scholarly journals Extensive dentigerous cyst with two ectopic teeth – surgical management

2014 ◽  
Vol 19 (2) ◽  
pp. 130-134
Author(s):  
Shameem Anwarul Hoque ◽  
SM Mahede Hasan ◽  
Hritu Raj Deb ◽  
Mofakkarul Islam ◽  
Amzad Hosain ◽  
...  
Keyword(s):  
Ct Scan ◽  
General Anaesthesia ◽  
Surgical Management ◽  
Nasal Obstruction ◽  
Dentigerous Cyst ◽  
Needle Aspiration ◽  
Dental Radiography ◽  
Post Operative Period ◽  
Unerupted Teeth

Dentigerous cyst develops around impacted, unerupted or developing teeth. It is often asymptomatic. However, it can be large and cause symptoms related to expansion. Painless swelling is the main symptoms, may be painful if infected. It can be found incidentally on dental radiography. Our patient is a 15 years old girl with painless swelling in right cheek with nasal obstruction. Diagnosis was confirmed by CT scan and needle aspiration. Under general anaesthesia enucleation of the cyst with removal of unerupted teeth was performed by Caldwell- Luc procedure. Post operative period was uneventful. DOI: http://dx.doi.org/10.3329/bjo.v19i2.17637 Bangladesh J Otorhinolaryngol 2013; 19(2): 130-134

scholarly journals Large Dentigerous Cyst associated with Supernumerary Canine with Unilateral Nasal Obstruction: An Unusual Case

2015 ◽  
Vol 6 (2) ◽  
pp. 104-107
Author(s):  
Abhinandan Bhattacharjee ◽  
Adity Chakraborty ◽  
Aakanksha Rathor ◽  
Bandana Talukdar
Keyword(s):  
Nasal Obstruction ◽  
Unusual Case ◽  
Maxillary Antrum ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Odontogenic Cysts ◽  
Supernumerary Tooth ◽  
Lower Jaw ◽  
Unerupted Teeth ◽  
Molar Region

ABSTRACT Dentigerous cyst is the most frequent developmental odontogenic cysts. It forms in relation to unerupted teeth, decidous teeth or supernumerary tooth as seen in our case. It is common in younger individuals in lower jaw involving mostly the third molar region. Here, we report a case of 25 years old female with a large dentigerous cyst of right maxilla who presented with complete unilateral nasal obstruction. Radiologically, a supernumerary tooth was seen located superiorly in the medial wall of the maxillary antrum. The cyst was surgically removed through a gingivobuccal sulcus incision. Although, Weber Fergusson incision is generally required for removal of large cysts, sublabial or Caldwell-Luc approach is equally useful for large cyst removal and is also more cosmetically acceptable. How to cite this article Bhattacharjee A, Chakraborty A, Rathor A, Talukdar B. Large Dentigerous Cyst associated with Supernumerary Canine with Unilateral Nasal Obstruction: An Unusual Case. World J Dent 2015;6(2):104-107.

Cell Block and Its Impact in the Diagnosis of Jaw Lesions over Fine Needle Aspiration Cytology

2021 ◽  
pp. 1-7
Author(s):  
Kaveri Hallikeri ◽  
Biji Babu ◽  
Archana Sudhakaran ◽  
Roshni Monteiro
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Dentigerous Cyst ◽  
Needle Aspiration ◽  
Histopathological Diagnosis ◽  
Cell Block ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Dentigerous Cysts ◽  
Needle Aspiration Cytology

