{"title":"Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture","authors":"Fabio G. Ritto , John R. Zuniga","doi":"10.1016/j.omsc.2023.100302","DOIUrl":"10.1016/j.omsc.2023.100302","url":null,"abstract":"<div><p>The treatment of condylar fractures has been the subject of debate and controversy. Open reduction and internal fixation, along with closed reduction, are the 2 main treatment modalities when well indicated and performed. In specific situations, however, the success of both treatment modalities can be challenged by local or systemic conditions. Alloplastic total temporomandibular joint replacement (TMJR) with the current systems, Biomet and Stryker, has proven to be successful in the long-term. The authors present 2 cases and propose the consideration of TMJR as a first-line treatment for condylar fractures in the following situations: fractures older than 4 weeks; 2) elderly patients with severely dislocated or displaced condyles; 3) condylar dislocation into the cranial fossa; 4) maxillomandibular fixation is not a viable option.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100302"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49518856","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":"Penetrating orbital trauma by a large metallic foreign body: A case report","authors":"Mohamed Elseyoufi , Hassan Abdel-Ghany","doi":"10.1016/j.omsc.2023.100307","DOIUrl":"10.1016/j.omsc.2023.100307","url":null,"abstract":"<div><p>Intraorbital foreign bodies are not uncommon, and the outcome is not always satisfying after management. A 41-year-old male presented to the ER with a history of occupational trauma 30 minutes before presentation. On non-contrast CT, a 4 cm curved nail was visualized near the lateral orbital wall penetrating the zygomatic buttress with no evidence of retrobulbar haemorrhage or bulbus oculi perforation. Under coverage of proper antibiotics, the nail was removed using lateral eyebrow approach keeping the globe intact, and the wound was closed in layers. The injured eye demonstrated free range of movement postoperatively. The patient was then referred for retinal repair surgery. Early management and meticulous extraction can lead to satisfying outcomes even with large foreign bodies.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100307"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43347959","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":"Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not?","authors":"Georgia-Alexandra Spyropoulou , Konstantinos Vahtsevanos , Konstantinos Antoniades , Eleni Karagergou , Sofia Papadopoulou , Efterpi Demiri","doi":"10.1016/j.omsc.2023.100304","DOIUrl":"10.1016/j.omsc.2023.100304","url":null,"abstract":"<div><h3>Background</h3><p>Anterolateral thigh flap (ALT) is used as a workhorse flap for head and neck reconstruction. The most used method to map the perforators nowadays is hand-held Doppler although several more sophisticated techniques have been described. This paper is to investigate whether harvesting the ALT flap without preoperative mapping is safe.</p></div><div><h3>Materials and methods</h3><p>Twenty consecutive patients were randomly assigned to one of two groups: A or B. Patients of A group (n = 10) were marked before the operation with the use of a Doppler probe whilst patients of group B (n = 10) were not marked preoperatively using Doppler to detect the perforators. Complications and time of ALT dissection were documented.</p></div><div><h3>Results</h3><p>There was no statistical difference of complications between the two groups. Mean time of flap harvesting (skin incision up to main pedicle) was approximately 140 min in group A and 165 min in group B (statistically significantly less in group A p = 0.008).</p></div><div><h3>Conclusions</h3><p>This paper is an indication that harvesting the ALT flap without preoperative mapping, even with hand-held Doppler, does not compromise safety of the procedure although operative time is prolonged.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100304"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42910217","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 360-degree continuous mattress suture in dental implant surgery: A case series","authors":"Ernesto Bruschi , Stefano Granata , Massimiliano Agrestini","doi":"10.1016/j.omsc.2023.100311","DOIUrl":"10.1016/j.omsc.2023.100311","url":null,"abstract":"<div><p>The necessity of an ‘adequate’ keratinized mucosa at the emergence profile of dental implants is a controversial and debated topic. But, in recent years, research suggests that a minimum of at least 2mm of keratinized mucosa is recommended for the maintenance of peri-implant health. The latest systematic reviews on this topic are largely in favor of keratinized mucosa, as are the recommendations of some expert panels. The present paper presents a novel technique for peri-implant flap suturing that can be used in combination with soft tissue augmentation procedures, such as laterally positioned flaps, roll-flaps, and decellularized dermal matrix xenografts. The technique stabilizes the flap on the buccal surface of the healing screw or the emergence profile of the tissue-level implant with a circumferential continuous mattress design that is anchored on the buccal margins and/or periosteum with a final knot. The technique is carried out with a sterile 6/0 synthetic absorbable glyconate monofilament surgical suture (Monosyn, Bbraun, B. Braun Milano S. p.A., Via Vincenzo da Seregno, 14, 20,161 Milan, Italy). This type of suture is ideal, as it slides smoothly through the tissues and allows for the ideal adjustment of the tension and the position of the flap margins until the final knot is positioned. Furthermore, these augmentative procedures make use of second-intention healing and mattress sutures are always ideal to stabilize flap margins without excess tension in such cases. This case series involves patients with a reduced band of keratinized mucosa and, as such, in need of augmentative flap procedures.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100311"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47943570","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}
