Pub Date : 2024-07-14DOI: 10.1016/j.omsc.2024.100365
Temporomandibular joint (TMJ) ankylosis can lead to complete or partial obliteration of the articular space and subsequent limited mouth opening. In children, ankylosis may lead to growth disturbance of the mandible, facial deformity, obstructive sleep apnea, impaired mastication and speech with subsequent nutritional deficiencies. Reconstruction of the condyle to restore facial deformities and TMJ function is recommended as soon as ankylosis is diagnosed. Surgical treatment options vary based on age, type and extent of the ankylosis and whether its uni-or bilateral. Different treatment modalities, such as distraction osteogenesis, gap arthroplasty, costochondral graft (CCG), sternoclavicular graft and alloplastic total joint reconstruction (ATJR) are common reconstruction choices.
We present a case of a long lasting bilateral TMJ ankylosis in a 5-year-old boy with severe OSA who was treated with bilateral alloplastic total joint reconstruction with successful outcome. Even though ATJR in growing children is controversial, the potential benefits of function and quality of life should to be considered in selected cases.
颞下颌关节(TMJ)强直可导致关节间隙完全或部分闭塞,进而导致张口受限。在儿童中,颞下颌关节强直可能导致下颌骨发育障碍、面部畸形、阻塞性睡眠呼吸暂停、咀嚼和言语障碍,进而引起营养不良。一旦确诊为下颌骨强直,建议立即进行髁突重建,以恢复面部畸形和颞下颌关节功能。根据患者的年龄、强直的类型和程度以及是单侧还是双侧,手术治疗方案也有所不同。不同的治疗方式,如牵张成骨术、间隙关节成形术、肋软骨移植术(CCG)、胸锁关节移植术和全整形全关节重建术(ATJR)都是常见的重建选择。我们介绍了一例患有严重 OSA 的 5 岁男孩的长期双侧颞下颌关节强直病例,他接受了双侧全整形全关节重建术并取得了成功。尽管对成长中的儿童进行颞下颌关节重建还存在争议,但在选定的病例中应考虑其对功能和生活质量的潜在益处。
{"title":"Bilateral alloplastic total temporomandibular joint reconstruction in a five-year-old child: A case report and a review of the literature","authors":"","doi":"10.1016/j.omsc.2024.100365","DOIUrl":"10.1016/j.omsc.2024.100365","url":null,"abstract":"<div><p>Temporomandibular joint (TMJ) ankylosis can lead to complete or partial obliteration of the articular space and subsequent limited mouth opening. In children, ankylosis may lead to growth disturbance of the mandible, facial deformity, obstructive sleep apnea, impaired mastication and speech with subsequent nutritional deficiencies. Reconstruction of the condyle to restore facial deformities and TMJ function is recommended as soon as ankylosis is diagnosed. Surgical treatment options vary based on age, type and extent of the ankylosis and whether its uni-or bilateral. Different treatment modalities, such as distraction osteogenesis, gap arthroplasty, costochondral graft (CCG), sternoclavicular graft and alloplastic total joint reconstruction (ATJR) are common reconstruction choices.</p><p>We present a case of a long lasting bilateral TMJ ankylosis in a 5-year-old boy with severe OSA who was treated with bilateral alloplastic total joint reconstruction with successful outcome. Even though ATJR in growing children is controversial, the potential benefits of function and quality of life should to be considered in selected cases.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221454192400021X/pdfft?md5=f0b4a97868f5d5974c3670855af59efb&pid=1-s2.0-S221454192400021X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-10DOI: 10.1016/j.omsc.2024.100363
Salaheldin Awouda , Gustavo Andres Grimaldi Finol , Enas Mohammed , Malaz Adam , Moustafa Al Khalil
Granulomatosis with Polyangiitis previously called Wegener's granulomatosis is quite a rare condition that affects multiple organs. It's a serious disorder marked by inflammation that causes tissue damage in the upper and lower respiratory tract, glomerulonephritis, and vasculitis, which can be fatal. This illness can present in either a limited or generalized form. The limited version tends to progress slowly, while the more widespread form can rapidly lead to failure of multiple organs. One of the challenges in diagnosing is that its early symptoms are nonspecific.