<b><i>Objectives:</i></b> To determine the role and efficacy of fine needle aspiration cytology (FNAC) and cell block in diagnosis of jaw lesions and compare the agreement between FNAC and cell block to predict the diagnosis. <b><i>Method:</i></b> The sample comprised 51 cases, including 12 odontogenic keratocysts (OKCs), 8 ameloblastomas, 22 radicular cysts, 7 dentigerous cysts, and 1 each of intraosseous mucoepidermoid carcinoma (MEC) and adenomatoid odontogenic tumor (AOT). FNAC samples remaining after hematoxylin and eosin (H&amp;E)-stained cytosmear diagnosis were centrifuged at 3,000 rpm for 10 min. The supernatant was discarded and sediment mixed with 2–3 mL alcohol and filtered. To this, 10% formalin was added, filtered, taken for routine processing, and stained with H&amp;E. The result of FNAC smear and cell block was compared with histopathological diagnosis. <b><i>Results:</i></b> On cytological examination of the smears, 7 OKCs and 22 radicular cysts were diagnosed, whereas ameloblastomas, AOT, intraosseous MEC, and dentigerous cysts were not. This gave an agreement of 56.8% with the biopsy reports. Cell block sections stained with H&amp;E of 12 OKCs, 22 radicular cysts, 1 MEC, and 3 cases of ameloblastoma offered a diagnosis in accordance with the biopsies giving an agreement of 74.5%, while dentigerous cyst and AOT failed to do so. In comparison with FNAC, additionally 5 cases of OKC and 1 of MEC could be detected, and in ameloblastoma, out of 8 cases, only 3 yielded a concordant diagnosis through the cell block technique. <b><i>Conclusion:</i></b> In comparison with FNAC, the architectural pattern and the morphology of the cells were better preserved by the cell block technique. This substantiates that cell block could be used as an ancillary technique to aid in definitive diagnosis of head and neck swellings.

Surgical Management of the Thyroid Nodule: Patient Selection Based on the Results of Fine-Needle Aspiration Cytology

1992 ◽  
Vol 102 (12) ◽  
pp. 1353-1356 ◽  
Author(s):  
Michael Bouvet ◽  
Jeffrey I. Feldman ◽  
Gordon N. Gill ◽  
Wolfgang H. Dillmann ◽  
Alan M. Nahum ◽  
...  
Keyword(s):  
Thyroid Nodule ◽  
Surgical Management ◽  
Patient Selection ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology

scholarly journals Spontaneous Parasitic myoma with the omental vessel: A Case report and literature review

2021 ◽  
Author(s):  
Amala Sunder ◽  
bessy Varghese ◽  
noora bahzad ◽  
basma darwish
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Uterine Myoma ◽  
Post Operative Period ◽  
Feeding Vessel

Abstract Aim: The study is the Case Report of spontaneous parasitic myoma with omental vessel, and the management at Bahrain Defense Force Hospital. Case Report: A 35years old female was diagnosed, almost 20 cm, sub serous myoma with the pedicle of 2cm from the fundus of the uterus. There was a feeding vessel from the omentum. She underwent myomectomy after the resection of pedicle and omental vessel .Post-operative period was uneventful. Conclusion: Parasitic myoma is the type of subserous uterine myoma. Generally surgical management is required for the relief of symptoms and to avoid encroachment of nearby abdominal or pelvic structures which in turn leads to further complications.

scholarly journals Nasal septal angle deviation: effect on lateral wall in nasal obstruction

2018 ◽  
Vol 7 (1) ◽  
pp. 90
Author(s):  
Neha Bagri ◽  
Kavirajan K. ◽  
Ranjan Chandra ◽  
Yatish Agarwal ◽  
Neetika Gupta ◽  
...  
Keyword(s):  
Ct Scan ◽  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
P Value ◽  
Lateral Nasal Wall ◽  
Nasal Breathing ◽  
Cross Sectional ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy

Background: Deviation of the nasal septum (DNS) refers to the convexity of the septum to one side disturbing the nasal physiology with obstructed nasal breathing leading to lateral nasal wall abnormalities and paranasal sinuses (PNS) mucosal disease. Knowledge of nasal morphological parameters plays an important role in planning successful nasal surgery. Our aim was to evaluate the angle of septal deviation (ASD) on CT scan and study its influence on the lateral nasal wall abnormalities and PNS mucosal disease.Methods: A prospective cross-sectional observational study was conducted on 130 patients with clinical evidence of DNS and chronic sinusitis. The direction and severity of DNS was recorded on CT scan along with evaluation of lateral nasal wall and sinus mucosal abnormalities.Results: Increasing ASD had statistically significant correlation with the lateral nasal wall abnormalities, most commonly, contralateral middle and inferior turbinate hypertrophy (p-value <0.0001). No significant association was found with the incidence of ipsilateral or contralateral osteomeatal complex (OMC) obstruction and sinus mucosal disease.Conclusions: The direction and severity of septal deviation has significant impact on contralateral middle and inferior turbinate hypertrophy. The analysis of these ancillary pathologies can be of great help to the surgeon in better management of patients with nasal obstruction.

