Pub Date : 2024-01-10DOI: 10.1016/j.omsc.2023.100343
Anson Grant Fisher , Jacob Johnson , Soyoung Shin , Chang Min Richard Yim
This case report documents a patient with a Class II skeletal malocclusion and suspected obstructive sleep apnea who underwent a combined mandibular inverted L osteotomy and total subapical osteotomy. The surgery involved a single-piece Lefort 1 osteotomy of the maxilla, bilateral inverted L osteotomies of the mandible, and a total mandibular subapical osteotomy. After the patient's pre-surgical orthodontic phase was completed, a traditional bilateral sagittal split osteotomy (BSSO) was initially planned to achieve mandibular advancement. However, the large horizontal and yaw correction required for the patient's mandibular teeth made a BSSO alone unrealistic. The virtual surgical plan (VSP) indicated that a subapical osteotomy was necessary, and due to the extension of the total subapical segment, an inverted L osteotomy was added to benefit the subapical osteotomy. The patient's surgery was successful, and the results were satisfactory.
本病例报告记录了一名患有二类骨骼错合畸形和疑似阻塞性睡眠呼吸暂停的患者,她接受了下颌骨倒 L 型截骨术和全下颌角下截骨术。手术包括上颌骨单块Lefort 1截骨术、双侧下颌骨倒L截骨术和下颌骨根尖下全截骨术。患者的术前正畸阶段结束后,最初计划采用传统的双侧矢状劈开截骨术(BSSO)来实现下颌前突。然而,由于患者下颌牙齿需要进行较大的水平和偏航矫正,因此仅靠 BSSO 是不现实的。虚拟手术计划(VSP)显示,有必要进行心尖下截骨,而且由于心尖下总段的扩展,还增加了倒 L 截骨,以利于心尖下截骨。患者的手术很成功,效果令人满意。
{"title":"Combined mandibular inverted L osteotomy and total mandibular subapical osteotomy","authors":"Anson Grant Fisher , Jacob Johnson , Soyoung Shin , Chang Min Richard Yim","doi":"10.1016/j.omsc.2023.100343","DOIUrl":"10.1016/j.omsc.2023.100343","url":null,"abstract":"<div><p>This case report documents a patient with a Class II skeletal malocclusion and suspected obstructive sleep apnea who underwent a combined mandibular inverted L osteotomy and total subapical osteotomy. The surgery involved a single-piece Lefort 1 osteotomy of the maxilla, bilateral inverted L osteotomies of the mandible, and a total mandibular subapical osteotomy. After the patient's pre-surgical orthodontic phase was completed, a traditional bilateral sagittal split osteotomy (BSSO) was initially planned to achieve mandibular advancement. However, the large horizontal and yaw correction required for the patient's mandibular teeth made a BSSO alone unrealistic. The virtual surgical plan (VSP) indicated that a subapical osteotomy was necessary, and due to the extension of the total subapical segment, an inverted L osteotomy was added to benefit the subapical osteotomy. The patient's surgery was successful, and the results were satisfactory.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000524/pdfft?md5=fc174ede1fd432c4126fc902acdaa50d&pid=1-s2.0-S2214541923000524-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457076","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 : 2024-01-07DOI: 10.1016/j.omsc.2023.100344
Cheng-Han He
Ankylosis of temporomandibular joint (TMJ) is a complicated condition which impairs jaw function and nutrition. Post-traumatic joint ankylosis could be treated with various surgical techniques. However, no standard surgery guarantees symptom-free success. Treating post-traumatic TMJ thus remains a challenging task to oral and maxillofacial surgeons. This paper is a case of a bilateral post-traumatic TMJ ankylosis. The 27-year-old young man sustained mid-face and mandible fractures including bilateral condyles due to a road accident and was treated 7 years ago. The injured condyles are managed conservatively. He presented with limited mouth opening (13mm) along with bite changes. Conservative treatments failed to restore normal jaw movement. Preoperative cone beam CT revealed ankyloses joint of both sides. An arthroplasty with the interpositional umbilical fat grafting was performed. Follow-up course was uneventful with up to 40mm mouth opening. Arthroplasty with interpositional fat grafting is an effective technique to restore jaw function and to prevent relapse.
