Glycogenic acanthosis is a common benign lesion of the oesophagus. However, extra-oesophageal localisations in the larynx and oral mucosa in the form of white, papular or plaque-like lesions are possible. We report a nodular gingival form which, to our knowledge, has not been previously observed or published in the scientific literature. This clinical case, presented according to the CARE guidelines, concerns a 63-year-old woman patient in good general health who was diagnosed with glycogenic acanthosis taking the original form of an isolated asymptomatic gingival nodule mimicking a pseudotumour or tumour. The diagnosis was confirmed by histology and immunohistochemistry. No complications or recurrences were noted after removal of the nodule. Although oral glycogenic acanthosis is included in the differential diagnosis of leukoplakia, this case report suggests that this diagnostic hypothesis should also be considered in the presence of an isolated gingival nodule. This iconographic aid, supplemented by a review of the literature, is designed to assist the odontologist in the diagnostic process, from clinical examination to anatomopathological examination.
{"title":"Clinical and histopathological features of the first known case of glycogenic acanthosis resembling an isolated gingival tumour: A case report","authors":"Svyat Strokov , Anne-Laure Ejeil , Hélène Raybaud , Christine Voha , Sophie-Myriam Dridi","doi":"10.1016/j.omsc.2025.100397","DOIUrl":"10.1016/j.omsc.2025.100397","url":null,"abstract":"<div><div>Glycogenic acanthosis is a common benign lesion of the oesophagus. However, extra-oesophageal localisations in the larynx and oral mucosa in the form of white, papular or plaque-like lesions are possible. We report a nodular gingival form which, to our knowledge, has not been previously observed or published in the scientific literature. This clinical case, presented according to the CARE guidelines, concerns a 63-year-old woman patient in good general health who was diagnosed with glycogenic acanthosis taking the original form of an isolated asymptomatic gingival nodule mimicking a pseudotumour or tumour. The diagnosis was confirmed by histology and immunohistochemistry. No complications or recurrences were noted after removal of the nodule. Although oral glycogenic acanthosis is included in the differential diagnosis of leukoplakia, this case report suggests that this diagnostic hypothesis should also be considered in the presence of an isolated gingival nodule. This iconographic aid, supplemented by a review of the literature, is designed to assist the odontologist in the diagnostic process, from clinical examination to anatomopathological examination.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100397"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768045","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 : 2025-03-20DOI: 10.1016/j.omsc.2025.100394
Connor Capobianco , Mariela Padilla , Jungsuk Cho , Lauren Levi
Osteolytic lesions of the mandibular condyle can represent a diverse range of differential diagnoses, including malignancies such as metastatic disease, Langerhans cell histiocytosis (LCH), osteosarcoma, chondrosarcoma, and multiple myeloma. This case report details a 40-year-old male with a 3-year history of right temporomandibular joint (TMJ) pain, initially misdiagnosed as temporomandibular disorder. Comprehensive imaging studies, including cone beam computed tomography (CBCT), maxillofacial computed tomography (CT), and brain magnetic resonance imaging (MRI), revealed extensive osteolytic lesions in the mandible, frontal bone, and cervical spine. A CT-guided biopsy confirmed the presence of a plasma cell neoplasm, leading to the diagnosis of multiple myeloma. This case report emphasizes the need for vigilance and comprehensive diagnostic approaches in clinical practice to avoid delays in the identification and treatment of serious underlying conditions such as malignancy.
{"title":"Multiple myeloma presenting as an ill-defined osteolytic lesion of the mandibular condyle: A case report and literature review","authors":"Connor Capobianco , Mariela Padilla , Jungsuk Cho , Lauren Levi","doi":"10.1016/j.omsc.2025.100394","DOIUrl":"10.1016/j.omsc.2025.100394","url":null,"abstract":"<div><div>Osteolytic lesions of the mandibular condyle can represent a diverse range of differential diagnoses, including malignancies such as metastatic disease, Langerhans cell histiocytosis (LCH), osteosarcoma, chondrosarcoma, and multiple myeloma. This case report details a 40-year-old male with a 3-year history of right temporomandibular joint (TMJ) pain, initially misdiagnosed as temporomandibular disorder. Comprehensive imaging studies, including cone beam computed tomography (CBCT), maxillofacial computed tomography (CT), and brain magnetic resonance imaging (MRI), revealed extensive osteolytic lesions in the mandible, frontal bone, and cervical spine. A CT-guided biopsy confirmed the presence of a plasma cell neoplasm, leading to the diagnosis of multiple myeloma. This case report emphasizes the need for vigilance and comprehensive diagnostic approaches in clinical practice to avoid delays in the identification and treatment of serious underlying conditions such as malignancy.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100394"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683582","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}
Dentigerous cysts are developmental cysts that are commonly associated with impacted teeth. These cysts can appear atypically in the maxillary sinus. Usually, they do not cause symptoms and are incidentally discovered through radiographic examinations. However, larger cysts may lead to a symptomatic presentation.
