{"title":"Iatrogenic intra-temporomandibular joint emphysema during injection: A case report","authors":"Asaad Shehada, Mazen Zenati","doi":"10.1016/j.omsc.2025.100405","DOIUrl":"10.1016/j.omsc.2025.100405","url":null,"abstract":"<div><div>The temporomandibular joint has a variation in its atmospheric pressure during the mouth movement, although the intra-articular injection is widely used as one of the management strategies for reducing the pain and enhancing the mouth movement range, there are atmospheric fluctuations in the joint space due to make a passage between this closed spaces and the external medium when the needle inserted into the joint capsule. This report presents iatrogenic emphysema in two cases, while this emphysema is absent in a different case.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 3","pages":"Article 100405"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166766","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":"Occult papillary thyroid carcinoma presenting as parapharyngeal space mass: A case report and literature review","authors":"Fawaz Alotaibi , Harish Tummala , Mitchell Naito , Yousef Alshamrani","doi":"10.1016/j.omsc.2025.100402","DOIUrl":"10.1016/j.omsc.2025.100402","url":null,"abstract":"<div><div>Papillary thyroid carcinoma presenting as a parapharyngeal mass is uncommon clinical presentation<sup>1,2</sup>. Papillary thyroid cancer is the most common primary thyroid cancer (80–90 % of cases)<sup>17</sup>. 20–50 % of cases have lymph node metastasis<sup>4</sup>. Superior thyroid lesions usually metastasize through superior pretracheal and cervical nodes while inferior thyroid and isthmus drainage travel via the paratracheal and deep cervical nodes<sup>17</sup>. Parapharyngeal space (PPS) tumors are rare and represent about 0.5 % of all head and neck tumors<sup>1,2</sup>. We report a case of 59 years-old man who presented initially with left parapharyngeal mass for about four months and a chief complaint of dysphagia. Exam revealed a submucosal 4 cm mass in the oropharyngeal wall, no tumor was palpable in the neck and his physical examination was otherwise unremarkable. Preoperative work up was completed, and Fine Needle Aspiration (FNA) was inconclusive. The mass was excised via transcervical-mandibular swing approach and a diagnosis of papillary thyroid carcinoma was rendered. Subsequently, the patient underwent a total thyroidectomy and neck dissection. This case report highlights the unusual metastasis to parapharyngeal space from occult papillary thyroid carcinoma, reviews the lymphatic drainage system of the head and neck responsible for this route of metastasis, recommendations for preoperative imaging, surgical treatment, and adjuvant treatment of this uncommon presentation.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 3","pages":"Article 100402"},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205666","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":"Unusual displacement of maxillary lateral incisor into the orbital floor after panfacial trauma: A case report","authors":"Mojtaba Salehi Karizmeh, Farnaz Keyhanlou","doi":"10.1016/j.omsc.2025.100406","DOIUrl":"10.1016/j.omsc.2025.100406","url":null,"abstract":"<div><div>Panfacial trauma often involves extensive fractures across the facial skeleton and is frequently associated with dentoalveolar injuries. In cases with missing teeth, extra caution is needed, as avulsed teeth or fragments may be displaced into adjacent structures such as the maxillary sinus, nasal cavity, airway, or even the gastrointestinal tract. This report presents a rare case of a maxillary lateral incisor displaced into the orbital floor following panfacial trauma. The case highlights the critical importance of thorough clinical and radiographic assessment, particularly with CT imaging, to ensure accurate diagnosis, prevent complications, and achieve optimal management in panfacial trauma.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100406"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116022","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}
Brett A. Wilson, Jeffrey H. Brooks, Sloan B. Ashabranner, Franklin B. Ivers
