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Oral manifestation of lymphomatoid papulosis: systematic review 淋巴样丘疹病的口腔表现:系统综述
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2021043
Diane René Corail, M. Mondoloni, A. S. Calvo, P. Quilhot, G. Lescaille, V. Baaroun, J. Rochefort
Introduction: Lymphomatoid Papulosis (LyP) is a lymphoproliferative disorder with typical histopathological criteria and a spontaneous regression. Only few cases of oral involvement have been reported. We wondered about their clinical characteristics and their association with lymphoma. Method: This systematic review is conducted according to the PRISMA statement. The Oxford Centre for Evidence Based Medicine table (OCEBM) and the scoring from the National Agency for Accreditation and Assessment in Health (ANAES) was assigned to each study. Results: We have included 16 references. LyP can occur at any age with a female predilection. Oral lesions were unique ulcer and tongue was mostly affected. Histological types A, and C were dominant and LyP resolved spontaneously. 1 case was associated with a lymphoma. Discussion: Cutaneous LyP more affects men and are mostly classified as type A while those orals are type A or C. Oral LyP is probably a progressive lesion whose evolution is not illustrated by the histological aspect which often reflects only the initial acute period. Conclusion: Our literature review has shown that the epidemiological aspects between oral and cutaneous LyP are not the same. LyP may be associated with an increased risk of developing systemic lymphoproliferative disorders.
简介:淋巴瘤样丘疹病(LyP)是一种淋巴细胞增生性疾病,具有典型的组织病理学标准和自然消退。只有少数病例被报道口腔受累。我们想知道它们的临床特征及其与淋巴瘤的关系。方法:按照PRISMA标准进行系统评价。牛津循证医学中心表(OCEBM)和国家卫生认证和评估机构(ANAES)的评分被分配给每项研究。结果:共纳入文献16篇。LyP可发生于任何年龄,以女性为主。口腔病变以溃疡为主,以舌部为主。组织学类型以A、C型为主,LyP自行消退。1例合并淋巴瘤。讨论:皮肤LyP多发生于男性,且多被归类为A型,而口腔LyP多被归类为A型或c型。口腔LyP可能是一种进行性病变,其演变不能从组织学角度来说明,通常只反映最初的急性期。结论:我们的文献回顾表明,口腔和皮肤LyP的流行病学方面是不一样的。LyP可能与发生全身性淋巴细胞增生性疾病的风险增加有关。
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引用次数: 1
Ewing’s sarcoma of the mandibular condyle in a young adult: a rare case report 青年下颌髁突尤文氏肉瘤一例:罕见病例报告
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2022013
A. Kudva, Mathangi Kumar, D. Nayak, Mridula Sankaran
Introduction: Ewing’s sarcoma is a malignant, small, round, blue-cell tumour with metastatic potential that usually occurs in older children and young adults. Its occurrence in the jawbones is exceedingly rare and even rarer the in mandibular condyle. This case is being reported due to the extreme unique imaging finding of Ewing’s sarcoma arising in the mandible in a young male. Observation: A 22-year-old healthy male presented with a complaint of a progressive swelling in his right preauricular region. Magnetic resonance imaging showed a hyperintense lesion with the right ramus with loss of fat planes. True cut biopsy and histopathological examination of the lesion was suggestive of Ewing’s Sarcoma. Immunohistochemical analysis confirmed the diagnosis. Discussion: The most common presenting symptom of Ewing’s sarcoma in the head and neck region is a rapidly growing expansile mass along with pain, paraesthesia, and visual disturbances often mimicking odontogenic infections. Higher imaging modalities play a major role in the evaluation of the extent of the lesion and diagnosis. Conclusion: Prompt and pertinent treatment planning is critical for appropriate and timely management.