We are presenting a case of 16-year-old girl come in with a rather unusual presentation. Her symptoms kicked off with strawberry gingivitis and swelling of the salivary glands. In our report, we delve into the details of her clinical signs, what we found on the radiological scans, and how we approached treatment.
多发性肉芽肿病(Granulomatosis with Polyangiitis)以前称为韦格纳肉芽肿病,是一种影响多个器官的罕见疾病。它是一种严重的疾病,以炎症为特征,会导致上呼吸道和下呼吸道组织损伤、肾小球肾炎和血管炎,并可能致命。这种疾病可表现为局限性或全身性。局限型往往进展缓慢,而广泛型则会迅速导致多个器官衰竭。诊断的难点之一在于它的早期症状没有特异性。我们现在介绍一例 16 岁女孩的病例,她的表现相当不寻常。她的症状以草莓状牙龈炎和唾液腺肿胀开始。在报告中,我们将详细介绍她的临床症状、放射扫描结果以及治疗方法。
{"title":"Strawberry gingivitis and salivary gland enlargement as Debut symptoms of Pediatric granulomatosis with polyangiitis, using a multimodality and comprehensive diagnosis work up - A case report","authors":"Salaheldin Awouda , Gustavo Andres Grimaldi Finol , Enas Mohammed , Malaz Adam , Moustafa Al Khalil","doi":"10.1016/j.omsc.2024.100363","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100363","url":null,"abstract":"<div><p>Granulomatosis with Polyangiitis previously called Wegener's granulomatosis is quite a rare condition that affects multiple organs. It's a serious disorder marked by inflammation that causes tissue damage in the upper and lower respiratory tract, glomerulonephritis, and vasculitis, which can be fatal. This illness can present in either a limited or generalized form. The limited version tends to progress slowly, while the more widespread form can rapidly lead to failure of multiple organs. One of the challenges in diagnosing is that its early symptoms are nonspecific.</p><p>We are presenting a case of 16-year-old girl come in with a rather unusual presentation. Her symptoms kicked off with strawberry gingivitis and swelling of the salivary glands. In our report, we delve into the details of her clinical signs, what we found on the radiological scans, and how we approached treatment.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000191/pdfft?md5=9bf8946c41587160ce8fabd173f2cd1d&pid=1-s2.0-S2214541924000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-20DOI: 10.1016/j.omsc.2024.100362
Iman Malakuti , Anna Persson , Anders Näsman , Gunnar Liminga , Petter Gavelin , Andreas Thor
Study design
Case report.
Objective
To present two cases of young children with Hyaline Fibromatosis Syndrome and their oral and maxillofacial manifestations.
Methods
The different oral and maxillofacial manifestations were clinically examined in detail. The patients were treated with surgical excisions of their gingival hyperplasias and soft tissue tumors of the head.
Results
Relief of pain from ears, scalp and intraoral was obtained, resulting in a normal eating and nutritional habits despite absence of teeth. Improved esthetics.
Conclusion
This paper underscores the importance of early diagnosis and prompt therapeutic interventions in managing Hyaline Fibromatosis Syndrome. This report contributes to the growing body of knowledge regarding this rare disorder and emphasizes the importance of a multidisciplinary approach in achieving favorable outcomes for patients afflicted with HFS.