{"title":"Large intraosseous xanthoma of the mandible – A case report","authors":"Brett A. Wilson, Jeffrey H. Brooks, Sloan B. Ashabranner, Franklin B. Ivers","doi":"10.1016/j.omsc.2025.100404","DOIUrl":"10.1016/j.omsc.2025.100404","url":null,"abstract":"<div><div>Xanthoma is derived from the Greek word xanthos, meaning yellow, and is related to the altered metabolism of lipids resulting in their accumulation in skin, tendon sheaths, and internal organs. Xanthomas manifest as yellowish papules, plaques, or nodules and are characterized by lipid-laden macrophages (foam cells). Xanthoma of bone is extremely rare and, when present, is often secondary to dyslipidemias or endocrine disorders. The former would be considered a secondary intraosseous xanthoma of bone. A xanthoma that is identified within bone in the absence of dyslipidemia or endocrine disease is considered a primary intraosseous xanthoma. When a xanthoma presents in the maxilla or mandible, it is considered an intraosseous xanthoma of the jaw. The first intraosseous xanthoma of the jaw was reported in 1964 and was referred to as a xanthogranuloma of the mandible. Since that initial report, less than 60 total cases have been reported in the English literature. The cases reported are typically small in size and amenable to enucleation and curettage. Our report contributes to the existing literature by providing a unique case example, highlighting the potential for these lesions to progress to a considerable size, impact adjacent anatomical structures, and necessitate more aggressive treatment.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948743","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}
Emily DuBuc , Russell Arellanes , Greta Guillette , Changxing Liu
{"title":"Osteocutaneous radial forearm free flap with islanded bony segments for maxilla reconstruction: A case report","authors":"Emily DuBuc , Russell Arellanes , Greta Guillette , Changxing Liu","doi":"10.1016/j.omsc.2025.100401","DOIUrl":"10.1016/j.omsc.2025.100401","url":null,"abstract":"<div><div>Maxillofacial LeFort 1 surgery is a widely used procedure for correcting midface deformities, but it can occasionally result in rare and destructive complications such as non-union of osteotomy gaps and maxillary necrosis. Addressing these complications requires careful consideration of their severity, the surgeon's expertise, and the patient's desired outcomes. Comprehensive imaging, a detailed surgical history, and thorough preoperative planning are essential. We present the case of a 61-year-old Caucasian male referred to the otolaryngology – head and neck surgery clinic for bilateral oroantral fistulas, with multiple failed repair attempts following LeFort I osteotomy for midfacial deformity correction. Reconstruction was performed using an osteocutaneous radial forearm free flap with two separate osteotomy segments to fill the bony defect and seal the fistulas, resulting in full resolution of symptoms.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100401"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895657","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}
Kamdem Benedikta , Sala Nathalie , Broome Martin , May Laurence
{"title":"Maxillary angiosarcoma: a case report and literature review","authors":"Kamdem Benedikta , Sala Nathalie , Broome Martin , May Laurence","doi":"10.1016/j.omsc.2025.100403","DOIUrl":"10.1016/j.omsc.2025.100403","url":null,"abstract":"<div><div>Angiosarcoma is a rare and aggressive malignant mesenchymal neoplasia developing from endothelial cells, comprising only 2 % of soft tissues sarcomas. While primarily affecting soft tissues and skin, its occurrence in the oral cavity is exceptionally rare (1.6 %). We present the case of a 78-year-old woman with a nodular gingival lesion initially suspected as squamous cell carcinoma. Despite an uneventful postoperative course following maxillectomy, the histological examination revealed angiosarcoma. Discussion highlights the diagnostic challenges due to its varied clinical and histological presentation, often mimicking other lesions. Treatment involves complete surgical excision, followed by adjuvant chemotherapy and radiotherapy. However, the prognosis remains poor, with a high recurrence rate and metastatic potential. Our case underscores the importance of accurate diagnosis through comprehensive clinical, radiological, and histological evaluation, emphasizing the need for early detection and multidisciplinary management to improve outcomes in angiosarcoma patients.