This report presents a case of a substantial dentigerous cyst in the maxillary sinus with an impacted wisdom tooth in a fifteen-year-old male. The surgical procedure, involving decompression and enucleation under local anesthesia, was conducted a month after the diagnosis. Histopathological examination confirmed the diagnosis of dentigerous cyst. This study emphasizes postoperative complications diagnosed using cone-beam computed tomography (CBCT).
Periodic panoramic radiographic examinations in pediatric patients should be conducted solely based on individualized clinical indications, ensuring compliance with current radioprotection standards. This approach facilitates the early detection of maxillomandibular pathologies such as cysts while minimizing unnecessary radiation exposure and prioritizing patient safety.
Cone-beam computed tomography (CBCT) is recommended for accurate diagnosis, treatment planning, and postoperative monitoring.
Surgeons are encouraged to tailor each operation individually to optimize patient outcomes.
Excised tissue should be subjected to histopathological examination to establish a precise diagnosis.
{"title":"Giant dentigerous cyst encasing an impacted third molar in the maxillary sinus: A unique case study with comprehensive literature review","authors":"Naida Hadziabdic , Edina Lazovic Salcin , Nedim Sulejmanagic , Halid Sulejmanagic","doi":"10.1016/j.omsc.2025.100396","DOIUrl":"10.1016/j.omsc.2025.100396","url":null,"abstract":"<div><div>Dentigerous cysts are developmental cysts that are commonly associated with impacted teeth. These cysts can appear atypically in the maxillary sinus. Usually, they do not cause symptoms and are incidentally discovered through radiographic examinations. However, larger cysts may lead to a symptomatic presentation.</div><div>This report presents a case of a substantial dentigerous cyst in the maxillary sinus with an impacted wisdom tooth in a fifteen-year-old male. The surgical procedure, involving decompression and enucleation under local anesthesia, was conducted a month after the diagnosis. Histopathological examination confirmed the diagnosis of dentigerous cyst. This study emphasizes postoperative complications diagnosed using cone-beam computed tomography (CBCT).</div><div>Periodic panoramic radiographic examinations in pediatric patients should be conducted solely based on individualized clinical indications, ensuring compliance with current radioprotection standards. This approach facilitates the early detection of maxillomandibular pathologies such as cysts while minimizing unnecessary radiation exposure and prioritizing patient safety.</div><div>Cone-beam computed tomography (CBCT) is recommended for accurate diagnosis, treatment planning, and postoperative monitoring.</div><div>Surgeons are encouraged to tailor each operation individually to optimize patient outcomes.</div><div>Excised tissue should be subjected to histopathological examination to establish a precise diagnosis.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683581","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 : 2025-03-19DOI: 10.1016/j.omsc.2025.100395
Ananth S. Mathad , Surbhi Varshney , Vidya Monappa , Adarsh Ishwar Hegde , Naveen AN Kumar
Hypoglossal schwannomas are rare cranial nerve tumors that often present with subtle symptoms, complicating diagnosis and management. This report details a case of a 44-year-old female with a three-week history of dizziness, mild dysphagia, and pharyngeal swelling region. MRI revealed a 3 x 4 × 5 cm parapharyngeal mass displacing the internal carotid artery in the right carotid space. The patient successfully underwent surgical resection, achieving complete tumor excision while preserving nerve function. This case highlights the importance of detailed imaging, a high suspicion for rare cranial nerve tumors, and the need for a multidisciplinary approach to their management.