{"title":"Oral and maxillofacial manifestations in young patients with Hyalin fibromatosis syndrome: A case series","authors":"Iman Malakuti , Anna Persson , Anders Näsman , Gunnar Liminga , Petter Gavelin , Andreas Thor","doi":"10.1016/j.omsc.2024.100362","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100362","url":null,"abstract":"<div><h3>Study design</h3><p>Case report.</p></div><div><h3>Objective</h3><p>To present two cases of young children with Hyaline Fibromatosis Syndrome and their oral and maxillofacial manifestations.</p></div><div><h3>Methods</h3><p>The different oral and maxillofacial manifestations were clinically examined in detail. The patients were treated with surgical excisions of their gingival hyperplasias and soft tissue tumors of the head.</p></div><div><h3>Results</h3><p>Relief of pain from ears, scalp and intraoral was obtained, resulting in a normal eating and nutritional habits despite absence of teeth. Improved esthetics.</p></div><div><h3>Conclusion</h3><p>This paper underscores the importance of early diagnosis and prompt therapeutic interventions in managing Hyaline Fibromatosis Syndrome. This report contributes to the growing body of knowledge regarding this rare disorder and emphasizes the importance of a multidisciplinary approach in achieving favorable outcomes for patients afflicted with HFS.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221454192400018X/pdfft?md5=cddd529eabcd65399246ad3e70c18aab&pid=1-s2.0-S221454192400018X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-12DOI: 10.1016/j.omsc.2024.100360
Fawaz H. Alotaibi , Marwa Hatem , Abdulrahman Hesham , Yousef Alshamrani , David Kim , Jehan Abdulsattar
Radiation therapy in treatment of head and neck cancer has contributed to improved survival rate of cancer patients. However, this is accompanied by a potential rise in post radiation complications including radiation induced malignancies and osteoradionecrosis.
Radiation Induced Osteosarcoma (RIOS) is rarely reported. In this paper, we report an unusual case of RIOS involving the parotid gland and mandible that was initially misdiagnosed as Osteoradionecrosis (ORN) provide a comprehensive review of the literature.
{"title":"Radiation-induced osteosarcoma of the parotid gland and mandible: A case report and literature review","authors":"Fawaz H. Alotaibi , Marwa Hatem , Abdulrahman Hesham , Yousef Alshamrani , David Kim , Jehan Abdulsattar","doi":"10.1016/j.omsc.2024.100360","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100360","url":null,"abstract":"<div><p>Radiation therapy in treatment of head and neck cancer has contributed to improved survival rate of cancer patients. However, this is accompanied by a potential rise in post radiation complications including radiation induced malignancies and osteoradionecrosis.</p><p>Radiation Induced Osteosarcoma (RIOS) is rarely reported. In this paper, we report an unusual case of RIOS involving the parotid gland and mandible that was initially misdiagnosed as Osteoradionecrosis (ORN) provide a comprehensive review of the literature.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000166/pdfft?md5=c9e4ed60263f2f039bd15db9499b4dfc&pid=1-s2.0-S2214541924000166-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141324819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-11DOI: 10.1016/j.omsc.2024.100361
Amir Jalal Abbasi , Mohammad Mehdi Taheri , Amirali Asadi , Rashin Bahrami , Nariman Nikparto
Myositis ossificans traumatica (MOT) is a rare condition characterized by nonneoplastic, heterotopic bone formation in the masticatory muscles following acute trauma. It usually occurs between the second and seventh decades of life in both genders. Although MOT of the masticatory muscles is not frequently reported in the literature, a common clinical finding is the progressive limitation of motion in the mandible. Managing this condition can be challenging. The available evidence regarding the effectiveness of conservative management, such as physical therapy and interpositional materials, is inconclusive based on the literature. Therefore, the preferred treatment for MOT is the surgical excision of the osseous mass. Under general anesthesia, the calcified muscle is completely removed. Surgical excision often leads to remission, although some patients may experience recurrent episodes. The purpose of this article is to review and discuss cases of MOT of masticatory muscles reported from 2014 to date. In addition to this literature review, we report a rare case involving a 9-year-old boy with recurring MOT of the right medial pterygoid muscles. The boy had a history of receiving a right-side mandibular nerve block injection and subsequently experienced a gradual decrease in the maximum incisal opening.