scholarly journals Karsinoma Odontogenik Sel Jernih

2015 ◽  
Vol 1 (1) ◽  
pp. 31-40
Author(s):  
Rino Rusdiono ◽  
Arif Faisal
Keyword(s):  
Ct Scan ◽  
Clear Cell ◽  
Histopathological Examination ◽  
Dentigerous Cyst ◽  
Odontogenic Tumor ◽  
Tissue Mass ◽  
Maxillary Bone ◽  
Imaging Examination ◽  
Odontogenic Carcinoma ◽  
Molar Region

Odontogenic tumor is a lesion originated from epithelium, ectomesenchymal, or mesenchymal component which still retain part of dental-forming element.A female 20 years old had complaint a mass in the oral cavity and obtructed nasal. Physical examination showed a mass on molar region of the left axillary bone. Diagnostic imaging by using OPG was suspected ameloblastoma, while CT scan concluded as a dentigerous cyst in left maxillary bone. Both of the lesions were cystic  abnormalities, that sometimes very difcult to di?erentiate due to their similarity. Pathological fndings was clear cell odontogenic tumor or clear cell odontogenic carcinoma of tissue mass after resection had been conducted. This case report is proposed because there is a discordance from imaging examination in both OPG and CT Scan with the fnal histopathological examination. CCOC di?erential diagnosis will be outlined here so we can understand the feature of CCOC better in imaging examination to prevent misdiagnosis which can infere further treatment.

Intraconal Metastasis Leading to the Diagnosis of Hepatocellular Carcinoma

2019 ◽  
Vol 152 (Supplement_1) ◽  
pp. S70-S71
Author(s):  
Irappa Madabhavi ◽  
Vinay Sakaleshpura Mallikarjuna ◽  
K S Sandeep ◽  
Malay Sarkar ◽  
Mansi Shah ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Ct Scan ◽  
Hepatitis B Surface Antigen ◽  
Needle Aspiration ◽  
Lateral Part ◽  
Orbital Metastasis ◽  
Regional Lymph Nodes ◽  
Clinical Indicators ◽  
Orbital Mass ◽  
Eosinophilic Cytoplasm

Abstract Hepatocellular carcinoma (HCC) is the most common malignant cancer of the liver, with intrahepatic and extrahepatic metastasis accounting for 50% to 75% of HCC cases. Lung and regional lymph nodes are the most common sites of metastasis; however, bone, skin, and adrenal glands are rare sites. Orbital metastasis and intracranial invasion are extremely rare and believed to occur in 2% to 3% of patients with systemic cancer. Here, we present a case report of a 72-year-old man evaluated for progressive painful proptosis of the left eye with weight loss, loss of appetite, and generalized weakness of 3 months duration. Physical examination showed a 5.5 × 3.5-cm, firm, mildly tender mass in the upper and lateral part of the left eye with proptosis and hepatomegaly with no ascites. Laboratory investigations were within normal limits except for positive hepatitis B surface antigen and HBV-DNA. CT scan of the head and neck revealed a 5.7 × 4.7-cm heterogeneously enhancing irregular extraconal mass seen in superolateral aspect of the left orbit. Abdominal CT scan showed hepatomegaly with multiple heterogeneous enhancing lesions in the liver. Fine-needle aspiration from the orbital and liver lesions showed individually scattered clusters and sheets of round to polyhedral cells with enlarged, hyperchromatic nuclei, prominent nucleoli, and abundant eosinophilic cytoplasm. Immunohistochemistry showed tumor cells strongly positive for hepatocyte paraffin 1 (HepPar 1) and CD10 but negative for TTF-1, CEA, ALK-1, LCA, vimentin, S-100, and chromogranin, consistent with the diagnosis of HCC. Patient was started on chemotherapy and showed significant improvement with decrease in the size of the liver and orbital mass. Based on the present case and review of literature published since 2009, the current study recommends that metastasis must be considered when diagnosing retrobulbar head lesions in patients with HCC, regardless of contradictory imaging findings and other clinical indicators.

Surgical Management of Nasal Obstruction

2012 ◽  
Vol 24 (2) ◽  
pp. 229-237 ◽  
Author(s):  
Jason A. Moche ◽  
Orville Palmer
Keyword(s):  
Surgical Management ◽  
Nasal Obstruction
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