the right maxillary buccal and palatal gingiva. Histology and immunohistochemistry confirmed the diagnosis of myopericytoma. Conclusions Our patient was treated by local excision with no recurrence in 8 years of follow up. Conservative approach should be considered for the treatment oral myopericytoma especially in young patients in tooth bearing areas.

scholarly journals Caudoventral hip luxation in a miniature pig

2017 ◽  
Vol 47 (7) ◽  
Author(s):  
Carolina Silveira Braga ◽  
Brunna de Souza Barni ◽  
Marcele de Souza Muccillo ◽  
Emerson Antonio Contesini ◽  
Marcelo Meller Alievi
Keyword(s):  
General Anesthesia ◽  
Treatment Option ◽  
Postoperative Period ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Miniature Pig ◽  
Pelvic Limb ◽  
Hip Luxation ◽  
Viable Treatment

ABSTRACT: A miniature pig was examined because of left pelvic limb lameness after falling from a short height. Clinical examination and radiographs of the pelvic region revealed a left caudoventral hip luxation. Surgical reduction of luxation was performed on the patient under general anesthesia using a transarticular pinning technique. Postoperative radiographs confirmed that the luxation was reduced, the joint was aligned, and the transarticular pinning was correct. The transarticular pin was removed 21 days after it was surgically inserted. The limb was fully functional in the immediate postoperative period. Nine months after the surgery, the patient could use the limb properly, but mild degenerative joint disease was observed via radiographic follow-up. This technique may be a viable treatment option for the repair of caudoventral hip luxation in miniature pigs.

scholarly journals Granulomatosis with polyangiitis: potentially lethal gingival lesions presenting to the dentist

2019 ◽  
Vol 12 (4) ◽  
pp. e229607 ◽  
Author(s):  
Amy Patrick ◽  
Keith Altman
Keyword(s):  
Rare Disease ◽  
Granulomatosis With Polyangiitis ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Oral Lesions ◽  
Blood Tests ◽  
Eosinophilic Infiltrate ◽  
Gingival Bleeding ◽  
History Of ◽  
Surgery Department

Gingival pathology is a daily presentation, however a small number of systemic conditions can manifest similar to a common gingival condition and have fatal results. Dentist referred 56-year-old woman to Oral and Maxillofacial Surgery department with a 2-week medical history of gingival bleeding not responding to local measures. Biopsy showed eosinophilic infiltrate and vasculitis, and blood tests showed positive markers including cytoplasmic antineutrophil cytoplasmatic antibodies. Granulomatosis with polyangiitis is a rare disease affecting the respiratory tract, blood vessels and kidneys. Oral lesions are rarely the primary presenting feature. When left untreated, most cases are fatal within a year of diagnosis. The diagnosis can only be made when certain criteria are found, including granular oral lesions exhibiting an eosinophilic inflammatory infiltrate on biopsy. With 5% of cases showing intraoral lesions as the primary feature, it is essential that dentists have the knowledge of this rare disease to refer and not to treat as a common gingival condition.

Clinico-epidemiologic review of 91 cases of non-odontogenic sarcomas of the orofacial region in a Nigerian population

2019 ◽  
Vol 8 (2) ◽  
pp. 25-31 ◽  
Author(s):  
ROWLAND AGBARA ◽  
BENJAMIN FOMETE ◽  
KELVIN OMEJE ◽  
POLYCARP ONYEBUCHI
Keyword(s):  
Malignant Tumors ◽  
Maxillofacial Surgery ◽  
Osteogenic Sarcoma ◽  
University Teaching ◽  
Oral And Maxillofacial Surgery ◽  
Female Ratio ◽  
Oncological Treatment ◽  
Orofacial Region ◽  
Surgery Department

Introduction: Sarcomas are a rare group of malignant tumors. This study highlights important findings in 91 cases of non-odontogenic sarcomas of the orofacial region. Materials and Methods: Patients who presented with orofacial sarcoma at the Oral and Maxillofacial Surgery Department of a regional University Teaching Hospital between January 1997 and June 2017 were retrospectively studied. Excluded were cases of Kaposi and odontogenic sarcomas. Data obtained were analyzed using the Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA). Results from descriptive statistics were represented in the form of charts. Results: A total of 91 cases were reviewed and consisted of 51 (56.0%) males and 40 (44.0%) females, with a male to female ratio of 1.3:1. The mandible (n=47; 51.6%) and the maxilla (n=26; 28.6%) were the major sites involved. Osteogenic sarcoma (n=44; 48.4%) and rhabdomyosarcoma (n=16; 17.6%) occurred more frequently. A total of 41 (45.1%) patients had surgery and the common hard tissue procedures were mandibulectomy (n=26; 28.6%) and maxillectomy (n=10; 11.0%). Non-surgical oncological treatment was administered to 32 (35.2%) patients, and this was the only modality of treatment in 8 (8.8%) cases. The period of follow-up Arranged from 1-43 months and within this period; there were 7 (17.1%) recurrences with 1 case of pulmonary metastasis. Discussion: Most recurrences were noted less than one-year post-treatment. There is a tendency for patients to present late and compliance with follow up review is poor in this environment.

scholarly journals Outcome of Surgical Excision for Managing the Oral Pyogenic Granuloma

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.

scholarly journals COVID-19: The Oral and Maxillofacial Surgery Experience, Oxford, UK

2021 ◽  
pp. 194338752199126
Author(s):  
Toby M. Visholm ◽  
Neha Sandhu ◽  
Daljit K. Dhariwal
Keyword(s):  
Average Length ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Junior Doctors ◽  
Hub And Spoke ◽  
Face To Face ◽  
Time Period ◽  
New Guidelines ◽  
Surgery Department

Study Design: In response to the COVID-19 pandemic the Oxford Oral and Maxillofacial Surgery Department, that operates as a Hub and Spoke model underwent several changes to its structure to respond to the change in service. This study is an audit of all emergency patients seen during a 10-week period and compared these patients to the same time period 1-year previous. Objective: The objective was to observe the change in the service provision during the COVID-19 pandemic. Methods: This study prospectively recorded all the emergency referrals, inpatient admissions and emergency outpatient reviews during a 10-week period, this was compared to data from the same time period in 2019. Results: The unit saw a statistically significant decrease in the number of facial lacerations (p = 0.0007) and fractured mandibles (p = 0.0067) and received a statistically significant increase in patients presenting with dental abscesses (p = 0.0067). Average length of inpatient stay was reduced from 2.4 days to 1.7; of these patients significantly less were reviewed face to face (p = 0.026) in favor of telemedicine options. Conclusions: During this period, the hub and spoke model allowed the service to quickly adapt during the COVID pandemic aiding the dissemination of new guidelines and establishing hub and spoke local consultant led daily emergency and follow up clinics. The Specialist Training Registrars were located in the central hub which allowed the service to have 24-hour resident senior decision makers and enabled the redeployment of junior doctors. The authors believe that the Hub and Spoke model allowed their workforce and resources to best serve their patient population.

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