scholarly journals Marsupialization Followed by Enucleation and Chemical Cauterization for Treatment of Odontogenic Keratocyst Involving Maxillary Sinus: A Case Report

2019 ◽  
Vol 8 (4) ◽  
pp. 208-212
Author(s):  
Muhammad Jamal ◽  
Muhammad Zeeshan Baig ◽  
Laiba Saher ◽  
Muhammad Asim
Keyword(s):  
Maxillary Sinus ◽  
Treatment Options ◽  
Odontogenic Keratocyst ◽  
Odontogenic Cysts ◽  
Oral Epithelium ◽  
Lower Lip ◽  
Dental Lamina ◽  
The Face ◽  
History Of ◽  
One Year

Odontogenic keratocysts are odontogenic cysts which have locally infiltrative behavior. They mostly occur in second and fourth decades but can occur at any age throughout life. In majority of cases, they are located in the posterior region of mandible, but can also be found in the maxilla especially in the canine region. In this article, we have discussed the diagnosis and management of a large odontogenic keratocyst cyst involving the maxillary sinus. A 22 years old male patient presented with pain and swelling on right side of the face since last one year. There was history of pus discharge and gradual increase in size of the swelling since last 3-4 months. Patient took antibiotics but there was no improvement. Odontogenic keratocyst is a developmental pathology which arises from additional remnants of dental lamina of oral epithelium. They present with swelling, pain and pus formation/discharge as signs of infection. Often, when the lesion is large there can be paresthesia of the lower lip. These lesions can also be clinically asymptomatic. Mostly they appear as well-demarcated unilocular radiolucency having a thin, sclerotic well-defined margin. There are many treatment options like enucleation, marsupialization, decompression, curettage, use of chemical agents like Carnoy's solution, cryotherapy with liquid nitrogen or peripheral osteotomy and surgical resection of lesion.

scholarly journals Multiple Hepatic and Renal Hydatid Cysts Managed with Laparoscopic Surgery

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Lamia Kouba ◽  
Bayan Alsaid ◽  
Taisser Almeree ◽  
Mazen Allouche ◽  
Abdulghani Alshalabi
Keyword(s):  
Cystic Echinococcosis ◽  
Treatment Options ◽  
Hydatid Cysts ◽  
Ct Guided ◽  
Laparoscopic Excision ◽  
History Of ◽  
Percutaneous Removal ◽  
Diagnostic Modalities ◽  
One Year ◽  
Laparoscopic Techniques

Cystic echinococcosis is a parasitic disease caused by Echinococcus granulosus. The liver and lungs are the most commonly infected organs. We present the first-of-a-kind case of laparoscopic excision of 8 hydatid cysts, of which seven were in the liver and one was in the kidney of a 40-year-old patient. The patient presented with fatigue and fever and a one-year history of vague abdominal pain. Albendazole was administered before surgical intervention. The postoperative follow-up period was notable for a renal fistula. The patient subsequently underwent CT-guided percutaneous removal of a central hepatic hydatid cyst that was inaccessible using laparoscopic techniques. Cystic echinococcosis is endemic in the Mediterranean region. The growing number of immigrants and refugees from endemic areas could increase the prevalence of the disease in nonendemic countries. Therefore, it is important for physicians worldwide to be familiar with the diagnostic modalities and possible treatment options for hydatid disease.

scholarly journals Hydroxychloroquine-Induced Hyperpigmentation: A Case Report

2020 ◽  
Author(s):  
Mona Talaschian ◽  
Anahita Sadeghi ◽  
Sara Pakzad
Keyword(s):  
Skin Diseases ◽  
Antimalarial Agents ◽  
The Face ◽  
History Of ◽  
Inflammatory Drugs ◽  
Skin Discoloration ◽  
Anti Inflammatory ◽  
One Year ◽  
Rheumatoid Diseases

