Clinical Case Reports最新文献_第4页

Root Migration After Coronectomy of a Mandibular Third Molar With the Inferior Alveolar Nerve Passing Between the Roots: A Case Report. 下颌第三磨牙冠切除术后牙根移位，下牙槽神经在牙根间穿过1例。

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Clinical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73673

Vito Marquez Rocco, Andreas Thor, Abdullah A Hashim, Dominique Bellerud

{"title":"Root Migration After Coronectomy of a Mandibular Third Molar With the Inferior Alveolar Nerve Passing Between the Roots: A Case Report.","authors":"Vito Marquez Rocco, Andreas Thor, Abdullah A Hashim, Dominique Bellerud","doi":"10.1002/ccr3.73673","DOIUrl":"https://doi.org/10.1002/ccr3.73673","url":null,"abstract":"Extraction of mandibular third molars (MTMs) is one of the most common procedures in oral and maxillofacial surgery. It carries a risk of inferior alveolar nerve (IAN) injury, which may result in altered or lost sensation of the lower lip, chin, teeth, and gingiva. Coronectomy, a surgical technique in which the crown is removed while the vital roots are retained, has been proposed to reduce this risk in cases with close root-nerve proximity. We report the case of a 41-year-old female patient in whom cone beam computed tomography (CBCT) revealed the IAN coursing between the roots of an MTM. Coronectomy was performed to preserve nerve integrity. Follow-up CBCT demonstrated significant migration of the retained root complex within 6-12 months, increasing the distance from the IAN. Five years later, infection associated with the retained roots required surgical root removal. Owing to the favorable migration of the root complex, extraction was completed without IAN injury. This case illustrates that, despite the possibility of late complications requiring reintervention, coronectomy may facilitate root migration away from the nerve and allow safer delayed root removal in anatomically high-risk situations. Careful patient selection, meticulous surgical technique, and long-term radiographic follow-up are essential. Further high-quality long-term studies are needed to standardize coronectomy protocols, evaluate complications, and assess cost-effectiveness compared with conventional extraction.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73673"},"PeriodicalIF":0.6,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179694","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}

引用次数: 0

Three-and-a-Half-Year Follow-Up After Sacroiliac Joint Fusion With Preexisting Ipsilateral Total Hip Arthroplasty: A Case Report. 骶髂关节融合术合并同侧全髋关节置换术3年半随访1例。

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Clinical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73714

Dustin J Kress, Jason J Haselhuhn, Neill B Hatcher, Kari Odland, David W Polly

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Tubal Ectopic Pregnancy With Grossly Visible Intact Embryonic Structures: A Case Image. 输卵管异位妊娠伴肉眼可见的完整胚胎结构：一例图像。

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Clinical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73731

Mojgan Akbarzadeh-Jahromi, Neda Soleimani, Sahand Mohammadzadeh

引用次数: 0

Recurrent Projectile Vomiting as the Sole Presenting Feature of Coeliac Disease With Marsh-Oberhuber Grade 3C Enteropathy in a 13-Year-Old Girl: A Case Report. 复发性抛射性呕吐是13岁女孩腹腔疾病合并Marsh-Oberhuber级3C肠病的唯一表现特征：1例报告。

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Clinical Case Reports Pub Date : 2026-10-11 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73717

Rahman Syed, Ameer Afzal Khan, Mehtab Alam, Suleman Shah, Mian Gul Rahman, Mohammed Al Meqbaali, Bilal Iqbal, Mohammed Al Sinani

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Acute Hemorrhagic Manifestations in a Pregnant Patient With Type 1 von Willebrand Disease: Challenges in Management of Bleeding Disorders During Gestation. 妊娠1型血管性血友病患者的急性出血表现：妊娠期出血性疾病管理的挑战

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Clinical Case Reports Pub Date : 2026-10-11 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73728

Jose Luis Rojas-Oviedo, María Fernanda Leal Walteros, Dauris Lineth Mejía Pérez, Jorge Eliecer Castellanos Corredor, Danna Geraldinne Amaya Sánchez, Ana Sofía Lancheros Ramírez

引用次数: 0

Unmasking Huntington Disease: How a Neuropsychiatric Crisis Overcame Cultural Barriers to a Delayed Diagnosis. 揭露亨廷顿病：神经精神危机如何克服文化障碍延迟诊断。

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Clinical Case Reports Pub Date : 2026-10-11 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73726

Charles Donkor-Baah, George Harold Kitson-Mills, Stephen Annan Arthur, Irene Acquah