创伤性骨化性肌炎(MOT)是一种罕见的疾病,其特点是在急性创伤后咀嚼肌中出现非肿瘤性的异位骨形成。该病通常发生在人一生的第二至第七个十年之间,男女均可发病。虽然咀嚼肌 MOT 在文献中并不常见,但常见的临床表现是下颌骨活动逐渐受限。这种情况的治疗具有挑战性。根据文献记载,保守治疗(如物理治疗和填充材料)的效果尚无定论。因此,MOT 的首选治疗方法是手术切除骨性肿块。在全身麻醉的情况下,钙化肌肉会被完全切除。手术切除通常会导致病情缓解,但有些患者可能会反复发作。本文旨在回顾和讨论 2014 年至今报道的咀嚼肌 MOT 病例。除文献综述外,我们还报告了一例罕见病例,患者为一名9岁男孩,右侧翼内侧肌肉MOT反复发作。这名男孩曾接受过右侧下颌神经阻滞注射,随后出现最大切口逐渐缩小的情况。
{"title":"Myositis ossificans traumatica of masticatory muscles: A case report and review of the literature","authors":"Amir Jalal Abbasi , Mohammad Mehdi Taheri , Amirali Asadi , Rashin Bahrami , Nariman Nikparto","doi":"10.1016/j.omsc.2024.100361","DOIUrl":"10.1016/j.omsc.2024.100361","url":null,"abstract":"<div><p>Myositis ossificans traumatica (MOT) is a rare condition characterized by nonneoplastic, heterotopic bone formation in the masticatory muscles following acute trauma. It usually occurs between the second and seventh decades of life in both genders. Although MOT of the masticatory muscles is not frequently reported in the literature, a common clinical finding is the progressive limitation of motion in the mandible. Managing this condition can be challenging. The available evidence regarding the effectiveness of conservative management, such as physical therapy and interpositional materials, is inconclusive based on the literature. Therefore, the preferred treatment for MOT is the surgical excision of the osseous mass. Under general anesthesia, the calcified muscle is completely removed. Surgical excision often leads to remission, although some patients may experience recurrent episodes. The purpose of this article is to review and discuss cases of MOT of masticatory muscles reported from 2014 to date. In addition to this literature review, we report a rare case involving a 9-year-old boy with recurring MOT of the right medial pterygoid muscles. The boy had a history of receiving a right-side mandibular nerve block injection and subsequently experienced a gradual decrease in the maximum incisal opening.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000178/pdfft?md5=efe7a77674eeb207f77eca8a89a01317&pid=1-s2.0-S2214541924000178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-03DOI: 10.1016/j.omsc.2024.100359
Eric L. Grant , Robert S. Julian , Brian M. Woo , Robert Futoran
The intermixed mandibular lesion of cemento-ossifying fibroma (COF) and aneurysmal bone cyst (ABC) is a rare occurrence with dramatic ramifications if left untreated. COF is a benign fibro-osseous neoplasm that predominantly affects the tooth bearing regions of the jaws. It is most commonly observed in women during their third and fourth decades of life. ABC, alternatively, is a vascular lesion characterized by blood-filled spaces within the bone. The coexistence of these two distinct pathologies in the mandible presents diagnostic challenges due to their overlapping radiographic features. Once a diagnosis is obtained, smaller lesions can be enucleated and curettaged, although for larger and mixed lesions, en bloc resection is advised to reduce risk of recurrence. We present a case of a 17-year-old female with an intermixed lesion of the left mandible, undiagnosed for over 1 year, which led to severe facial asymmetry and mass effect on surrounding tissues. Treatment was completed with a left hemimandibulectomy and reconstruction with a custom plate, condylar head and free fibular flap transfer.
