Christine Arachoviti, Sotiria Dafopoulou, I. Fotopoulos, T. Lillis, N. Dabarakis
{"title":"MARSUPIALIZATION OF LARGE MANBILULAR RESIDUAL CYSTS. TWO CASE REPORTS.","authors":"Christine Arachoviti, Sotiria Dafopoulou, I. Fotopoulos, T. Lillis, N. Dabarakis","doi":"10.54936/haoms231p2","DOIUrl":"https://doi.org/10.54936/haoms231p2","url":null,"abstract":"Introduction: Large residual cysts are relatively rare inflammatory cysts of the jaws. They derive from radicular cysts that had not been completely removed after dental extraction. In some cases, these lesions can grow large without any symptoms and they are discovered as incidental radiographic findings. Marsupialization is an alternative treatment for large cysts, avoiding significant complications such as nerve injury, jaw fracture, sinus or nasal perforation which can occur from curettage during enucleation. Case presentation: We present two different cases of male patients with mandibular residual cysts, who were referred to our department. Both patients presented with swelling and pyorrhea. The radiological examination revealed large well-defined lesions that had absorbed extensive jaw sites. The localization of both cysts was significantly close to the inferior alveolar nerve. Marsupialization and acrylic resin obturator placement was performed in both cases. The follow up period of 18 months from surgery is presented. Conclusion: In conclusion, marsupialization is a conservative, efficient surgical technique that promotes bone healing and the shrinkage of the existing lesion.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130416357","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}
Florou Efthymia, Stella Papamikidou, T. Diamantatou, Konstantinos Choupis, Lampros Gkoutzanis
{"title":"INTRAORAL LIPOMAS: REVIEW OF LITERATURE AND REPORT OF CLINICAL CASES","authors":"Florou Efthymia, Stella Papamikidou, T. Diamantatou, Konstantinos Choupis, Lampros Gkoutzanis","doi":"10.54936/haoms231p21","DOIUrl":"https://doi.org/10.54936/haoms231p21","url":null,"abstract":"Introduction: Lipoma is a benign mesenchymal tumor composed of mature adipocytes. It is common in the head and neck region, although its appearance in the oral cavity is uncommon. Only 1-5% of the lesions are located in this area; representing 2.2% of all lipomas. The most common areas are the buccal mucosa, lips, tongue, palate, vestibule, floor of the mouth and retromolar area. Case presentation: Two patients were referred to our Department for treatment of a tumor located in the floor of the mouth. Clinical examination revealed a mass, soft, mobile, not attached to deeper planes and covered by mucosa which appeared normal but with a slight yellowish color. The lesions were enucleated under local anesthesia with articaine 1: 100,000 4%, followed by incision, dissection, excision and suture using PGA 3/0. Macroscopically they were encapsulated lesions, easily enucleable and yellowish in color. Conclusion: While intraoral lipomas are relatively uncommon, their clinical diagnosis is easy due to their yellowish color, and their usual location superficially beneath the mucosa. The differential diagnosis includes fibroma, dermoid cyst, minor salivary gland tumors, mucocele, hemangioma, lymphangioma, rhabdomyoma or neuroma.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"362 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122056393","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}
{"title":"BONE REGENERATION IN HEALTHY AND OSTEOPOROTIC CONDITIONS. PRECLINICAL EVIDENCE.","authors":"Dimitra Liatsou, X. Dereka","doi":"10.54936/haoms231p10","DOIUrl":"https://doi.org/10.54936/haoms231p10","url":null,"abstract":"Introduction Osteoporosis is one of the most common skeletal disorders affecting a significant percentage of people worldwide. Research data suggested that systemic diseases such as osteoporosis could act as risk factors for bone regeneration, jeopardizing the healing process and thus the predictability of bone regenerative techniques on compromised patients. The use of titanium dental implants is considered a successful and largely predictable treatment option for partial/full edentulism. However, a prerequisite for the successful implant placement in the prosthodontally ideal driven position is a minimum amount of bone at the recipient site. It is well accepted that preclinical studies in experimental models simulating healthy and systemic conditions, are one of the most important stages in the research of new biomaterials and therapeutic modalities. Aim and Methods The aim of this study is to review the potential effect of osteoporosis on guided bone regeneration in healthy and osteoporotic-like conditions in preclinical models. Material and Methods Literature search was conducted in MEDLINE and PUBMED up to March 2022. Results Research data showed significant new bone apposition in the defect sites, although a trend for less bone formation of lower quality was observed in osteoporotic compared to healthy conditions. Conclusion Evidence suggested that low level of estrogen might negatively affect the biological process of bone grafts/substitutes integration. Preclinical studies provide the possibility of better understanding the underlying mechanism of bone regeneration in compromised conditions. It is important to emphasize that optimization of these models, simulating healthy and systemic conditions, is important for future research.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116588016","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}
