scholarly journals Pneumomediastinum following a dental procedure

2022 ◽  
Vol 63 (4) ◽  
pp. 176-178
Author(s):  
Maythem Abdulhassan Al-Kaisy ◽  
Noura Ishaq Al-Shaibani ◽  
Mohammad Fazallulah
Keyword(s):  
Emergency Department ◽  
Tooth Extraction ◽  
Neck Region ◽  
Emergency Physicians ◽  
Dental Procedure ◽  
Head And Neck Region ◽  
Dental Procedures ◽  
Air Turbine ◽  
High Index Of Suspicion ◽  
Wisdom Tooth Extraction

Abstract:   Background: Subcutaneous emphysema is a common presentation to the emergency department. The presence of emphysema in the head and neck region due to dental procedure is not common, and the presence of pneumomediastinum is exceedingly rare. Case Report: A young lady, presented to the emergency department with chest pain, found to have pneumomediastinum following a dental procedure including a wisdom tooth extraction. Conclusion: Complications following dental procedures are not uncommon, hence there should be a high index of suspicion for the emergency physicians for such patients, especially those where air turbine dental tools have been used.

Odontogenic choristoma embedded in the cheek of an old patient

2021 ◽  
Vol 14 (10) ◽  
pp. e245733
Author(s):  
Guido Gabriele ◽  
Simone Benedetti ◽  
Fabiola Rossi ◽  
Paolo Gennaro
Keyword(s):  
Skin Lesion ◽  
Histological Study ◽  
Neck Region ◽  
Early Age ◽  
Histopathological Diagnosis ◽  
Unique Case ◽  
Head And Neck Region ◽  
Dental Procedures ◽  
History Of ◽  
The Right

Odontogenic choristomas are a rare and recently classified entity, defined as neoplasms containing tissues of odontogenic derivation, found in abnormal locations and usually diagnosed in the early age. The authors report a unique case of a 79-year-old patient who presented to our attention for a skin lesion in the right cheek with no history of trauma or recent dental procedures, that underneath presented an indolent tooth-like structure inside the soft tissue of the right cheek, which at the histological study resulted to be an odontogenic choristoma. This rare histopathological diagnosis should be considered when a hard lesion is present in the head and neck region.

scholarly journals Diagnostic dilemmas of head and neck tuberculosis: our experience and review of literature

2020 ◽  
Vol 6 (5) ◽  
pp. 934
Author(s):  
Pallavi Pavithran ◽  
Mahesh S. G.
Keyword(s):  
Head And Neck ◽  
Extrapulmonary Tuberculosis ◽  
Cervical Lymphadenopathy ◽  
Neck Region ◽  
Review Of Literature ◽  
Nodal Disease ◽  
Head And Neck Region ◽  
History Of ◽  
Tuberculous Otitis Media ◽  
High Index Of Suspicion

<p class="abstract"><strong>Background:</strong> The aim of the study was to highlight the varied and changing presentations of head and neck tuberculosis, discuss the difficulties in diagnosis and treatment.</p><p class="abstract"><strong>Methods:</strong> This was a 5 years retrospective analysis of patients with extrapulmonary tuberculosis (EPTB) of the head and neck region.  </p><p class="abstract"><strong>Results:</strong> 43 patients with EPTB were studied. Most had cervical lymphadenopathy (35), 9 had laryngeal, 7 tuberculous otitis media, and one patient each of PNS, oropharyngeal and retropharyngeal involvement. 8 patients had pulmonary TB, 2 had Potts spine, and 5 gave history of previous TB. FNAC was effective in nodal disease, PPD test positive in 20% and HPE was used to make the diagnosis in other types.</p><p class="abstract"><strong>Conclusions:</strong> TB is re-emerging as a significant cause of morbidity. Diagnosing EPTB requires high index of suspicion. Cervical lymphadenopathy is the commonest presentation, followed by larynx, and then ear. FNAC is a reliable and convenient way to diagnose lymphadenopathy. Hitopathological examination needed for confirmation, and for other sites. Further investigations are needed to exclude pulmonary or systemic TB. All patients should be categorised into proper category of anti-tuberculous treatment (ATT) and treated according to ATT regimen.</p>

scholarly journals Dental needs in brazilian patients subjected to head and neck radiotherapy

