scholarly journals Bilateral Ameloblastic Fibroma in A 6 Year Old Child: A Unique Case

2010 ◽  
Vol 4 (3) ◽  
pp. 88-91
Author(s):  
Ashish Gupta ◽  
Rahul Sood ◽  
Pankaj Bansal

ABSTRACT Ameloblastic fibroma (AF) is an extremely rare true mixed benign tumour that can occur either in mandible or maxilla, but is most frequently found in the posterior region of mandible. It is usually seen in the first two decades of life and is associated with tooth enclosure, hence causing delay in eruption or altering the dental eruption sequence. AF is found during routine radiographic evaluation but is clinically and radiographically similar to Ameloblastic fibro-odontoma and odontoma, which makes an accurate diagnosis mandatory as it may change the course of treatment. There has been lot of debate regarding the treatment for AF. We describe a case of bilateral ameloblastic fibroma in the posterior region of mandible in 6 year old child which was treated by conservative curettage with admirable results.

2017 ◽  
Vol 1 (7) ◽  
pp. 18-21
Author(s):  
K Indira Priyadarshini ◽  
Karthik Raghupathy ◽  
K V Lokesh ◽  
B Venu Naidu

Ameloblastic fibroma is an uncommon mixed neoplasm of odontogenic origin with a relative frequency between 1.5 – 4.5%. It can occur either in the mandible or maxilla, but predominantly seen in the posterior region of the mandible. It occurs in the first two decades of life. Most of the times it is associated with tooth enclosure, causing a delay in eruption or altering the dental eruption sequence. The common clinical manifestation is a slow growing painless swelling and is detected during routine radiographic examination. There is controversy in the mode of treatment, whether conservative or aggressive. Here we reported a 38 year old male patient referred for evaluation of painless swelling on the right posterior region of the mandible associated with clinically missing 3rd molar. The lesion was completely enucleated under general anesthesia along with the extraction of impacted molar.


2021 ◽  
pp. 28-29
Author(s):  
Mangesh Machindra Londhe ◽  
Tushar Vithalrao Patil ◽  
Kishor H Suryawanshi ◽  
Priyanka Sunil Gaikwad

Lymphangiomas of breast are rare with only a few cases being reported so far. Among these secondary lymphangioma have been reported but cases of primary lymphangioma are even rarer. Due to its proclivity to mimic malignancy clinically, its accurate diagnosis plays a crucial role in management of these patients. This is a unique case where cytology suggested a diagnosis of vascular malformation ruling out malignancy, thus avoiding unnecessary surgical exploration along with untoward effects of chemo/radiotherapy. The histopathology revealed diagnosis of lymphangioma circumscriptum of breast


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Praveenkumar Ramdurg ◽  
Naveen Srinivas ◽  
Vijaylaxmi Mendigeri ◽  
Surekha R. Puranik

Acoustic neuroma (AN), also called vestibular schwannoma, is a tumor composed of Schwann cells that most frequently involve the vestibular division of the VII cranial nerve. The most common symptoms include orofacial pain, facial paralysis, trigeminal neuralgia, tinnitus, hearing loss, and imbalance that result from compression of cranial nerves V–IX. Symptoms of acoustic neuromas can mimic and present as temporomandibular disorder. Therefore, a thorough medical and dental history, radiographic evaluation, and properly conducted diagnostic testing are essential in differentiating odontogenic pain from pain that is nonodontogenic in nature. This article reports a rare case of a young pregnant female patient diagnosed with an acoustic neuroma located in the cerebellopontine angle that was originally treated for musculoskeletal temporomandibular joint disorder.


Neurosurgery ◽  
2006 ◽  
Vol 58 (6) ◽  
pp. E1216-E1216 ◽  
Author(s):  
Suresh N. Magge ◽  
H Isaac Chen ◽  
Eric L. Zager

Abstract OBJECTIVE: Dystrophic calcification refers to heterotopic formation of calcium in soft tissue. There have been few reports that describe dystrophic calcification causing brachial plexopathies. We describe a unique case of dystrophic calcification that caused entrapment of the posterior cord of the brachial plexus, something not previously described in the literature. CLINICAL PRESENTATION: We report the case of a 43-year-old woman with a medical history of congenital lymphangiomas of the left chest wall and axilla, for which she had undergone multiple surgeries and radioactive seed implantation. She presented 41 years later with progressive left arm paresthesias, pain, and weakness. Neurological findings were confined to the distribution of the posterior cord of the plexus. Radiographic evaluation demonstrated a 3 × 3 × 4-cm calcified mass in the axilla and proximal arm. INTERVENTION: A careful neurolysis and mass resection was performed. At exploration, the posterior cord, proximal radial nerve, and brachial artery were found to be densely adherent to a calcified mass. Reconstruction of the brachial artery and free tissue transfer were required for healing of the severely scarred wound. Pathological examination revealed dense, calcified connective tissue consistent with dystrophic calcification. She made an excellent recovery. CONCLUSION: We describe a rare case of dystrophic calcification of the proximal arm causing symptomatic brachial plexopathy, with onset many years after surgery and radiation. Diagnostic evaluation and surgical management are discussed.