Antimalarial agents, including chloroquine and hydroxychloroquine, have been used for the treatment of various rheumatoid diseases and skin diseases because of their anti-inflammatory and immune-modulating properties. Cutaneous adverse effects such as exacerbation of psoriasis, pruritus, and hyperpigmentation have been reported as side-effects of antimalarial drugs. In this case, we report a middle-aged man with a history of rheumatoid arthritis who was treated with non-steroidal anti-inflammatory drugs and hydroxychloroquine. He complainedof hyperpigmentation of the face after one year of initiating the hydroxychloroquine. It was discontinued and methotrexate was started. Skin biopsy was confirmed drug reaction. Aftermore than 10 years of follow up, his skin discoloration had not been improved.

scholarly journals Unusual mandible fracture caused by metallic spear: case report and literature review

2020 ◽  
Vol 26 (2) ◽  
pp. 20
Author(s):  
Samuel Macedo Costa ◽  
Bruna Campos Ribeiro ◽  
Bernardo Barcelos Greco ◽  
Rodolfo César Gual ◽  
Alessandro Oliveira de Jesus ◽  
...  
Keyword(s):  
Unusual Case ◽  
Mandible Fracture ◽  
Operative Care ◽  
Surgical Incisions ◽  
The Face ◽  
Gun Shot ◽  
History Of ◽  
One Year ◽  
Water Sports

Spear gun projectiles injuries are are very rare and are usually related to lack of attention during water- sports or fishing practices. This study aims to describe an unusual case of facial injury associated with a mandibular fracture after a spear gun shot. A 38-years-old man was admitted with a history of penetrating injury on the face caused by an accidental shot from a spear gun. After the initial stabilization and examination, the patient was taken to the surgical room for the removal of the projectile. The post-operative care was uneventful and the patient was discharged with no concerns, being in follow-up for one year with no signs of infection or malocclusion. The surgical procedure should be done as soon as possible and the removal of the spear must be done carefully, under direct vision, with or without surgical incisions. Major complications can occur after spear injuries, therefore, the patient must be observed in the postoperative period and should maintain follow up until the end of the rehabilitative process.

scholarly journals CLAPO syndrome: Identification of somatic activating PIK3CA mutations and delineation of the natural history and phenotype

2017 ◽  
Author(s):  
Lara Rodriguez-Laguna ◽  
Kristina Ibañez ◽  
Gema Gordo ◽  
Sixto Garcia-Minaur ◽  
Fernando Santos-Simarro ◽  
...  
Keyword(s):  
Natural History ◽  
Developmental Disorders ◽  
Somatic Mosaicism ◽  
Clinical Manifestations ◽  
Tissue Samples ◽  
Lower Lip ◽  
Pik3ca Mutations ◽  
Activating Mutations ◽  
The Face ◽  
History Of

AbstractBackgroundCLAPO syndrome is a rare vascular disorder characterized by Capillary malformation of the lower lip, Lymphatic malformation predominant on the face and neck, Asymmetry, and Partial/generalized Overgrowth. Although the genetic cause is not known, the tissue distribution of the clinical manifestations in CLAPO seems to follow a pattern of somatic mosaicism.Subjects and methodsWe clinically evaluated a cohort of 13 patients with CLAPO and screened 20 DNA blood/tissue samples from nine patients using high-throughput, deep sequencing.ResultsWe identified five activating mutations in the PIK3CA gene in affected tissues from six of the nine patients studied; one of the variants (NM_006218.2:c.248T>C; p.Phe83Ser) has not been previously described in developmental disorders.ConclusionsWe describe for the first time the presence of somatic activating PIK3CA mutations in patients with CLAPO. We also report an update of the phenotype and natural history of the syndrome.

scholarly journals Quantitative evaluation of the orofacial morphology: Anthropometric measurements in healthy and mouth-breathing children

2009 ◽  
Vol 35 (1) ◽  
pp. 44-54
Author(s):  
Débora Cattoni ◽  
◽  
Fernanda Fernandes ◽  
Renata Di Francesco ◽  
Maria Latorre
Keyword(s):  
Low Cost ◽  
Language Disorders ◽  
Mouth Breathing ◽  
Mixed Dentition ◽  
Control Group ◽  
Lower Lip ◽  
Significant Difference ◽  
The Face ◽  
History Of ◽  
Upper Face