{"title":"Management of traumatic temporomandibular joint ankylosis: A case report","authors":"Cheng-Han He","doi":"10.1016/j.omsc.2023.100344","DOIUrl":"10.1016/j.omsc.2023.100344","url":null,"abstract":"<div><p>Ankylosis of temporomandibular joint (TMJ) is a complicated condition which impairs jaw function and nutrition. Post-traumatic joint ankylosis could be treated with various surgical techniques. However, no standard surgery guarantees symptom-free success. Treating post-traumatic TMJ thus remains a challenging task to oral and maxillofacial surgeons. This paper is a case of a bilateral post-traumatic TMJ ankylosis. The 27-year-old young man sustained mid-face and mandible fractures including bilateral condyles due to a road accident and was treated 7 years ago. The injured condyles are managed conservatively. He presented with limited mouth opening (13mm) along with bite changes. Conservative treatments failed to restore normal jaw movement. Preoperative cone beam CT revealed ankyloses joint of both sides. An arthroplasty with the interpositional umbilical fat grafting was performed. Follow-up course was uneventful with up to 40mm mouth opening. Arthroplasty with interpositional fat grafting is an effective technique to restore jaw function and to prevent relapse.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000536/pdfft?md5=d6356f76640e3c2e37c565340c702fa1&pid=1-s2.0-S2214541923000536-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456858","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 : 2023-12-20DOI: 10.1016/j.omsc.2023.100342
N. Chargi , T. Verhoeven , E. Dik , C. Coppen , L.L. van den Hoogen , W.B.C. Stevens , K.M. Hebeda , W. Weijs
Amyloidosis of the submandibular gland is a rare manifestation of extranodal marginal zone lymphoma (eMZL). Here, we present a case-report of a 62-year-old female patient with a history of eMZL, limited stage IIEA. The patient was initially treated with radiotherapy; however large glands remained with lack of clinical response to the radiotherapy. Consequently, a surgical excision of the submandibular glands was performed, and histology revealed massive amyloid deposits in the gland tissue next to eMZL. This case report highlights the importance of considering amyloidosis as a possible cause of submandibular gland enlargement in patients with a history of lymphoma and emphasizes the need for a histological diagnosis to direct appropriate treatment.
{"title":"Submandibular gland amyloidosis: A rare manifestation of extranodal marginal lymphoma – A case report and literature review","authors":"N. Chargi , T. Verhoeven , E. Dik , C. Coppen , L.L. van den Hoogen , W.B.C. Stevens , K.M. Hebeda , W. Weijs","doi":"10.1016/j.omsc.2023.100342","DOIUrl":"10.1016/j.omsc.2023.100342","url":null,"abstract":"<div><p>Amyloidosis of the submandibular gland is a rare manifestation of extranodal marginal zone lymphoma (eMZL). Here, we present a case-report of a 62-year-old female patient with a history of eMZL, limited stage IIEA. The patient was initially treated with radiotherapy; however large glands remained with lack of clinical response to the radiotherapy. Consequently, a surgical excision of the submandibular glands was performed, and histology revealed massive amyloid deposits in the gland tissue next to eMZL. This case report highlights the importance of considering amyloidosis as a possible cause of submandibular gland enlargement in patients with a history of lymphoma and emphasizes the need for a histological diagnosis to direct appropriate treatment.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000512/pdfft?md5=e47109060c328ad5cec397221ab8ee88&pid=1-s2.0-S2214541923000512-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013038","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}
{"title":"Low-grade central osteosarcoma of the maxilla: A diagnostic dilemma","authors":"Tushar Bhosale, Kalyani Bhate, Shilpa Bawane, Uday Londhe","doi":"10.1016/j.omsc.2023.100339","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100339","url":null,"abstract":"","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000482/pdfft?md5=40577e866422505ce35077cb7b137ca9&pid=1-s2.0-S2214541923000482-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138577675","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 : 2023-11-28DOI: 10.1016/j.omsc.2023.100341
Victoria Chen, Supritha Nilam, Alexander McMahon, Brennan Leininger, Nora Kahenasa
Background
The Le Fort I osteotomy is a commonly employed and predictable surgical technique used to treat maxillofacial deformities. While considered technically safe, orthognathic surgery can cause significant vascular complications. Presentation: This case report describes a 20-year old male who had undergone a routine Le Fort I osteotomy to treat maxillo-mandibular discrepancy, and subsequently developed an internal maxillary artery pseudoaneurysm that caused uncontrolled hemorrhage and hemodynamic instability. The patient ultimately required interventional radiology coil embolization for source control.
