Advances in Oral and Maxillofacial Surgery最新文献

The importance of close and collaborative working between surgeons and radiologists in a one stop neck lump clinic is essential to ensure the correct diagnosis and treatment pathway for patients. Here we present an unusual presentation of lymphoma which demonstrates how a cancer diagnosis can be made without delay even with conflicting clinical and radiological findings, when colleagues are able to direct liaise in a one stop clinic.

A 16-year-old male presented with blunt force trauma to the left peri-orbital region. He complained of diplopia and restricted adduction of the left eye. Computed tomography (CT) imaging revealed left medial orbital wall fracture involving the medial rectus muscle. Upon operating, the medial rectus was discovered to have been avulsed at its origin. We discuss the diagnosis and management of this rare complication.

Osteolipoma is a rare variant of lipoma that can arise mainly in the lower limbs and the head and neck region. As of January 2023, 51 cases of head and neck osteolipomas have been described in the English literature, excluding the tuber cinereum osteolipomas. The review was performed using the Pubmed and Scopus search engines and the following keywords: [osteolipoma], [ossifying AND lipoma] or [lipoma AND osseous metaplasia]. In addition to these 51 cases, we present 3 more cases of osteolipomas involving the craniomaxillofacial area. The scope of this study is to broaden the knowledge regarding this rare tumor and improve the treatment and follow-up protocols.

Head and neck locations are the site of predilection for skin cancers. This is mainly due to the photoexposition of these areas and is made more important in our equatorial setting with high sunlight exposure, rising trend of skin bleaching and higher percentages of albinism. Hence, we sought to evaluate the knowledges of patients visiting at the dental service of a tertiary hospital on these skin cancers.

We conducted a descriptive cross-sectional at the dental unit of the Garoua Regional Hospital over a period of one month. We included in our study all patients attending the dental unit willing to voluntarily take part in this survey and those not willing to voluntarily take part in this survey were excluded from our study. We carried out a consecutive sampling.

We retained 69 participants with a mean age of 30 [24.0–38.0] years and a sex ratio of 0.71.

52.3 % of our participants had heard about skin cancer before, with 4.6 % having seen a patient with skin cancer, all of whom were family members.

Regarding sunlight exposure, 56.9 % of our participants thought UV exposure can increase the risk of skin cancer, 29.2 % thought body areas exposed to sunlight were more at risk of having skin cancer.

Even though 90.8 % thought these cancers were dangerous, 50.8 % thought it could be treated while only 1.5 % knew any means of treatment.

Our findings show that compared to other population-based studies the knowledge level on skin cancers is lower.

Introduction

dental trauma, particularly to the maxillary permanent incisors, is relatively common at Bouaké University Hospital. The aim was to identify the epidemioclinical characteristics and distinguish the therapeutic methods.

Material and methods

This was a retrospective cross-sectional study carried out in the Odontostomatology and Maxillofacial Surgery Department of Bouaké University Hospital from 2015 to 2021. Alveolar-dental trauma of the maxillary permanent incisors was included in the study.

Results

346 subjects were enrolled, representing a prevalence of 20.99 % of all maxillofacial injuries. The mean age was 23.5 years (extremes 8 and 73 years) and the sex ratio was 3.55. Road traffic accidents were the cause of trauma in 250 cases (72.25 %), of which 213 (85.20 %) involved motorised 2-wheelers without helmets. Concurrent damage to the central and lateral incisors was observed in 178 cases (51.44 %). The dental organ was affected in 219 cases (63.29 %), the supporting tissue in 183 cases (52.89 %) and the bone tissue in 102 cases (29.48 %). Other associated craniofacial lesions were observed in 135 cases (39.02 %). For lesions of the dental support tissue, reduction and retention were performed in 39 cases (21.31 %). For lesions of the dental organ, dental avulsion was performed in 102 cases (46.58 %). For alveolar bone lesions, For alveolar bone lesions, reduction with maxillo-mandibular blocking was performed in 54 cases (52.94 %). Discussion: Alveolodental traumatic lesions of the maxillary permanent incisors are, in more than a third of cases, included in a multi-traumatic maxillofacial context, and can therefore very easily be relegated to secondary consideration.

Conclusion

These traumas most often affect young patients, with major lesions that need to be treated as effectively as possible, at the risk of significant functional and aesthetic sequelae.

Large bone tumors can form in the upper and lower jaws of the mouth, leading to dental and jaw lesions. These tumors pose a significant challenge in performing dental prosthetics and restorative procedures in the affected jaws. This case report highlights a successful surgical intervention for a fifty-five-year-old Syrian man who presented with multiple bone tumors in the jaw bones. The surgery, performed at the dental clinic of the International University of Science and Technology, aimed to remove the tumors, allowing for future dental restorations. The surgical procedure was successful, and the tumorous lesions were examined and removed from both the upper and lower jaws. The jaws were then prepared for complete dental restorations. This case emphasizes the importance of timely intervention and surgical management for bone tumors in the jaws to restore oral function and improve quality of life.

Background

The temporomandibular joint (TMJ) pathology and masticatory muscle dysfunction, as well as the influence of proprioceptive and dental treatments on the position of cranial bones and the Atlas, are important and interesting subjects in the field of medicine.

Aim

Evaluate the existing evidence base regarding the use of foot orthotics in the treatment of temporomandibular disorders (TMDs).

Methods

Two studies were conducted to evaluate the efficacy of a new complex approach to the treatment of TMJ pathology and masticatory muscle dysfunction, including myofascial exercises and posture correction insoles. The influence of proprioceptive and dental treatments on the position of cranial bones and the Atlas was also evaluated.

Results

From 23 initial registrations, 2 studies fulfilled the inclusion criteria. One article was an RTC and one a case series. The first study showed a significant increase in treatment efficacy compared to the control group. The second study showed that the Atlas was the point of greatest movement in terms of frontal position and that the sphenoid was the point of least movement.

Conclusions

These two studies are important for the development of new and effective treatments for TMJ pathology and masticatory muscle dysfunction, as well as for understanding the influence of proprioceptive and dental treatments on the position of cranial bones and the Atlas. It will be interesting to see how these findings will influence future clinical practice and patient care for these conditions.

A patient with extensive unilateral synovial chondromatosis (SC) presented with common temporomandibular joint (TMJ) symptoms of pain, cracking noises, locking and limited range of opening. Plain radiographs and computed tomography (CT) imaging revealed numerous dense bodies surrounding the TMJ with one larger multilobular mass medial to the joint. Imaging was diagnostic of SC and the patient underwent synovectomy and removal of the tumours.