{"title":"Cemento-ossifying fibroma with secondary aneurysmal bone cyst of the mandible: A case report of a large intermixed lesion in a 17-year-old female","authors":"Eric L. Grant , Robert S. Julian , Brian M. Woo , Robert Futoran","doi":"10.1016/j.omsc.2024.100359","DOIUrl":"10.1016/j.omsc.2024.100359","url":null,"abstract":"<div><p>The intermixed mandibular lesion of cemento-ossifying fibroma (COF) and aneurysmal bone cyst (ABC) is a rare occurrence with dramatic ramifications if left untreated. COF is a benign fibro-osseous neoplasm that predominantly affects the tooth bearing regions of the jaws. It is most commonly observed in women during their third and fourth decades of life. ABC, alternatively, is a vascular lesion characterized by blood-filled spaces within the bone. The coexistence of these two distinct pathologies in the mandible presents diagnostic challenges due to their overlapping radiographic features. Once a diagnosis is obtained, smaller lesions can be enucleated and curettaged, although for larger and mixed lesions, en bloc resection is advised to reduce risk of recurrence. We present a case of a 17-year-old female with an intermixed lesion of the left mandible, undiagnosed for over 1 year, which led to severe facial asymmetry and mass effect on surrounding tissues. Treatment was completed with a left hemimandibulectomy and reconstruction with a custom plate, condylar head and free fibular flap transfer.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000154/pdfft?md5=1ef1763772b04482a744c93966b45439&pid=1-s2.0-S2214541924000154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-03DOI: 10.1016/j.omsc.2024.100356
Reid Boulet , Justin Kierce , Christina MacMillan , Marco F. Caminiti
{"title":"Unusual presentation of a low-grade apocrine intraductal carcinoma: A case report","authors":"Reid Boulet , Justin Kierce , Christina MacMillan , Marco F. Caminiti","doi":"10.1016/j.omsc.2024.100356","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100356","url":null,"abstract":"","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000129/pdfft?md5=dab7993ace9d0d94f15fd12a898646bd&pid=1-s2.0-S2214541924000129-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-29DOI: 10.1016/j.omsc.2024.100358
Yousuf Qundos, Payam Farzad, Caroline Robertsson
Calcium pyrophosphate deposition (CPPD) is a condition where calcium pyrophosphate crystals cause arthritis. Its occurrence in the temporomandibular joint (TMJ) is sparingly reported in the literature. Non-surgical treatment modalities consist of non-steroidal anti-inflammatory drugs, colchicine, and intra-articular cortisone injection. In the TMJ, previous reports have described resection of affected joint with reconstruction. We present a case of an extensive CPPD lesion affecting the left TMJ requiring surgical resection and reconstruction with a custom made TMJ prosthesis alongside with a review of the existing literature.
{"title":"Massive calcium pyrophosphate deposition (CPPD) affecting the temporomandibular joint – A case report and review of the literature","authors":"Yousuf Qundos, Payam Farzad, Caroline Robertsson","doi":"10.1016/j.omsc.2024.100358","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100358","url":null,"abstract":"<div><p>Calcium pyrophosphate deposition (CPPD) is a condition where calcium pyrophosphate crystals cause arthritis. Its occurrence in the temporomandibular joint (TMJ) is sparingly reported in the literature. Non-surgical treatment modalities consist of non-steroidal anti-inflammatory drugs, colchicine, and intra-articular cortisone injection. In the TMJ, previous reports have described resection of affected joint with reconstruction. We present a case of an extensive CPPD lesion affecting the left TMJ requiring surgical resection and reconstruction with a custom made TMJ prosthesis alongside with a review of the existing literature.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000142/pdfft?md5=3110b8e09619366f4be87da4ebab1f87&pid=1-s2.0-S2214541924000142-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-27DOI: 10.1016/j.omsc.2024.100357
Paolo Boffano , Anna Maria Agnone , Muhammad Ruslin
Simple bone cysts (SBCs) are nonneoplastic intraosseous cavities without an epithelial lining, surrounded by bony walls and either empty or containing liquid and/or connective tissue: they were first described in 1929 as a distinct entity of disease. The characteristic that distinguishes SBCs from true cysts is the absence of epithelial lining, that allow us to regard SBCs as pseudocysts.
In the literature, SBCs have been referred to as solitary bone cysts, idiopathic bone cysts, unicameral cysts, traumatic bone cysts, hemorrhagic bone cysts, primary bone cysts, and extravasation cysts.
The pathogenesis of SBC remains uncertains. Radiographically, SBCs usually present as isolated unilocular radiolucencies with well-defined borders. When SBC extends to the interdental bone, the characteristic radiographic “scalloping effect” can be observed. The differential diagnosis includes apical periodontitis, odontogenic keratocyst, central giant cell granuloma, ameloblastoma, odontogenic myxoma, and central and neurogenic neoplasms.
Surgery (curettage) is the gold standard treatment as it allows both diagnosis and treatment by generation of a blood clot in the vacant cavity of SBCs: bone usually regenerates progressively within 6–12 months. Recurrence rate is almost negligible.