{"title":"Rare and silent: Diagnostic and surgical pathways in extracranial hypoglossal schwannoma resection","authors":"Ananth S. Mathad , Surbhi Varshney , Vidya Monappa , Adarsh Ishwar Hegde , Naveen AN Kumar","doi":"10.1016/j.omsc.2025.100395","DOIUrl":"10.1016/j.omsc.2025.100395","url":null,"abstract":"<div><div>Hypoglossal schwannomas are rare cranial nerve tumors that often present with subtle symptoms, complicating diagnosis and management. This report details a case of a 44-year-old female with a three-week history of dizziness, mild dysphagia, and pharyngeal swelling region. MRI revealed a 3 x 4 × 5 cm parapharyngeal mass displacing the internal carotid artery in the right carotid space. The patient successfully underwent surgical resection, achieving complete tumor excision while preserving nerve function. This case highlights the importance of detailed imaging, a high suspicion for rare cranial nerve tumors, and the need for a multidisciplinary approach to their management.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100395"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683583","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 : 2025-03-06DOI: 10.1016/j.omsc.2025.100393
Norman A. Rendón Mejía , Natanael Flores González , Yidam Irak Villa Martínez , Nancy Martinez Varela , Arturo Zamora Perea , Eric Sánchez Tellez , Hansel Gabriel Gómez Arámbula
Ameloblastoma, representing 1.3 % of all jaw tumors and ranking as the second most prevalent odontogenic neoplasm, is a benign yet locally invasive tumor. In developing countries, patients frequently present with advanced-stage lesions due to delayed medical intervention. Clinically, these tumors manifest as slow-growing, painless masses; however, their aggressive behavior often results in rapid expansion, causing tooth mobility, displacement, and facial deformity. Surgical resection remains the gold standard for management. Preoperative evaluation necessitates a comprehensive assessment of the patient's medical history, tumor location, macroscopic dimensions, and histopathological subtype. Post-resection, significant mandibular defects often necessitate reconstruction to restore shape and function. The fifth rib-pectoralis major osteo-myo-cutaneous flap has emerged as a robust reconstructive option, particularly in resource-limited settings. This technique leverages the flap's acromion-pectoral blood supply to transfer a spade-shaped segment of skin, subcutaneous tissue, and rib with reliability. It facilitates rapid oral rehabilitation, requires no microsurgical expertise, and minimizes operative time.
We present the case of a 44-year-old Rarámuri woman with a seven-year history of a left mandibular mass. Symptomatic progression—marked by pain and oral intolerance—prompted referral to our center. She underwent left mandibulectomy with immediate reconstruction using the osteo-myo-cutaneous flap. Postoperatively, she was discharged on day 14 with a gastrostomy tube and tracheostomy to manage neck edema, tolerating enteral feeds without complications. Follow-up revealed no significant adverse events, underscoring the flap's efficacy in challenging clinical contexts.
{"title":"Osteo-myo-cutaneous 5th rib-pectoralis major flap in complex mandibular ameloblastoma: A practical solution for low-resources settings","authors":"Norman A. Rendón Mejía , Natanael Flores González , Yidam Irak Villa Martínez , Nancy Martinez Varela , Arturo Zamora Perea , Eric Sánchez Tellez , Hansel Gabriel Gómez Arámbula","doi":"10.1016/j.omsc.2025.100393","DOIUrl":"10.1016/j.omsc.2025.100393","url":null,"abstract":"<div><div>Ameloblastoma, representing 1.3 % of all jaw tumors and ranking as the second most prevalent odontogenic neoplasm, is a benign yet locally invasive tumor. In developing countries, patients frequently present with advanced-stage lesions due to delayed medical intervention. Clinically, these tumors manifest as slow-growing, painless masses; however, their aggressive behavior often results in rapid expansion, causing tooth mobility, displacement, and facial deformity. Surgical resection remains the gold standard for management. Preoperative evaluation necessitates a comprehensive assessment of the patient's medical history, tumor location, macroscopic dimensions, and histopathological subtype. Post-resection, significant mandibular defects often necessitate reconstruction to restore shape and function. The fifth rib-pectoralis major osteo-myo-cutaneous flap has emerged as a robust reconstructive option, particularly in resource-limited settings. This technique leverages the flap's acromion-pectoral blood supply to transfer a spade-shaped segment of skin, subcutaneous tissue, and rib with reliability. It facilitates rapid oral rehabilitation, requires no microsurgical expertise, and minimizes operative time.