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100403"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886229","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":"Application of low-profile patient-specific surgical cutting guides in the management of craniofacial fibrous dysplasia: A case report and review of current surgical approaches","authors":"Mahdi Zakeri , Brian Kinard","doi":"10.1016/j.omsc.2025.100399","DOIUrl":"10.1016/j.omsc.2025.100399","url":null,"abstract":"<div><div>Managing craniofacial fibrous dysplasia (FD) poses significant challenges, particularly in balancing functional and aesthetic outcomes. Traditional approaches often require broad exposure through coronal flaps or midfacial degloving, leading to increased morbidity and extended recovery. This case report highlights a minimally invasive approach for a 20-year-old female with disfiguring zygomaticomaxillary FD. Through computer-aided surgical simulation (CASS), low-profile patient-specific recontouring guides were employed to perform precise bone recontouring through transconjunctival and intraoral incisions. Postoperative imaging confirmed accurate bone removal when superimposed with the preoperative plan. The patient achieved satisfactory facial symmetry with reduced morbidity. This approach demonstrates that combining CASS with low-profile patient specific recontouring guides can optimize outcomes for complex craniofacial FD cases. Further research and comparative studies are necessary to fully assess the long-term benefits of this technique in surgical managing FD and other benign craniofacial lesions.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100399"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143842651","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":"Oral mycetoma of the upper lip nasolabial region in a healthy host: A case report and minireview of diagnostic and therapeutic considerations","authors":"Kenichi Ogata , Michiaki Akashi , Shintaro Kawano","doi":"10.1016/j.omsc.2025.100400","DOIUrl":"10.1016/j.omsc.2025.100400","url":null,"abstract":"<div><div>Oral mycetoma, or fungal ball, is a rare entity typically affecting immunocompromised individuals; its presentation in the oral cavity, particularly the upper lip of healthy hosts, is exceedingly rare. We report a unique instance of upper lip nasolabial mycetoma in a 60-year-old immunocompetent male presenting with painless swelling. Initial imaging (magnetic resonance imaging/ultrasonography) revealed a well-defined, fluid-filled nodule, mimicking a benign neoplasm or mucocele. Excisional biopsy and subsequent histopathological examination with Grocott methenamine silver staining definitively diagnosed mycetoma, revealing encapsulated abscesses with filamentous fungal hyphae, suggestive of Aspergillus etiology. This case highlights the diagnostic ambiguity of atypical fungal infections in immunocompetent patients and underscores the necessity to consider fungal etiologies in the differential diagnosis of oral lesions, irrespective of patient immune status. Histopathology remains crucial for definitive diagnosis and appropriate management. Surgical excision with 1-year follow-up proved to be an effective therapeutic modality for localized oral fungal mycetoma in this healthy individual.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100400"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830073","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}
Kai-Yuan Hsiao , Martha Lucía Gutiérrez Pérez , Patrícia S. Cé , Thomaz Fleury Curado
{"title":"Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation","authors":"Kai-Yuan Hsiao , Martha Lucía Gutiérrez Pérez , Patrícia S. Cé , Thomaz Fleury Curado","doi":"10.1016/j.omsc.2025.100398","DOIUrl":"10.1016/j.omsc.2025.100398","url":null,"abstract":"<div><div>Hypoglossal nerve stimulation is a proven treatment for obstructive sleep apnea, yet its invasive nature raises concerns about wound complications. This case series examines three distinct postoperative scenarios: (1) early infection in a patient with poor glycemic control and inadequate self-care, (2) late-stage infection in a patient with prolonged device non-use, and (3) early wound dehiscence caused by nonadherence to postoperative restrictions, successfully managed with a novel wound management protocol that preserved the device. These cases highlight the importance of comprehensive risk assessment, adherence to postoperative guidelines, the control of metabolic diseases and individualized management strategies to preserve device functionality while reducing healthcare costs. Notably, this is the first report demonstrating successful device retention in hypoglossal nerve stimulation despite wound dehiscence. Further studies are essential to refine risk stratification and establish evidence-based treatment protocols for this innovative and increasingly utilized therapy.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100398"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776586","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":"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}