The aim of the present article is to present and discuss the diagnosis and management of a case of SBC.
{"title":"Simple bone cyst of the mandible","authors":"Paolo Boffano , Anna Maria Agnone , Muhammad Ruslin","doi":"10.1016/j.omsc.2024.100357","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100357","url":null,"abstract":"<div><p>Simple bone cysts (SBCs) are nonneoplastic intraosseous cavities without an epithelial lining, surrounded by bony walls and either empty or containing liquid and/or connective tissue: they were first described in 1929 as a distinct entity of disease. The characteristic that distinguishes SBCs from true cysts is the absence of epithelial lining, that allow us to regard SBCs as pseudocysts.</p><p>In the literature, SBCs have been referred to as solitary bone cysts, idiopathic bone cysts, unicameral cysts, traumatic bone cysts, hemorrhagic bone cysts, primary bone cysts, and extravasation cysts.</p><p>The pathogenesis of SBC remains uncertains. Radiographically, SBCs usually present as isolated unilocular radiolucencies with well-defined borders. When SBC extends to the interdental bone, the characteristic radiographic “scalloping effect” can be observed. The differential diagnosis includes apical periodontitis, odontogenic keratocyst, central giant cell granuloma, ameloblastoma, odontogenic myxoma, and central and neurogenic neoplasms.</p><p>Surgery (curettage) is the gold standard treatment as it allows both diagnosis and treatment by generation of a blood clot in the vacant cavity of SBCs: bone usually regenerates progressively within 6–12 months. Recurrence rate is almost negligible.</p><p>The aim of the present article is to present and discuss the diagnosis and management of a case of SBC.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000130/pdfft?md5=8aded451cc4c975bcb65c856fedb5e72&pid=1-s2.0-S2214541924000130-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140813209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-18DOI: 10.1016/j.omsc.2024.100355
Leon Kong , Abdul-Kader Ebrahim , Duncan Lamont
Kaposi's sarcoma (KS) is an uncommon angioproliferative tumour. In its classic form, it rarely affects the head and neck. The etiologic agent in KS is Human Herpesvirus type-8 (HHV-8) infection. Populations in which KS occurs in the setting of immunocompetence tend to have high rates of seropositivity for HHV-8, including Mediterranean and Jewish people. Descriptions of KS in immunocompetent Polynesian individuals are almost non-existent. A reason for this may be the relative inaccessibility, both geographically and culturally, of indigenous peoples living in the Oceanic area. High rates of HHV-8 seropositivity have recently been reported in indigenous Melanesian populations of Vanuatu, New Caledonia and Papua New Guinea, a region neighbouring Polynesia. This paper is the first to describe classic KS isolated to the oral cavity in an immunocompetent patient of Polynesian ancestry and highlights the need for further research to clarify the risk of KS emerging in this region.
{"title":"Classic Kaposi's sarcoma of the oral cavity occurring in an immunocompetent Polynesian man","authors":"Leon Kong , Abdul-Kader Ebrahim , Duncan Lamont","doi":"10.1016/j.omsc.2024.100355","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100355","url":null,"abstract":"<div><p>Kaposi's sarcoma (KS) is an uncommon angioproliferative tumour. In its classic form, it rarely affects the head and neck. The etiologic agent in KS is Human Herpesvirus type-8 (HHV-8) infection. Populations in which KS occurs in the setting of immunocompetence tend to have high rates of seropositivity for HHV-8, including Mediterranean and Jewish people. Descriptions of KS in immunocompetent Polynesian individuals are almost non-existent. A reason for this may be the relative inaccessibility, both geographically and culturally, of indigenous peoples living in the Oceanic area. High rates of HHV-8 seropositivity have recently been reported in indigenous Melanesian populations of Vanuatu, New Caledonia and Papua New Guinea, a region neighbouring Polynesia. This paper is the first to describe classic KS isolated to the oral cavity in an immunocompetent patient of Polynesian ancestry and highlights the need for further research to clarify the risk of KS emerging in this region.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000117/pdfft?md5=7686298ead5b0b64969b28d54cf74571&pid=1-s2.0-S2214541924000117-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140643863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}