The anthropometric orofacial measurements of mouth-breathing children were compared to those of children with no history of speech-language disorders, according to age. Methods: 100 children participated, both males and females, with ages ranging from 7 to 11 years and 11 months, leukoderm, in mixed dentition period, with a mouth-breathing diagnosis. The control group was comprised of 254 children, of both sexes, with ages ranging from 7 to 11 years and 11 months, leukoderm, in mixed dentition period, with no history of speech-language disorders. Results: The control group did not demonstrate any mouth-breathing. The children were submitted to anthropometric assessment and the orofacial measurements obtained were upper lip, lower lip, philtrum, upper face, middle face, lower face, and sides of the face. The instrument used was the electronic digital sliding caliper Starrett Series 727. There was statistically significant difference between the majority of the orofacial measurements of mouth-breathing children and the measurements of children with no history of speech-language disorders. Some orofacial measurements were different in the studied populations. Conclusion: The possibility of comparing orofacial measurements of children with and without mouth-breathing behavior allows the clinician to determine normal and altered structures of the orofacial morphology. The main advantages of the anthropometry are its noninvasive nature, its technological simplicity, low cost and objective analysis. The anthropometric procedures also have clinical applications in myofunctional assessment and therapy.

scholarly journals Pheochromocytoma of the urinary bladder - a case report

2016 ◽  
Vol 73 (6) ◽  
pp. 584-587 ◽  
Author(s):  
Predrag Maric ◽  
Novak Milovic ◽  
Vladimir Bancevic ◽  
Branko Kosevic ◽  
Predrag Aleksic ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Bladder Wall ◽  
Rare Condition ◽  
Excessive Sweating ◽  
Efficient Treatment ◽  
The Face ◽  
131I Mibg ◽  
History Of ◽  
One Year

Introduction. Pheochromocytoma of the urinary bladder is a rare tumor and presents less than 0.06% of all urinary bladder tumors. Case report. We presented a 49-year-old female patient with a history of daily paroxysmal hypertension accompanied with flushing of the face and upper chest, palpitations and excessive sweating prior to micturition. Ultrasonography reported a 3 cm bladder wall tumor. The 131I-metaiodobenzylguanidine (131I-MIBG) scan showed a pathological isotope accumulation in the projection of the bladder. The patient underwent a partial cystectomy. One year following the operation the patient was normotensive and without recurrence. Conclusion. The most efficient treatment option for bladder pheochromocytoma is surgical resection. The most important fact in the diagnostics is suspicion on this rare condition.

scholarly journals Sporadic Peutz–Jeghers syndrome: a rare cause of intussusception in a toddler with no medical history

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Mhmmad Nassif ◽  
Bardisan Gawrieh ◽  
Aras Abdo ◽  
Zuheir Alshehabi ◽  
Wajih Ali
Keyword(s):  
Small Bowel ◽  
Medical History ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Lead Point ◽  
Lower Lip ◽  
Pigmented Lesions ◽  
The Face ◽  
History Of ◽  
Peutz Jeghers Syndrome

AbstractPeutz–Jeghers syndrome (PJS) is an unusual hamartomatous polyposis of the gastrointestinal tract associated with melanocytic mucocutaneous hyperpigmentation. This research paper examines the case of an 18-month-old Syrian female who had been diagnosed with intussusception. The patient underwent laparotomy, and multiple small bowel polyps were found to act as the lead point. For this reason, small bowel resection (~15 cm), with end-to-end anastomosis, were performed. Although PJS diagnosis was histopathologically confirmed, the patient had no pigmented lesions on the face, the lower lip or the buccal mucosa and neither had any history of hospitalization or family history of the disease. This case was examined and is reported in the present study because PJS is rarely present at this early age when significant medical history is lacking.