</div><div>We present the case of a 44-year-old Rarámuri woman with a seven-year history of a left mandibular mass. Symptomatic progression—marked by pain and oral intolerance—prompted referral to our center. She underwent left mandibulectomy with immediate reconstruction using the osteo-myo-cutaneous flap. Postoperatively, she was discharged on day 14 with a gastrostomy tube and tracheostomy to manage neck edema, tolerating enteral feeds without complications. Follow-up revealed no significant adverse events, underscoring the flap's efficacy in challenging clinical contexts.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577282","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 : 2025-02-26DOI: 10.1016/j.omsc.2025.100392
Inleel Lundgård Shino , Mohammedreza Sefidroodi , Stratos Vassis , Kasper Dahl Kristensen , Thomas Klit Pedersen , Jytte Buhl , Sven Erik Nørholt
Technological advancements have made the integration of clear aligner therapy (CAT) with orthognathic surgery a reality. This case report outlines an innovative, patient-specific workflow that merges CAT with the surgery first orthognathic approach (SFOA), developed in collaboration with engineers to facilitate in-house production of surgical guides and pre-adapted titanium plates. Objective evaluation was performed using the peer assessment rating (PAR) index. The patient achieved the intended occlusal relationship without discomfort in the temporomandibular joint (TMJ) and experienced no surgical complications. The surgical and occlusal outcomes have remained stable with reduced scores in the PAR index, reflecting improved objective assessment post treatment. This case report is the first of its kind to describe a single-jaw, multi-segmented maxillary osteotomy in SFOA using CAT. It demonstrates precise individualized planning in a multidisciplinary approach integrating CAT with SFOA making it feasible in cases involving a single jaw segmented Le Fort 1 osteotomy.
技术的进步使得清晰对准器治疗（CAT）与正颌手术的整合成为现实。本病例报告概述了一种创新的、针对患者的工作流程，该流程将CAT与手术第一正颌入路（SFOA）结合起来，与工程师合作开发，以促进手术指南和预适应钛板的内部生产。采用同行评价评分（PAR）指标进行客观评价。患者达到预期的咬合关系，颞下颌关节（TMJ）无不适，无手术并发症。手术和咬合结果保持稳定，PAR指数得分降低，反映了治疗后客观评估的改善。本病例报告是首次使用CAT描述SFOA的单颌多节段上颌截骨术。它展示了在多学科方法中精确的个性化规划，将CAT与SFOA相结合，使其在涉及单颚分段Le Fort 1截骨的病例中可行。
{"title":"Integrating aligners with surgery first: A novel case report on single-jaw, multi-segmented maxillary osteotomy","authors":"Inleel Lundgård Shino , Mohammedreza Sefidroodi , Stratos Vassis , Kasper Dahl Kristensen , Thomas Klit Pedersen , Jytte Buhl , Sven Erik Nørholt","doi":"10.1016/j.omsc.2025.100392","DOIUrl":"10.1016/j.omsc.2025.100392","url":null,"abstract":"<div><div>Technological advancements have made the integration of clear aligner therapy (CAT) with orthognathic surgery a reality. This case report outlines an innovative, patient-specific workflow that merges CAT with the surgery first orthognathic approach (SFOA), developed in collaboration with engineers to facilitate in-house production of surgical guides and pre-adapted titanium plates. Objective evaluation was performed using the peer assessment rating (PAR) index. The patient achieved the intended occlusal relationship without discomfort in the temporomandibular joint (TMJ) and experienced no surgical complications. The surgical and occlusal outcomes have remained stable with reduced scores in the PAR index, reflecting improved objective assessment post treatment. This case report is the first of its kind to describe a single-jaw, multi-segmented maxillary osteotomy in SFOA using CAT. It demonstrates precise individualized planning in a multidisciplinary approach integrating CAT with SFOA making it feasible in cases involving a single jaw segmented Le Fort 1 osteotomy.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100392"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551639","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 : 2025-02-12DOI: 10.1016/j.omsc.2025.100389
Rami Ezzibdeh , Mohamed Diop , Taseer Din , Brooke M. Su-Velez , Tulio Valdez
Infantile hemangiomas are the most common childhood tumor and most frequently appear in the head and neck. Beta-blockers like propranolol have become the standard therapy for hemangiomas and consequently surgical management is becoming increasingly rare. In this report we present the case of an ulcerating post-auricular hemangioma resulting in acute blood loss and requiring urgent surgery for hemorrhage control. This case highlights the importance of early diagnosis and treatment of infantile hemangiomas as progression to ulceration can lead to refractory bleeding needing urgent intervention.