Discussion
Although rare, internal maxillary artery pseudoaneurysms continue to be reported as postoperative complications in Le Fort I osteotomies, wherein coil-embolization technique remains a viable option for treatment. Additionally, the presentation of temporal swelling and retrobulbar pain may be useful in diagnosing the existence of a maxillary artery pseudoaneurysm. Conclusion: Pseudoaneurysm of the internal maxillary artery is a possible sequela of orthognathic surgery, and proper monitoring and management can avoid morbid outcomes.
Le Fort I型截骨术是一种常用且可预测的治疗颌面畸形的手术技术。虽然技术上被认为是安全的,但正颌手术可能导致严重的血管并发症。本病例报告描述了一名20岁男性,他接受了常规的Le Fort I截骨术来治疗上颌-下颌差异,随后发展为上颌内动脉假性动脉瘤,导致无法控制的出血和血流动力学不稳定。患者最终需要介入放射学线圈栓塞来控制源。尽管罕见,上颌内动脉假性动脉瘤仍被报道为Le Fort I型截骨术后并发症,其中线圈栓塞技术仍然是一种可行的治疗选择。此外,颞肿胀和球后疼痛的表现可能有助于诊断上颌动脉假性动脉瘤的存在。结论:上颌内动脉假性动脉瘤可能是正颌手术的一种后遗症,适当的监测和处理可避免不良后果。
{"title":"Case report: Rare latent postoperative pseudoaneurysm of internal maxillary artery after Le Fort osteotomy","authors":"Victoria Chen, Supritha Nilam, Alexander McMahon, Brennan Leininger, Nora Kahenasa","doi":"10.1016/j.omsc.2023.100341","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100341","url":null,"abstract":"<div><h3>Background</h3><p>The Le Fort I osteotomy is a commonly employed and predictable surgical technique used to treat maxillofacial deformities. While considered technically safe, orthognathic surgery can cause significant vascular complications. Presentation: This case report describes a 20-year old male who had undergone a routine Le Fort I osteotomy to treat maxillo-mandibular discrepancy, and subsequently developed an internal maxillary artery pseudoaneurysm that caused uncontrolled hemorrhage and hemodynamic instability. The patient ultimately required interventional radiology coil embolization for source control.</p></div><div><h3>Discussion</h3><p>Although rare, internal maxillary artery pseudoaneurysms continue to be reported as postoperative complications in Le Fort I osteotomies, wherein coil-embolization technique remains a viable option for treatment. Additionally, the presentation of temporal swelling and retrobulbar pain may be useful in diagnosing the existence of a maxillary artery pseudoaneurysm. Conclusion: Pseudoaneurysm of the internal maxillary artery is a possible sequela of orthognathic surgery, and proper monitoring and management can avoid morbid outcomes.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000500/pdfft?md5=121bdb21831f657defcf82ae07a59782&pid=1-s2.0-S2214541923000500-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138474941","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 : 2023-11-20DOI: 10.1016/j.omsc.2023.100338
Ashley E. Manlove , Daniel Setzke , Knika Sethi
{"title":"Case reporting in cleft and craniofacial surgery","authors":"Ashley E. Manlove , Daniel Setzke , Knika Sethi","doi":"10.1016/j.omsc.2023.100338","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100338","url":null,"abstract":"","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000470/pdfft?md5=2d5a8b337abec88e900ae9ce723086b9&pid=1-s2.0-S2214541923000470-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138436836","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 : 2023-11-17DOI: 10.1016/j.omsc.2023.100340
Ryuichi Hoshi , Paula Marcella Silva Drago , Henrique Mascarenhas Villela , Gabriela Gayer Sheibler , Daniel Serra Cassano , Fernanda Barros Silva de Pedreira Barbosa , Lissa Hoshi , Isadora dos Santos Lima
Richieri-Costa-Pereira syndrome (RCPS) is a rare genetic disease with an autosomal recessive inheritance pattern characterized by craniofacial alterations such as microsomia, Pierre-Robin sequence, mandibular cleft, absence of lower central incisors, short stature, and changes in the upper and lower limbs. Mandibular clefts are rare and can vary from a slight notch in the lower lip or mandibular alveolus to a complete mandibular cleavage. Only three cases of total mandibular rehabilitation with a customized prosthesis have been published, and none have described a patient born with a mandibular cleft. With the aid of computer-aided design/computer-aided manufacturing technology, virtual surgical planning, and customized manufacturing of surgical materials, the rehabilitation of this case became attainable. In this study, we describe the case of a patient with RCPS and median mandibular cleft treated with a customized total mandibular prosthesis.