{"title":"Unmasking Huntington Disease: How a Neuropsychiatric Crisis Overcame Cultural Barriers to a Delayed Diagnosis.","authors":"Charles Donkor-Baah, George Harold Kitson-Mills, Stephen Annan Arthur, Irene Acquah","doi":"10.1002/ccr3.73726","DOIUrl":"https://doi.org/10.1002/ccr3.73726","url":null,"abstract":"Huntington disease is an autosomal dominant neurodegenerative disorder characterized by progressive motor, cognitive, and psychiatric dysfunction. We report the case of a 53-year-old man who presented after a suicide attempt involving pesticide ingestion, following years of worsening choreiform movements, reported cognitive decline, and severe depression. Despite a strong multigenerational family history of similar symptoms, the condition was perceived as a familial \"curse,\" leading to a prolonged reliance on traditional remedies and delayed engagement with biomedical healthcare services. Examination revealed generalized chorea, dysarthria, motor impersistence, and severe depression. Genetic analysis identified 44 CAG repeats in the huntingtin (HTT) gene, confirming the diagnosis of Huntington disease. This case underscores the influence of cultural beliefs on healthcare-seeking behavior, which can delay the diagnosis of hereditary neurological disorders until a psychiatric crisis precipitates medical evaluation and intervention.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73726"},"PeriodicalIF":0.6,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179816","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}

引用次数: 0

Prevalence of Rare Diseases in Consanguineous Marriages: A Case of Ullrich Muscular Dystrophy in a Resource-Limited Setting. 近亲婚姻中罕见疾病的流行：一个资源有限的乌尔里希肌萎缩症病例。

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Clinical Case Reports Pub Date : 2026-10-11 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73658

Kanza Farhan, Muhammad Burhan Tariq, Amna Farhan, Erma Khalid, Suhaira Hafeez Syed, Mohammed Hammad Jaber Amin

引用次数: 0

Acute Pancreatitis Presenting With ST-Segment Elevation and Marked Troponin Elevation: A Diagnostic Dilemma in a Resource-Limited Setting-A Case Report. 急性胰腺炎表现为st段抬高和显著肌钙蛋白升高：在资源有限的情况下诊断困境-一个病例报告。

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Clinical Case Reports Pub Date : 2026-10-11 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73716

Selamawit Kassahun Aweke, Natnael Mathewos Assale, Anteneh Girma Mengistu, Nathanael Elias Temesgen, Eden Fanta Amajo, Saron Yohannes Tsegaye, Merahi Kefyalew Merahi

引用次数: 0

Long-Term Clinical and Radiographic Outcomes of Large Periapical Lesions Managed by Non-Surgical and Surgical Endodontic Treatment: A Case Series. 通过非手术和手术治疗处理大根尖周围病变的长期临床和放射学结果：一个病例系列。

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Clinical Case Reports Pub Date : 2026-10-11 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73727

Mohsen Aminsobhani, Maryam Babaahmadi, Razieh Amiri, Maryam Habibzadeh, Nazanin Kamali

{"title":"Long-Term Clinical and Radiographic Outcomes of Large Periapical Lesions Managed by Non-Surgical and Surgical Endodontic Treatment: A Case Series.","authors":"Mohsen Aminsobhani, Maryam Babaahmadi, Razieh Amiri, Maryam Habibzadeh, Nazanin Kamali","doi":"10.1002/ccr3.73727","DOIUrl":"https://doi.org/10.1002/ccr3.73727","url":null,"abstract":"The management of large periapical lesions is challenging, as lesion size alone does not predict treatment outcome or mandate surgery. This case series presents three large periapical lesions with 4- to 12-year follow-up, illustrating different therapeutic pathways. Two cases (mandibular canine/premolar and maxillary lateral incisor) resolved with non-surgical treatment, achieving radiographic healing at 12-year and 5-year follow-ups, respectively; the lesion in Case 1 persisted at 2 years but resolved by 12 years. The third case (maxillary lateral incisor with sinus tract and swelling) failed non-surgical retreatment, requiring periradicular surgery with MTA, resulting in complete healing at 4 years. All cases achieved Periapical Index scores of 2. This series demonstrates that non-surgical management remains first-line, but persistent symptoms, sinus tracts, or lack of radiographic improvement at 1 year should prompt surgery. Long-term follow-up is essential to distinguish delayed healing from true failure.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73727"},"PeriodicalIF":0.6,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179676","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}

引用次数: 0

Introducing A Stepwise Anatomic Framework for Urogenital Reconstruction Derived From Orofacial Plastic Surgery Principles: A Case Report. 介绍一种基于口面整形外科原理的泌尿生殖器重建的分步解剖框架：一例报告。

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Clinical Case Reports Pub Date : 2026-10-11 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73696

Lynn Damitz, Mohammadamin Parsaei, Denniz Zolnoun

引用次数: 0