2009 ◽  
Vol 20 (1) ◽  
pp. 74-77 ◽  
Author(s):  
Ana Carolina de Mesquita Netto Rosales ◽  
Sérgio Carlos Barros Esteves ◽  
Jacks Jorge ◽  
Oslei Paes de Almeida ◽  
Márcio Ajudarte Lopes
Keyword(s):  
Head And Neck ◽  
Malignant Tumors ◽  
Neck Region ◽  
Root Canal Filling ◽  
Head And Neck Region ◽  
Dental Procedures ◽  
The Moment ◽  
Dental Needs ◽  
Oral Conditions ◽  
Head And Neck Radiotherapy

In spite of its recognized benefits in the treatment of malignant tumors, radiation therapy have several side effects in the head and neck region. The evaluation of oral conditions by a dentist is important to prevent or minimize these problems. The aim of this retrospective review was to analyze the dental needs in 357 patients who received radiotherapy in the head and neck region and were treated at Orocentro/FOP/UNICAMP, between January 1990 and December 2004. Review of patient files showed that dental examination before radiotherapy was not performed in 148 patients (41.5%) and was done in 209 patients (58.5%). From the total of examined patients, 94 (45%) did not require dental procedures at the moment of examination, while 115 (55%) presented some sort of dental need. Following the patients after the radiotherapy, it was observed that the group of patients that was evaluated before radiation presented less need of restorations, root canal filling and dental extractions than those who were not evaluated. The results of this study confirm that the evaluation of oral conditions prior to radiotherapy is essential to minimize the dental needs, emphasizing the importance of the dentist in the multidisciplinary team that treats cancer patients.

scholarly journals Prevention of Implications of Poor Posture and Physical Inactivity among Dentists

2018 ◽  
Vol 2 (6) ◽  
pp. 128-130
Author(s):  
Akhil Gupta ◽  
Sudha Gupta
Keyword(s):  
Head And Neck ◽  
Physical Inactivity ◽  
Sedentary Lifestyle ◽  
Neck Region ◽  
Well Being ◽  
Head And Neck Region ◽  
Dental Procedures ◽  
High Prevalence ◽  
Musculoskeletal Problems ◽  
Very High

Long sitting hours, sedentary lifestyle has taken a toll on the well-being of the species. Studies have time and again reported that posture related problems in dentists has shown a very high prevalence.  As the art of dentistry requires a lot of precision and patience, it can cause a plethora muscle and back-related problems. Most of these musculoskeletal problems are confined to the head and neck region and are usually due to long hours put in by the dentist while treating his patients.  A Bad posture during the dental procedures put the dentist at risk for various dental procedures, however, it has been noted that there is lack of awareness about the implications of bad posture and physical inactivity amongst the dentists.  This review is on the prevention and implications of poor posture and physical inactivity among dentists.

LUPUS VULGARIS OF PINNA: A RARE CASE

2021 ◽  
pp. 26-27
Author(s):  
Avinash Kumar ◽  
Manjari Kishore ◽  
Garima Sinha ◽  
S.K. Varma
Keyword(s):  
Rare Case ◽  
Neck Region ◽  
Drug Regimen ◽  
Healing Ulcer ◽  
Lupus Vulgaris ◽  
Head And Neck Region ◽  
Histopathological Evaluation ◽  
Cutaneous Form ◽  
High Index Of Suspicion ◽  
Delayed Type Of Hypersensitivity

Lupus vulgaris is a cutaneous form of tuberculosis that occurs in previously sensitized individuals with a strong positive delayed type of hypersensitivity to tuberculin. Classical lupus lesions are seen in head and neck region and isolated involvement of pinna is rare and therefore high index of suspicion is required for its diagnosis. We present a 39-year-old male with non-healing ulcer of pinna since a year. The diagnosis of lupus vulgaris was conrmed on histopathological evaluation along with positivity for acid fast bacilli. The patient showed well response to standard 4 drug regimen of antitubercular therapy

Atlanto-axial subluxation (Grisel's syndrome) following otolaryngological diseases and procedures

1995 ◽  
Vol 109 (10) ◽  
pp. 1005-1009 ◽  
Author(s):  
D. Samuel ◽  
D. M. Thomas ◽  
P. A. Tierney ◽  
K. S. Patel
Keyword(s):  
Natural History ◽  
Early Diagnosis ◽  
Neck Region ◽  
Rare Condition ◽  
Cervical Pain ◽  
Head And Neck Region ◽  
Post Operative Period ◽  
Grisel’S Syndrome ◽  
High Index Of Suspicion ◽  
Otolaryngological Diseases