简介:尤文氏肉瘤是一种具有转移潜力的恶性小圆形蓝细胞肿瘤,通常发生在年龄较大的儿童和年轻人身上。它发生在颌骨是非常罕见的,更罕见的是在下颌髁。这个病例被报道,由于极端独特的影像发现尤因肉瘤出现在一个年轻的男性下颌骨。观察:一个22岁的健康男性提出了一个渐进的肿胀在他的右耳前区主诉。磁共振成像显示右支高强度病变伴脂肪层缺失。病理切片及组织病理检查提示为尤文氏肉瘤。免疫组化分析证实了诊断。讨论:发生在头颈部的尤文氏肉瘤最常见的症状是快速扩张的肿块,伴有疼痛、感觉异常和视觉障碍,通常与牙源性感染相似。更高的成像模式在评估病变程度和诊断中起主要作用。结论:及时、有针对性地制定治疗方案是正确、及时治疗的关键。
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引用次数: 0
Animal bite injuries in pediatric population: a systematic review 儿童动物咬伤:一项系统综述
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2022021
R. Singhal, N. Sikka, R. Namdev
Objectives: To assess the scientific literature pertaining the risk factors for injuries among victims of animal bite injuries. Data and sources: A systematic review of scientific literature published until May 2020 was carried out in the following databases: PubMed, Cochrane Library, Google Scholar and Journals@ovid. Study selection: A total of 924 records were found, of which 29 articles fulfilled the inclusion criteria and were analyzed. There was a male preponderance in most of the studies with male/female ratio ranging from 0.75:1 to 2.1:1. The age range varies from 0 to 19 years with the mean age varying from 3.6 to 8 years. Pitbulls, Rottweiler's, German shepherds, Bull terriers, Labradors and Dobermans were breeds with higher risk of attack. The animals were familiar to the victim (own, friends, neighbors) in 27–98% instances. Most cases of animal bite injuries were recorded during Summer and Spring months. Head and neck followed by extremities was found to be most inflicted area. Conclusions: The sociodemographic characteristics of victim as well as the biting animal affect the circumstances leading to biting episode. However, the results should be interpreted with caution due to the high heterogeneity among studies and moderate quality evidence.
目的:评估有关动物咬伤的危险因素的科学文献。数据和来源:对截至2020年5月发表的科学文献进行系统综述,数据库包括PubMed、Cochrane Library、谷歌Scholar和Journals@ovid。研究选择:共找到924篇文献,其中29篇文献符合纳入标准,并进行分析。大部分研究均为男性优势,男女比例在0.75:1 ~ 2.1:1之间。年龄0 ~ 19岁,平均年龄3.6 ~ 8岁。斗牛犬、罗威纳犬、德国牧羊犬、牛头梗、拉布拉多犬和杜宾犬是被攻击风险较高的品种。在27-98%的情况下,受害者(自己、朋友、邻居)熟悉这些动物。动物咬伤主要发生在夏季和春季。头部和颈部其次是四肢被发现是最严重的伤害区域。结论:咬伤者的社会人口学特征和咬伤动物的社会人口学特征影响咬伤事件的发生。然而,由于研究之间的高异质性和中等质量的证据,结果应谨慎解释。
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引用次数: 0
An unusual palatal mass in a 54-year-old male: report of a rare case 一例罕见的54岁男性腭部肿块
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2022026
R. Srinivasan, Mathangi Kumar, R. Vineetha, D. Nayak, Swati Sharma
Rhinosporidiosis is a chronic, granulomatous, muco-cutaneous infection caused by Rhinosporidium seeberi. The infection is non-contagious and sporadic in humans, affecting predominantly the mucous membrane of the upper respiratory tract. It is quite an uncommon condition and seldom affects the oral mucosa. The clinical presentation of this condition in the oral cavity can mimic many other conditions. Here, we report a unique case of recurrent rhinosporidiosis affecting the palate in a 54-year-old male.