D. Tatsis, Maria Tsivilika, I. Kalaitsidou, Konstantinos Paraskevopoulos, K. Antoniades
{"title":"A MAXILLARY LESION WITH A RARE DIAGNOSIS; A CASE REPORT OF EWING SARCOMA","authors":"D. Tatsis, Maria Tsivilika, I. Kalaitsidou, Konstantinos Paraskevopoulos, K. Antoniades","doi":"10.54936/haoms231p15","DOIUrl":"https://doi.org/10.54936/haoms231p15","url":null,"abstract":"Objectives Primary Ewing sarcoma of the head and neck is rare, representing only 3% of all Ewing sarcoma cases. The aim is to present a rare case of maxillary location of a Ewing sarcoma. Case report A 23-year-old male patient presented with a chief complaint of upper lip swelling attributed to a cystic lesion in the apical area left lateral maxillary incisor. Imaging showed an apical lesion of this tooth, indicating a broad osteolytic location. The lesion was removed, and a sample was taken for biopsy. The immunohistochemical findings agreed with a malignant bone tumor that exhibits features more compatible with the diagnosis of Ewing’s Sarcoma. The patient underwent chemotherapy and radiotherapy. No signs of recurrence can be seen five years after treatment. Conclusions Most of the few published cases of primary Ewing sarcoma of the maxillary have been diagnosed as cystic lesions. Early diagnosis of head and neck Ewing sarcoma is essential for operating R0 surgeries that may not require radiotherapy. Each case's severity and needs should be evaluated to select the appropriate treatment regimen.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"2 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131520971","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}
{"title":"SURGICAL TREATMENT OF MEDICATION RELATED OSTEONECROSIS OF THE JAW USING PRF","authors":"Eleni Ioanna Tzaferi, Mary-Eleni Zouloumi, Athina Tzatzaki, Christos Gkanidis, L. Zouloumis","doi":"10.54936/haoms231p20","DOIUrl":"https://doi.org/10.54936/haoms231p20","url":null,"abstract":"Medication related osteonecrosis of the jaw (MRONJ) is a severe side effect of antiresorptive therapy with increasing incidence and is defined as a condition of progressive bone destruction in the maxillofacial region of patients. Antiresorptive drugs such as denosumab promotes the inhibition of osteoclast differentiation and function and is commonly used to treat bone cancer1. This report aims to present a case of MRONJ in a 76-year-old male patient who suffered from metastatic clear cell renal cell carcinoma (ccRCC). The patient underwent radical nephrectomy and was given, among other drugs, denosumab. After 1 year, he visited to clinic with exposed and necrotic bone that probes to bone, associated with infection as evidenced by pain in the region of the exposed bone and, subsequently, the diagnosis was MRONJ Stage 2. The necrosis was treated surgically with the addition of an autologous platelet concentrate (platelet-rich fibrin, PRF). Wound healing, pain and oral health-related quality of life were assessed via clinical evaluation after 7, 14, 30 days, 3 and 6 months postoperative. In conclusion, antiresorptive medications have close association to MRONJ in patients with poor oral hygiene and the antiresorptive treatment is recommended that should start after a careful dental preparation. Moreover, concerning MRONJ treatment, this case report indicate that when PRF is combined with successful surgical care, it can improve wound healing and has very promising results in tissue repair, regeneration, and growth.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130769637","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}
{"title":"The history of Crile’s neck dissection","authors":"N. Lazaridis","doi":"10.54936/haoms231524","DOIUrl":"https://doi.org/10.54936/haoms231524","url":null,"abstract":"","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125304465","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}
{"title":"Auguste Nélaton: The well-known for his homonymous urinary catheter eminent surgeon, but almost unknown for his contribution to Oral and Maxillofacial Surgery.","authors":"A. Mylonas","doi":"10.54936/haoms223207212","DOIUrl":"https://doi.org/10.54936/haoms223207212","url":null,"abstract":"","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127484702","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}
{"title":"Nicholas Senn: The emblematic General Surgeon and founder of the Association of Military Surgeons of the USA, and his contribution to Oral and Maxillofacial Surgery.","authors":"A. Mylonas","doi":"10.54936/haoms222129134","DOIUrl":"https://doi.org/10.54936/haoms222129134","url":null,"abstract":"","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126360851","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}
{"title":"Vilray Papin Blair: The pioneer of Plastic and Reconstructive Surgery in the USA, and his contribution in Oral and Maxillofacial Surgery","authors":"A. Mylonas","doi":"10.54936/haoms2214348","DOIUrl":"https://doi.org/10.54936/haoms2214348","url":null,"abstract":"","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114765267","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}