{"title":"Treatment of the median mandibular cleft in Richieri-Costa-Pereira syndrome with a customized total mandibular prosthesis: A case report","authors":"Ryuichi Hoshi , Paula Marcella Silva Drago , Henrique Mascarenhas Villela , Gabriela Gayer Sheibler , Daniel Serra Cassano , Fernanda Barros Silva de Pedreira Barbosa , Lissa Hoshi , Isadora dos Santos Lima","doi":"10.1016/j.omsc.2023.100340","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100340","url":null,"abstract":"<div><p>Richieri-Costa-Pereira syndrome (RCPS) is a rare genetic disease with an autosomal recessive inheritance pattern characterized by craniofacial alterations such as microsomia, Pierre-Robin sequence, mandibular cleft, absence of lower central incisors, short stature, and changes in the upper and lower limbs. Mandibular clefts are rare and can vary from a slight notch in the lower lip or mandibular alveolus to a complete mandibular cleavage. Only three cases of total mandibular rehabilitation with a customized prosthesis have been published, and none have described a patient born with a mandibular cleft. With the aid of computer-aided design/computer-aided manufacturing technology, virtual surgical planning, and customized manufacturing of surgical materials, the rehabilitation of this case became attainable. In this study, we describe the case of a patient with RCPS and median mandibular cleft treated with a customized total mandibular prosthesis.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000494/pdfft?md5=970b59ccb97bbb938ec9b40c0d69f6ce&pid=1-s2.0-S2214541923000494-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138391184","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 : 2023-10-19DOI: 10.1016/j.omsc.2023.100337
Mina A. Ayoub DMD, David Seratelli DMD, Vincent B. Ziccardi DDS, MD, FACS
{"title":"Case Review: Lower Blepharoplasty with Autogenous Fat Transpositioning","authors":"Mina A. Ayoub DMD, David Seratelli DMD, Vincent B. Ziccardi DDS, MD, FACS","doi":"10.1016/j.omsc.2023.100337","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100337","url":null,"abstract":"","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000469/pdfft?md5=e61aef5be65763625a6800bd0740aec8&pid=1-s2.0-S2214541923000469-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92147957","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}
We aimed to report the surgical outcomes of phosphaturic mesenchymal tumors causing tumor-induced osteomalacia in the head and neck.
Methods
This study analyzed nine patients who underwent surgical excision of phosphaturic mesenchymal tumors in the head and neck region. The primary sites were two in the maxilla and ethmoid sinus, and one in the intracranial, skull, parotid gland, maxillary sinus, and nasal cavity in each patient. Outcomes were compared with those in the extremities and trunk (n = 32).
Results
Five of nine patients (56%) developed residual disease/local recurrence associated with low serum phosphate level after initial surgical excision. At the last follow-up, the biochemical parameters were normalized in four of the five patients after re-excision without any medication. The local recurrence/residual disease risk was significantly higher for the head and neck compared with the extremities and trunk (56% vs. 25%, p = 0.048). The rate of remission (normalized serum phosphate without medication) at final follow-up was similar in both groups after re-excision (head and neck vs. extremities and trunk, 86% vs. 73%, p = 0.827).