鼻孢子虫病是由猪鼻孢子虫引起的一种慢性肉芽肿性皮肤粘膜感染。这种感染在人类中是非传染性和散发的,主要影响上呼吸道的粘膜。这是一种罕见的疾病,很少影响口腔黏膜。这种口腔疾病的临床表现可以模仿许多其他疾病。在这里,我们报告一个独特的病例复发鼻孢子虫病影响腭54岁的男性。
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引用次数: 0
Clinical and cytological findings in oral cavity of young shisha smokers and non-smokers – a comparative study 吸水烟与不吸水烟青年口腔临床及细胞学研究
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2021050
P. Ramamurthy, Bennete Fernandes, A. Tegginamani, Avita Rath, P. Sidhu, Ahmad Termizi Bin Zamzuri
Introduction: Shisha, a form of smoking tobacco is known to be detrimental to oral health. Yet, the effects of shisha on oral health is not well documented. Hence, this study was undertaken to compare the clinical and cytological findings in oral cavity of young shisha smokers as compared to non-smokers. Materials and methods: A cross-sectional analytical study was undertaken among 60 subjects including 30 young shisha smokers and 30 non-smokers. Clinical examination was carried out to record gingival status, periodontal status, oral hygiene and dental caries experience. Exfoliative cytology was used to study the cytological changes of buccal mucosal cells. Data was analysed using SPSS version 22. Student’s t-test, Fisher’s exact test and odd’s ration was used for comparison. p < 0.05 was considered statistically significant. Results: No significant differences were found between the groups with respect to proportion of subjects with gingivitis (p = 0.071), erosion (p = 0.085) and dental caries experience (p = 0.329). However, shisha smokers had poorer oral hygiene and more severe gingival inflammation as compared to non-smokers with p = 0.026 and p = 0.007 respectively. The odds of having atypical cells in oral mucosa among shisha smokers was 3.76 times higher than the non-smokers. Conclusion: The findings of our study showed that young shisha smokers had more atypical cells in oral mucosa as compared to their non-smoking counterparts. However, longitudinal studies are needed to affirm the findings of this study.
水烟是一种吸烟的烟草,众所周知对口腔健康有害。然而,水烟对口腔健康的影响并没有得到很好的证明。因此,本研究旨在比较年轻的水烟吸烟者和不吸烟者口腔的临床和细胞学结果。材料与方法:采用横断面分析的方法,对60名青少年吸水烟者和30名不吸水烟者进行研究。临床检查记录牙龈状况、牙周状况、口腔卫生及龋齿经历。采用剥脱细胞学方法研究口腔粘膜细胞的细胞学变化。数据分析使用SPSS version 22。使用学生t检验,费雪精确检验和奇数定量进行比较。P < 0.05为差异有统计学意义。结果:牙龈炎(p = 0.071)、口腔糜烂(p = 0.085)、龋齿经历(p = 0.329)三组间差异均无统计学意义。而吸水烟者口腔卫生较差,牙龈炎症较不吸烟者严重,p = 0.026, p = 0.007。吸水烟者口腔黏膜非典型细胞的发生率是不吸水烟者的3.76倍。结论:吸水烟青年口腔黏膜非典型细胞数量明显高于不吸水烟青年。然而,需要纵向研究来证实本研究的发现。
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引用次数: 0
Myofibroblastic sarcoma of the oral cavity: a diagnostic dilemma and report of two cases 口腔肌成纤维细胞肉瘤:诊断困境及两例报告
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2022010
Nurhayu Ab. Rahman, M. H. Harun, S. E. T. Sharif
Introduction: Myofibroblastic sarcoma is designated as a low-grade malignancy, commonly affecting the deep soft tissue of the head and neck. Despite being classified as low-grade, myofibroblastic sarcoma with high-grade features have been reported. Observations: Two such cases affecting the oral cavity, which were diagnosed as different entities upon biopsy, were observed. Case 1 presented as multiple, well-circumscribed soft tissue swellings of the tongue and alveolar mucosa and was diagnosed as synovial sarcoma. Case 2 manifested as a large extensive osseous lesion of the maxilla and was diagnosed as an inflammatory myofibroblastic tumour. Conclusion: Myofibroblastic sarcoma with high-grade features remains a diagnostic dilemma due to its overlapping features with other spectra of fibroblastic/myofibroblastic tumours and lack of consensus regarding its classification as a separate entity. Establishing the definitive diagnosis requires adequate tumour sampling and a systematic clinicopathological approach.