scholarly journals Maxillary odontogenic keratocyst: a clinical case report

2015 ◽  
Vol 63 (4) ◽  
pp. 484-488
Author(s):  
Daniel Antunes FREITAS ◽  
Daniela Araújo VELOSO ◽  
Alisson Luís D'Afonseca SANTOS ◽  
Vinícius Antunes FREITAS
Keyword(s):  
Clinical Case ◽  
Basal Layer ◽  
Bone Destruction ◽  
Growth Potential ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Oral Epithelium ◽  
Dental Lamina ◽  
Odontogenic Keratocysts ◽  
Anatomical Point

Odontogenic keratocysts are benign lesions of the maxillomandibular region with high growth potential resulting in huge bone destruction. The presence of multiple Odontogenic keratocysts can be associated with the Gorlin-Goltz syndrome. There are two accepted theories of their origin: remnants of dental lamina and proliferation of cells from the basal layer of oral epithelium into the mandible or maxilla. Odontogenic keratocysts are usually asymptomatic and are diagnosed incidentally on routine periapical or panoramic radiographs. The type of treatment is related to their high recurrence rate. The objective of the present study is to report a clinical case of a surgical treatment of a parakeratinized odontogenic keratocyst by enucleation in a fourteen-year old girl. This technique was used since the complete removal of the cyst posed no risks of complications from a dental and/or anatomical point of view. Furthermore, it facilitated the comprehensive anatomohistopathological analysis of the lesion including its clinical, histopathological, and radiological aspects.

The Politics of Decolonization: The New Nations and the United Nations Political Process

1967 ◽  
Vol 21 (4) ◽  
pp. 786-811 ◽  
Author(s):  
David A. Kay
Keyword(s):  
New York ◽  
United Nations ◽  
Political Process ◽  
Social Culture ◽  
New Members ◽  
External Pressures ◽  
The Face ◽  
History Of ◽  
The United Nations ◽  
One Year

The fifteenth session of the General Assembly of the United Nations which convened in New York in September 1960 marked an important turning point in the history of the Organization. The United Nations had been created primarily through the efforts of states with a European or European-derived political and social culture possessing a common history of political involvement at the international level. During its first ten years the Organization was dominated by the problems and conflicts of these same states. However, by 1955 the process of decolonization which has marked the post-1945 political arena began to be reflected in the membership of the United Nations. In the ten years preceding the end of 1955 ten new nations devoid of experience in the contemporary international arena and struggling with the multitudinous problems of fashioning coherent national entities in the face of both internal and external pressures joined the Organization. By 1960 the rising tide of decolonization had reached flood crest with the entry in that one year of seventeen new Members—sixteen of which were from Africa.

Neuromodulator for the Treatment of Congenital Unilateral Lower Lip Palsy

2018 ◽  
Vol 128 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Natalie A. Krane ◽  
Jeffrey D. Markey ◽  
Myriam Loyo
Keyword(s):  
Botulinum Toxin ◽  
Minimally Invasive ◽  
Surgical Intervention ◽  
Botulinum Toxin Injection ◽  
Treatment Options ◽  
Lower Lip ◽  
Onabotulinum Toxin A ◽  
The Face ◽  
Invasive Method ◽  
Depressor Anguli Oris

Introduction: Congenital unilateral lower lip palsy is an infrequently encountered condition that manifests as lower lip asymmetry during smiling, laughing, and crying. Treatment options are not well characterized. Methods: The authors present the case of a 51-year-old woman who was referred for surgical intervention for facial paralysis. Physical examination demonstrated a symmetric face at rest that became asymmetric when smiling. The asymmetry, evident by inappropriate inferior displacement of the lower lip, was secondary to unilateral contraction and presence of the depressor labii inferioris. The depressor anguli oris was symmetric bilaterally. Her presentation was consistent with congenital unilateral lower lip palsy. Results: Lidocaine was injected into the depressor labii inferioris on the side of the face that demonstrated unilateral presence and contraction. This resulted in symmetry of the smile and lower lip without untoward effect. Onabotulinum toxin A was thereafter injected into the depressor labii inferioris. In-office treatment with botulinum toxin injection resulted in a 4-month improvement in smile symmetry. Conclusion: Chemodenervation is a safe and minimally invasive method to improve smile symmetry and lower lip position in cases of congenital unilateral lower lip palsy.

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