2012 ◽  
Vol 1 (2) ◽  
pp. 110-112
Author(s):  
Meenakshi Awana

ABSTRACT Missed foreign bodies are one of the leading causes of malpractice claims made against emergency physicians. Foreign bodies in the lip are not common. Here, a case of a child presenting with tooth fragment embedded in the lower lip after a fall is being reported. Accurate diagnosis was made by palpation and radiographic evaluation. The foreign body was removed surgically under local anesthesia with prompt recovery and esthetics was preserved. The patient was taken up for root canal treatment. It is essential to look for foreign bodies embedded in soft tissue particularly in children after a fall, which if overlooked can have significant complications. How to cite this article Talwar M, Awana M. Unusual Presentation of Foreign Body in a Pediatric Patient. Int J Experiment Dent Sci 2012;1(2):110-112.


1984 ◽  
Vol 6 (6) ◽  
pp. 183-189
Author(s):  
William P. Bunnell

Back pain in a young child or adolescent is an unusual complaint and must be regarded as a possible indication of the presence of significant pathology. Functional and mechanical causes of back pain in this age group are uncommon; therefore, it is most important that a vigorous attempt be made to establish the primary diagnosis. The purpose of this paper is to review the distinctive features of the history and physical examination that may lead to accurate diagnosis, and to outline a logical approach to the laboratory and radiographic evaluation for each of the major causes of back pain. HISTORY A carefully obtained medical history is frequently the most helpful factor in establishing a diagnosis. In addition to providing important information, it also establishes an attitude of mutual trust and understanding between the physician and patient. A skillfully taken history can help the physician gain vital insight into the patient's attitude toward his or her disease and suggest areas to be emphasized for further evaluation. Specific aspects of the history that are most revealing include: the mode of onset, nature and severity of the pain; a change in symptoms; and associated systemic complaints (Table 1). The mode of onset should be determined as specifically as possible.


2016 ◽  
Vol 10 (01) ◽  
pp. 139-143 ◽  
Author(s):  
Sinan Tozoglu ◽  
Mukerrem Hatipoglu ◽  
Zeliha Aytekin ◽  
Elif Inanc Gurer

ABSTRACTAmeloblastic fibroma (AF) is rare benign odontogenic tumour which usually occurs in the first two decades of life. It can occur either the mandible or maxilla but it is most frequently found in the posterior region of the mandible. Treatment of AF in usual is a conservative approach, such as enucleation and curettage but the aggressive lesions require a radical approach. A more radical approach should be considered in older patients who have likely high recurrence tendency. This report describes a case of AF in a 38-year-old female patient identified during a routine radiographic exam. Tomographic examination through three-dimensional reconstruction indicated vestibular fenestration of the cortical bone, with involvement of lingual cortical bone as the lession extended to the posterior region. We removed the tumor under local anesthesia. In this case patient has continued to be followed frequently and has been disease-free for 3 years.


2015 ◽  
Vol 11 (4) ◽  
pp. 1033
Author(s):  
Manpreet Arora ◽  
Aparna Dave ◽  
Vishwaprakash Shetty ◽  
Pulin Saluja

2008 ◽  
Vol 18 (1) ◽  
pp. 9-20 ◽  
Author(s):  
Mark Kander ◽  
Steve White

Abstract This article explains the development and use of ICD-9-CM diagnosis codes, CPT procedure codes, and HCPCS supply/device codes. Examples of appropriate coding combinations, and Coding rules adopted by most third party payers are given. Additionally, references for complete code lists on the Web and a list of voice-related CPT code edits are included. The reader is given adequate information to report an evaluation or treatment session with accurate diagnosis, procedure, and supply/device codes. Speech-language pathologists can accurately code services when given adequate resources and rules and are encouraged to insert relevant codes in the medical record rather than depend on billing personnel to accurately provide this information. Consultation is available from the Division 3 Reimbursement Committee members and from [email protected] .


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