肌成纤维细胞肉瘤是一种低级别恶性肿瘤,通常影响头部和颈部的深部软组织。尽管被归类为低级别,但有报道称肌纤维母细胞肉瘤具有高级别特征。观察:观察了两例影响口腔的病例,活检诊断为不同的实体。病例1表现为舌和牙槽粘膜多发、边界清晰的软组织肿胀,诊断为滑膜肉瘤。病例2表现为上颌骨大面积骨性病变,诊断为炎性肌成纤维细胞瘤。结论:具有高级别特征的肌纤维母细胞肉瘤仍然是一个诊断难题,因为它与其他纤维母细胞/肌纤维母细胞肿瘤的频谱重叠,并且对其作为一个单独实体的分类缺乏共识。建立明确的诊断需要充分的肿瘤取样和系统的临床病理方法。
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引用次数: 0
Orofacial sarcoidosis: report of three cases 口面部结节病:附3例报告
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2022009
Nicholas E. Koutrakis, Alisha Sahu, D. Vasilyeva, Scott M. Peters
Introduction: Sarcoidosis is a systemic non-caseating granulomatous disorder of unknown etiology that may affect multiple organ systems. Head and neck involvement can present in unusual and often nonspecific ways. Observations: We report three cases of sarcoidosis with orofacial manifestations: one African American patient with an existing diagnosis who presented with perioral cutaneous involvement by sarcoidosis, and two Caucasian patients with cases where the initial oral presentation – diffusely affected gingiva in one and intraosseous jaw involvement with resultant dental implant failure in the other – led to workup and establishment of the diagnosis of sarcoidosis. The patients were referred to rheumatology and dermatology for appropriate treatment. Conclusion: Although oral lesions of sarcoidosis are not common, they may be the first clinical manifestation of sarcoidosis. The practitioner should be aware of the possible manifestations and be able to formulate an informed clinical differential diagnosis.
结节病是一种病因不明的系统性非干酪化肉芽肿性疾病,可累及多器官系统。头颈部受累可表现为不寻常且通常是非特异性的。观察:我们报告了三例结节病的口腔面部表现:一名非洲裔美国患者的现有诊断表现为结节病累及口腔周围皮肤,两名高加索患者的最初口腔表现-弥漫性影响牙龈,骨内颌骨累及导致种植体失败-导致结节病的检查和诊断。患者转至风湿科和皮肤科接受适当治疗。结论:结节病口腔病变虽不常见,但可能是结节病的首要临床表现。医生应该意识到可能的表现,并能够制定一个知情的临床鉴别诊断。
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引用次数: 0
Post-traumatic superolateral temporo-mandibular dislocation with intact condyle: case series and literature review 创伤后颞下颌上外侧脱位伴完整髁突:病例系列和文献回顾
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2021053
Eric Kouassi Zegbeh N'guessan, Ernest Martial Djemi, Pornan Issa Jules Bérété, T. A. Salami, Assi Romaric Evrard Yapo, Biévianda Vincent Illi, G. Crezoit
Introduction: Supero-lateral temporomandibular dislocations with intact condyles are very rare, particularly in countries of sub-Saharan Africa where they are poorly documented. Materials and method: This was a retrospective study that included all patients received for superolateral temporomandibular dislocation with intact condyle following a maxillofacial trauma. The period covered by the study was from January 2011 to July 2021. Results: 3 patients were studied. According the classification of temporomandibular superolateral dislocation with intact condyle, the first patient had a Type II A, the second and the third patient, type II B. The manual reduction of the first patient luxation was unstable requiring an osteosynthesis of mandibular symphysis to stabilise the reduction of the temporomandibular dislocation. The second patient manual reduction was unsuccessful requiring an open reduction by preauricular approach. The third left against medical advice. Discussion: The occurrence of temporomandibular superolateral dislocation with intact condyle in an underdeveloped city like Bouaké, is not related to the density of road traffic but to the indiscipline of the many motorcyclists who do not wear helmets. Early reduction of the dislocation, early mobilisation of the joint and mechanotherapy positively influence the postoperative outcome.
引言:上外侧颞下颌关节脱位伴完整髁是非常罕见的,特别是在撒哈拉以南非洲国家,那里的文献很少。材料和方法:这是一项回顾性研究,包括所有因颌面部创伤后髁完整的颞下颌上外侧脱位而接受治疗的患者。该研究涵盖的时间为2011年1月至2021年7月。结果:对3例患者进行研究。根据髁突完整的颞下颌上外侧脱位的分类,第一位患者为II型a型,第二位和第三位患者为II型b型。第一位患者脱位的手动复位不稳定,需要下颌联合植骨以稳定颞下颌脱位的复位。第二例患者手工复位不成功,需要经耳前入路切开复位。第三个人不顾医嘱离开了。讨论:在像bouak这样的欠发达城市中,发生完整髁突的颞下颌上外侧脱位,与道路交通的密度无关,而是与许多不戴头盔的摩托车手的不守纪律有关。早期脱位复位、早期关节活动和机械治疗对术后预后有积极影响。
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引用次数: 0
The impact of zero insertion torque on flapless immediate implant placement in the maxilla (5 years follow up clinical study) 零插入力矩对上颌骨无瓣即刻种植体置入的影响(5年随访临床研究)
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2022024
Samy Elian, A. Salem
Introduction: The achievement of good osseointegration in immediate implant placement can occur in the presence adequate primary stability. The insertion torque varies between cases depending on many factors. Aim: To assess clinically the impact of zero insertion torque on the survival of immediate implant placement in the maxilla for more than 5 years follow-up. Methods: A flapless immediate 2018 implants were in the maxilla in non-restorable single rooted teeth osteotomy site. The insertion torque of the implant was measured clinically by an integrated software. Results: The final insertion torque for 42 implants out of 2018 placed in fresh extraction sockets in the maxilla was zero (no primary stability). Their survival rate was 83.3%. Conclusions: The lack of certain conditions during immediate implant surgical installation and healing had the major effects on success. The loss of torque during immediate implant placement to zero may jeopardize the survival of the implants, but it may not be statistically significant with their failure and loss. The implant primary stability is not an absolute prerequisite to osseointegration; however, it may affect the implant survival rate.