Conclusions
Phosphaturic mesenchymal tumor resection in the head and neck region was challenging because of its complex anatomy and proximity to the brain or other crucial organs, which was associated with high local recurrence/residual disease rate. However, biological remission was achieved in the majority of the patients after re-excision.
{"title":"Surgical and biochemical outcomes of phosphaturic mesenchymal tumors causing tumor-induced osteomalacia in the head and neck region","authors":"Yusuke Tsuda , Yoichi Yasunaga , Masanobu Abe , Kazuto Hoshi , Nobuaki Ito , Kenji Kondo , Koichi Okajima , Liuzhe Zhang , Hajime Kato , Naoko Hidaka , Sakae Tanaka , Hiroshi Kobayashi","doi":"10.1016/j.omsc.2023.100335","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100335","url":null,"abstract":"<div><h3>Objectives</h3><p>We aimed to report the surgical outcomes of phosphaturic mesenchymal tumors causing tumor-induced osteomalacia in the head and neck.</p></div><div><h3>Methods</h3><p>This study analyzed nine patients who underwent surgical excision of phosphaturic mesenchymal tumors in the head and neck region. The primary sites were two in the maxilla and ethmoid sinus, and one in the intracranial, skull, parotid gland, maxillary sinus, and nasal cavity in each patient. Outcomes were compared with those in the extremities and trunk (n = 32).</p></div><div><h3>Results</h3><p>Five of nine patients (56%) developed residual disease/local recurrence associated with low serum phosphate level after initial surgical excision. At the last follow-up, the biochemical parameters were normalized in four of the five patients after re-excision without any medication. The local recurrence/residual disease risk was significantly higher for the head and neck compared with the extremities and trunk (56% vs. 25%, p = 0.048). The rate of remission (normalized serum phosphate without medication) at final follow-up was similar in both groups after re-excision (head and neck vs. extremities and trunk, 86% vs. 73%, p = 0.827).</p></div><div><h3>Conclusions</h3><p>Phosphaturic mesenchymal tumor resection in the head and neck region was challenging because of its complex anatomy and proximity to the brain or other crucial organs, which was associated with high local recurrence/residual disease rate. However, biological remission was achieved in the majority of the patients after re-excision.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49744966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We present a quite rare case of MALT lymphoma originating from the palatal minor salivary gland in a 37-year-old woman with Sjögren's syndrome (SS). She underwent an excision biopsy and definite diagnosis of MALT lymphoma was obtained on the basis of microscopic finding with lymphoepithelial lesion, immunohistochemistry positive for CD20 and negative for CD3, CD5, cycclinD1, and detection of immunoglobulin light chain restriction with kappa light-chain restricted monoclonality. MALT lymphoma is considered in the differential diagnosis of a painless, non-ulcerative palatal swelling. In this case, SS remained undiagnosed until after MALT lymphoma diagnosis. Patients with MALT lymphoma in the minor salivary glands need to be investigated for SS even if there is no clinical symptom of SS. Surgical excision can be recommended in case of limited stages resulting in good prognosis.
{"title":"MALT lymphoma of the palatal minor salivary Grand in patient with Sjögren's syndrome: A case report","authors":"Harusachi Kanazawa , Kohei Kawasaki , Isao Miyamoto , Atsusi Kasamatsu , Katsuhiro Uzawa , Masashi Fukuyama","doi":"10.1016/j.omsc.2023.100336","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100336","url":null,"abstract":"<div><p>We present a quite rare case of MALT lymphoma originating from the palatal minor salivary gland in a 37-year-old woman with Sjögren's syndrome (SS). She underwent an excision biopsy and definite diagnosis of MALT lymphoma was obtained on the basis of microscopic finding with lymphoepithelial lesion, immunohistochemistry positive for CD20 and negative for CD3, CD5, cycclinD1, and detection of immunoglobulin light chain restriction with kappa light-chain restricted monoclonality. MALT lymphoma is considered in the differential diagnosis of a painless, non-ulcerative palatal swelling. In this case, SS remained undiagnosed until after MALT lymphoma diagnosis. Patients with MALT lymphoma in the minor salivary glands need to be investigated for SS even if there is no clinical symptom of SS. Surgical excision can be recommended in case of limited stages resulting in good prognosis.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49757732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}