{"title":"Surgical excision of an ulcerating post-auricular infantile hemangioma with refractory hemorrhage","authors":"Rami Ezzibdeh , Mohamed Diop , Taseer Din , Brooke M. Su-Velez , Tulio Valdez","doi":"10.1016/j.omsc.2025.100389","DOIUrl":"10.1016/j.omsc.2025.100389","url":null,"abstract":"<div><div>Infantile hemangiomas are the most common childhood tumor and most frequently appear in the head and neck. Beta-blockers like propranolol have become the standard therapy for hemangiomas and consequently surgical management is becoming increasingly rare. In this report we present the case of an ulcerating post-auricular hemangioma resulting in acute blood loss and requiring urgent surgery for hemorrhage control. This case highlights the importance of early diagnosis and treatment of infantile hemangiomas as progression to ulceration can lead to refractory bleeding needing urgent intervention.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100389"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143478698","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 : 2025-02-12DOI: 10.1016/j.omsc.2025.100391
George Ho , Eden Marco , Manuel Carcao , Pierre-Philippe Piche-Renaud , Dale Podolsky
Lemierre's syndrome is a rare condition that involves septic thrombophlebitis of the internal jugular vein (IJV) most commonly as a complication of oropharyngeal bacterial infections. It is even more rare in association with infection following third molar extraction. A 17-year-old male developed septic osteomyelitis with Moraxella osloensis bacteremia and Lemierre's syndrome resulting in complete occlusion of the IJV following routine third molar extraction. The patient required urgent operative debridement of the mandible as well as long-term antibiotics to treat the osteomyelitis and anticoagulant therapy to treat the IJV occlusion. The patient made a complete recovery. Clinicians should be aware that Lemierre's syndrome can complicate mandibular osteomyelitis.
{"title":"Mandibular osteomyelitis and Lemierre's syndrome following third molar extraction in a young adult – A case report","authors":"George Ho , Eden Marco , Manuel Carcao , Pierre-Philippe Piche-Renaud , Dale Podolsky","doi":"10.1016/j.omsc.2025.100391","DOIUrl":"10.1016/j.omsc.2025.100391","url":null,"abstract":"<div><div>Lemierre's syndrome is a rare condition that involves septic thrombophlebitis of the internal jugular vein (IJV) most commonly as a complication of oropharyngeal bacterial infections. It is even more rare in association with infection following third molar extraction. A 17-year-old male developed septic osteomyelitis with <em>Moraxella osloensis</em> bacteremia and Lemierre's syndrome resulting in complete occlusion of the IJV following routine third molar extraction. The patient required urgent operative debridement of the mandible as well as long-term antibiotics to treat the osteomyelitis and anticoagulant therapy to treat the IJV occlusion. The patient made a complete recovery. Clinicians should be aware that Lemierre's syndrome can complicate mandibular osteomyelitis.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100391"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488506","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}
Congenital epulis is an exceedingly uncommon neoplasm that manifests in the oral cavity of neonates. The advancement in prenatal diagnostic techniques such as ultrasound and magnetic resonance imaging (MRI) allows for detection prior to birth. The most frequent site of manifestation is the anterior alveolar ridge of the maxilla, succeeded by the alveolar ridge of the mandible, and in rare cases, the tongue. There exist several theoretical proposals studying its histogenesis and potential causes, but they remain elusive. The case under discussion is a four-day-old female patient exhibiting a multilobulated, firm, pedunculated, mucosal-colored mass originating from the right anterior maxillary ridge and extending out from the mouth. The lesion posed an obstacle to normal feeding, although it fortunately did not impede the airway or respiration. The lesion was excised under general anesthesia and the specimen was forwarded to the histopathology laboratory where the diagnosis was confirmed. Seven weeks post-operation, the patient returned to our clinic exhibiting a fully healed wound. The prognosis for such a lesion is highly favorable, with no instances of recurrence documented in the literature. A multidisciplinary approach is required for the effective management of congenital epulis.