在有足够的初期稳定性的情况下,可以实现良好的骨整合。不同情况下的插入扭矩取决于许多因素。目的:评价零插入力矩对上颌即刻种植体成活率的影响,随访5年以上。方法:采用无瓣即刻2018种植体植入上颌不可修复单根牙截骨部位。植入物的插入扭矩通过集成软件进行临床测量。结果:2018年有42颗种植体放置在上颌新鲜拔牙槽内,最终插入扭矩为零(无初级稳定性)。生存率为83.3%。结论:在即刻种植体手术安装和愈合过程中缺乏一定的条件是影响成功的主要因素。在即刻植入过程中,扭矩损失为零可能会危及植入物的存活,但其失败和损失可能没有统计学意义。种植体的初始稳定性并不是骨整合的绝对先决条件;然而,这可能会影响种植体的成活率。
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引用次数: 0
Assessment of quality of life of patients with oral sub mucous fibrosis before and after treatment with topical curcumin 局部姜黄素治疗前后口腔黏膜下纤维化患者的生活质量评价
Q3 Dentistry Pub Date : 2022-01-01 DOI: 10.1051/mbcb/2022007
Neha Patil, P. Khandelwal, S. Patel, Bharat Gupta
Background and aim: Oral Submucous Fibrosis (OSMF) is potentially pre-malignant condition of the oral cavity with a high malignant transformation rate. The condition not only affects the oral function of the patients but has a huge impact on their social and psychological wellbeing affecting the overall quality of life. To evaluate the effectivity of the treatment assessing the quality of the life of these patients before and after treatment is of utmost importance but till now has not been an integral part of the management strategy. This study was carried to assess the change in quality of life before and after treatment with curcumin in patients with OSMF. Methods: Quality of life was assessed before and after 3 months of treatment with topical curcumin in 50 patients with OSMF using European Organization for Research and Treatment of Cancer Quality of Life head and neck Questionnaire (EORTC QLQ35). Results: At the end of 3 months there was significant (p < 0.05) change in the quality of life of patients with OSMF as suggested by assessment of the multi-item and single item scale used in the questionnaire. Conclusion: The study emphasizes the use of assessing Quality of life as an integral part of treatment strategy for OSMF and suggests curcumin as a promising treatment modality for patients with OSMF.
背景与目的:口腔黏膜下纤维化(OSMF)是口腔潜在的恶性前病变,具有较高的恶性转化率。这种情况不仅影响患者的口腔功能,而且对他们的社会和心理健康产生巨大影响,影响整体生活质量。为了评估治疗的有效性,评估这些患者治疗前后的生活质量是至关重要的,但到目前为止还没有成为管理策略的一个组成部分。本研究旨在评估OSMF患者接受姜黄素治疗前后生活质量的变化。方法:采用欧洲癌症研究与治疗组织头颈部生活质量问卷(EORTC QLQ35)对50例OSMF患者进行局部姜黄素治疗前后3个月的生活质量进行评估。结果:在治疗3个月时,问卷中使用的多项和单项量表显示,OSMF患者的生活质量有显著变化(p < 0.05)。结论:本研究强调使用生活质量评估作为OSMF治疗策略的一个组成部分,并建议姜黄素作为OSMF患者的一种有希望的治疗方式。
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引用次数: 1
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Journal of Oral Medicine and Oral Surgery
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