scholarly journals Branchial cleft cyst. Particularities of diagnosis and treatment. Clinical case

2021 ◽  
Vol 3 (59) ◽  
pp. 71-77
Author(s):  
Gabriela Tverdohleb ◽  
◽  
Dumitru Sirbu ◽  
Stanislav Strisca ◽  
◽  
...  

Branchial cysts are rare congenital malformations which arise due to the partial or complete involution of branchial apparatus in the development of the human embryo, causing huge discomfort to the patient. The objective of the study is to investigate the clinical picture, the evolution, the diagnostic methods of the branchial cysts to optimize the treatment tactics. A clinical case will be presented of a 40–years–old patient which was admitted to IMU IMSP in the Oral and Maxillofacial Surgery Department with the diagnosis of a left lateral branchial cyst. The patient accuses aesthetic disorders and the presence of a voluminous swelling which was located in the upper left lateral cervical region that began 2 years ago with episodes of frequent superinfection, gradually increasing in size. Therefore, a clinical and paraclinical examination was performed (laboratory tests, ultrasonography) to specify the diagnosis and to provide additional information on adjacent anatomical structures that may influence the tactics of the surgical treatment. A surgical intervention such as „removal of the swelling” was advised. Following the excision of the cyst under general anesthesia, the postoperative period passed without any particularities. Early diagnosis will reduce the increase in size of the branchial cysts preventing inflammatory complications with their superinfection.

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Lugaric ◽  
C Frezzini ◽  
A Patterson

Abstract Aim To determine the success rates of dental implants in complex patients treated in the Oral and Maxillofacial Surgery Department at Rotherham General Hospital (RGH). Method All patients who received dental implants in the period January 2010 – March 2017 at RGH were included in the audit. Standards 90% local standard Results 68 dental implants were placed in 22 patients: 15 patients head and neck reconstruction, 5 atrophic edentulous patients, 2 trauma. Conclusions Survival rates for dental implants in the literature is variable ranging from 91 -96% in native bone and mucosa and 46 - 98% in irradiated tissue.


2019 ◽  
Vol 12 (4) ◽  
pp. e229607 ◽  
Author(s):  
Amy Patrick ◽  
Keith Altman

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.


2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Elvira Ferrés-Amat ◽  
Tomasa Pastor-Vera ◽  
Paula Rodríguez-Alessi ◽  
Eduard Ferrés-Amat ◽  
Javier Mareque-Bueno ◽  
...  

The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia (“tongue-tie”) and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.


Author(s):  
Massimo Robiony ◽  
Elena Bocin ◽  
Salvatore Sembronio ◽  
Fabio Costa ◽  
Vittorio Bresadola ◽  
...  

The rise of the COVID-19 pandemic has posed new challenges for health care institutions. Restrictions imposed by local governments worldwide have compromised the mobility of patients and decreased the number of physicians in hospitals. Additional requirements in terms of medical staff security further limited the physical contact of doctors with their patients, thereby questioning the traditional methods of clinical examination. Our institution has developed an organization model to translate the essential clinical services into virtual consultation rooms using a telemedicine interface which is commonly available to patients. We provide examples of clinical activity for a maxillofacial surgery department based on teleconsultation. Our experience is summarized and an organization model is drafted in which outpatient consultation offices are translated into virtual room environments. Clinical examples are provided, demonstrating how each subspecialty of oral and maxillofacial surgery can benefit from virtual examinations. The concept of “telesemeiology” is introduced and a checklist is presented to guide clinicians to perform teleconsultations. This paper is intended to provide an organization model based on telemedicine for maxillofacial surgeons and aims to represent an aid for colleagues who are facing the pandemic in areas where lockdown limits the possibility of a physical examination.


2019 ◽  
Vol 8 (2) ◽  
pp. 25-31 ◽  
Author(s):  
ROWLAND AGBARA ◽  
BENJAMIN FOMETE ◽  
KELVIN OMEJE ◽  
POLYCARP ONYEBUCHI

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.


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