{"title":"Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report","authors":"Khalid Almutairi , Rana Alshagroud , Fares Alrawashedah , Tariq Wahass","doi":"10.1016/j.omsc.2025.100390","DOIUrl":"10.1016/j.omsc.2025.100390","url":null,"abstract":"<div><div>Congenital epulis is an exceedingly uncommon neoplasm that manifests in the oral cavity of neonates. The advancement in prenatal diagnostic techniques such as ultrasound and magnetic resonance imaging (MRI) allows for detection prior to birth. The most frequent site of manifestation is the anterior alveolar ridge of the maxilla, succeeded by the alveolar ridge of the mandible, and in rare cases, the tongue. There exist several theoretical proposals studying its histogenesis and potential causes, but they remain elusive. The case under discussion is a four-day-old female patient exhibiting a multilobulated, firm, pedunculated, mucosal-colored mass originating from the right anterior maxillary ridge and extending out from the mouth. The lesion posed an obstacle to normal feeding, although it fortunately did not impede the airway or respiration. The lesion was excised under general anesthesia and the specimen was forwarded to the histopathology laboratory where the diagnosis was confirmed. Seven weeks post-operation, the patient returned to our clinic exhibiting a fully healed wound. The prognosis for such a lesion is highly favorable, with no instances of recurrence documented in the literature. A multidisciplinary approach is required for the effective management of congenital epulis.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100390"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419493","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}
Melanotic neuroectodermal tumor of infancy (MNTI) is a rare neoplasm in infants, often mimicking aggressive malignancies or odontogenic lesions, particularly on maxillary or mandibular alveolar ridges. We report a 4-month-old male presenting with a one-month history of swelling in the right upper mouth, rapidly increasing over 15 days. Clinical examination showed a firm, bluish swelling on the right maxillary alveolus. Provisional diagnosis included rhabdomyosarcoma, with differential diagnoses of peripheral giant cell granuloma and small round cell tumor. Imaging revealed an expansile soft tissue mass in the right maxilla without systemic involvement. Surgical excision under general anesthesia was performed. Histopathology confirmed MNTI, supported by immunohistochemistry markers such as CK and HMB45 positivity. The patient showed no recurrence or complications over eight months of follow-up, with normal growth and healing in the affected region. This case underscores the importance of differentiating MNTI from malignancies in infants. Early diagnosis and surgical intervention are essential. A timely treatment and close follow-up ensures favorable outcomes in MNTI cases.
{"title":"A case report of classical presentation of rare melanotic neuroectodermal tumor of infancy","authors":"Anumesh Dahal , K.C. Krishna , Sarala Khadka , Dewan Karki","doi":"10.1016/j.omsc.2025.100386","DOIUrl":"10.1016/j.omsc.2025.100386","url":null,"abstract":"<div><div>Melanotic neuroectodermal tumor of infancy (MNTI) is a rare neoplasm in infants, often mimicking aggressive malignancies or odontogenic lesions, particularly on maxillary or mandibular alveolar ridges. We report a 4-month-old male presenting with a one-month history of swelling in the right upper mouth, rapidly increasing over 15 days. Clinical examination showed a firm, bluish swelling on the right maxillary alveolus. Provisional diagnosis included rhabdomyosarcoma, with differential diagnoses of peripheral giant cell granuloma and small round cell tumor. Imaging revealed an expansile soft tissue mass in the right maxilla without systemic involvement. Surgical excision under general anesthesia was performed. Histopathology confirmed MNTI, supported by immunohistochemistry markers such as CK and HMB45 positivity. The patient showed no recurrence or complications over eight months of follow-up, with normal growth and healing in the affected region. This case underscores the importance of differentiating MNTI from malignancies in infants. Early diagnosis and surgical intervention are essential. A timely treatment and close follow-up ensures favorable outcomes in MNTI cases.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100386"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143478697","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}
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