AbstractGrisel's syndrome is a rare condition of uncertain aetiology characterized by atlanto-axial subluxation following an infection in the head and neck region. The condition most frequently affects children and characteristically presents in the post-operative period with cervical pain and torticollis. We describe three cases and discuss the aetiology and pathogenesis. A high index of suspicion may lead to early diagnosis in its natural history thereby preventing potentially serious complications.

scholarly journals Schwanomma arising from mental nerve: a rare entity

2016 ◽  
Vol 2 (10) ◽  
pp. 265
Author(s):  
Ratna Priya ◽  
Nitish Virmani ◽  
J. P. Dabholkar
Keyword(s):  
Peripheral Nerves ◽  
Neck Region ◽  
Immunohistochemical Analysis ◽  
Final Diagnosis ◽  
Benign Tumors ◽  
Mental Nerve ◽  
Lower Lip ◽  
Head And Neck Region ◽  
Single Well ◽  
High Index Of Suspicion

<p>Schwannomas or neurilemmomas are benign tumors of the nerve sheath that are single, well encaspsulated, bening and arise from the perineural schwann cells. They may arise either in central or peripheral nerves. Approximately 25–45% of all schwannomas are present in the head and neck region. The overall incidence of intra-oral schwanommas is 1% with most common site being tongue followed by buccal mucosa and lastly lip and gingival. Here we present a case report of lower lip schwanomma arising from mental nerve. On physical examination, a smooth globular swelling was present in the lower lip on right side, 2 cm × 3 cm in size and of firm, non-tender in character with regular margins. The patient underwent surgery and the lesion was excised intraorally with sublabial incision. Final pathological diagnosis was made as “schwannoma.” The patient has been following up for 6 months and there is no evidence of any recurrence. High index of suspicion is required and Schwannoma should be considered as a differential diagnosis in oral cavity bening lesions. The final diagnosis is based on histopathology report and immunohistochemical analysis. The treatment of these tumors is complete resection. The prognosis of such cases is extremely good, without any recurrence.</p>

A family with pheochromocytoma-paraganglioma inherited tumour syndrome

2016 ◽  
Vol 55 (01) ◽  
pp. 34-40 ◽  
Author(s):  
P. Zschieschang ◽  
V. Prasad ◽  
D. Moskopp ◽  
B. Knie ◽  
M. Plotkin
Keyword(s):  
Early Detection ◽  
Neck Region ◽  
Hereditary Disease ◽  
Head And Neck Region ◽  
Pet Ct ◽  
Highly Sensitive ◽  
Hereditary Pheochromocytoma ◽  
Genetically Determined ◽  
Mass Lesions ◽  
Pet Ct Scan

SummaryAim: Hereditary pheochromocytoma-paraganglioma syndromes are characterized by multiple pheochromocytomas (PCC) and paragangliomas (PGLs), inherited in an autosomal dominant manner. Early detection and removal of tumours may prevent or minimize complications related to mass effects and malignant transformation. Having confirmed the diagnosis, it is important to localize the tumours and reveal their extent preoperatively. This study aimed to introduce 18F-DOPA PET/CT as a highly sensitive noninvasive diagnostic tool for early detection of mass lesions in patients with pheochromocytoma-paraganglioma inherited tumour syndrome and to report about its impact on patient management. Patients, methods: We are currently supervising one of the largest documented families in Germany with genetically determined SDHD gene mutation. We performed 18F-DOPA PET/CT in order to detect tumours in asymptomatic gene carriers and enable subsequent surgical therapy. Results: In seven patients undergoing 12 18F-DOPA PET/CT scans 17 lesions have been detected. Three of these lesions, located in the head and neck region, have had no morphologic correlate in CT and one had also no morphologic correlate in MRI. Of the six histologically analyzed lesions five have been tumors (PGL or PCC) and one has been a nodular hyperplasia. This means the 18F-DOPA PET/CT scan in our study group had a sensitivity of 83%. 18F-DOPA PET/CT investigations lead to change in the management in 5/7 studied patients (70%). Conclusion: The benefits of PET/ CT in detection of pheochromocytoma and paraganglioma are well documented, but we are the first to use this technique for screening of a rare hereditary disease (estimated prevalence 0.3/100 000).

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