Umberto Committeri , Giovanna Norino , Antonio Arena , Vincenzo Abbate , Giovanni Salzano , Simona Barone , Francesco Giovacchini , Luigi Califano , Giovanni Dell’Aversana Orabona
{"title":"An unusual case of pilomatrix carcinoma of the salivary glands in a young man","authors":"Umberto Committeri , Giovanna Norino , Antonio Arena , Vincenzo Abbate , Giovanni Salzano , Simona Barone , Francesco Giovacchini , Luigi Califano , Giovanni Dell’Aversana Orabona","doi":"10.1016/j.omsc.2023.100320","DOIUrl":"10.1016/j.omsc.2023.100320","url":null,"abstract":"<div><p>We describe here a rare case of pilomatrix carcinoma in the right parotid region, arising in a young patient.</p><p>Pilomatrix carcinoma is a rare, locally aggressive tumor with a tendency to recur. Pilomatrixoma is a superficial benign skin tumor arising from the matrix cells of the hair follicle generally located in the scalp, face, and upper limbs. Clinically, it usually presents as a solitary subcutaneous blue-black nodule which grows slowly.</p><p>An 18-year-old male, non-smoker, in good health, was referred to our Unit after the onset of a swelling in the right parotid region. The lesion had been present for 1 year but the patient did not seek medical attention in that time. Clinical examination showed an exophytic mass in the right parotid region measuring 20 × 20 mm. An ultrasound of the major salivary glands showed an oval lesion of the right parotid gland; contrast-enhanced MRI appeared to show an oval lesion in the right intraparotid region, approximately 20 × 25 mm, which was hypointense in T1 images, and hyperintense in T2 images, with inhomogeneous contrast-enhancement; Fine Needle Aspiration Cytology (FNAC) was indicative of a lesion with high suspicion of malignancy.</p><p>We elected to carry out a facial nerve sparing total parotidectomy, under general anesthesia, and facial reconstruction of the remaining gap with a sternocleidomastoid muscle flap. Histopathological analysis demonstrated basaloid cell proliferation beneath granulation tissue, hemorrhage, and large number of “ghost cells” with high mitotic activity. This confirmed the diagnosis of pilomatrix carcinoma. Postoperative outcome was uneventful.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100320"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48374667","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}
Zilefac Brian Ngokwe , Kharim-Charles Lyonga , Achumbom Haggai Akumbom , Karl Njuwa Fai
{"title":"Post-traumatic scalp lipoma: A case report","authors":"Zilefac Brian Ngokwe , Kharim-Charles Lyonga , Achumbom Haggai Akumbom , Karl Njuwa Fai","doi":"10.1016/j.omsc.2023.100305","DOIUrl":"10.1016/j.omsc.2023.100305","url":null,"abstract":"<div><p>Lipomas are a type of mesenchymal neoplasm most commonly occurring in the subcutaneous compartment and can be distributed throughout the body. These tumors are most commonly found in the upper part of the body. Their growth is slow and are usually small, weighing only a few grams. A link has been established between soft tissue trauma and the development of lipomas, which have been dubbed, posttraumatic lipomas. We hereby present a case of a solitary slowly evolving fronto-parietal scalp lipoma following a local blunt trauma.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100305"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48070083","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":"Rare femoral metastasis in late recurrent squamous cell carcinoma of the oral cavity","authors":"Florian Dudde, Filip Barbarewicz, Henkel Kai-Olaf","doi":"10.1016/j.omsc.2023.100314","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100314","url":null,"abstract":"<div><p>Background/Aim: Squamous cell carcinoma (SCC) is the most frequent carcinoma when dealing with malignant tumors of the oral cavity. SCC of the head and neck show cervical lymphatic metastasis, which is the most important prognostic factor for the long-term outcome of these patients. Hematogenous spread of this entity is rare, especially distant osseous metastasis. Therefore, the therapy for SCC typically consists of surgical tumor resection, neck dissection and plastic reconstruction. Most recurrences occur within the first two years postoperatively. This results in the need for close tumor follow-up.</p></div><div><h3>Case report</h3><p>The present case report describes a 79-year-old female suffering from a recurrent SCC of the oral cavity 19 years postoperatively firstly noticed through symptomatic osseous metastasis of the right femur. Trial excision of the right femur revealed the finding of a metastatic squamous cell carcinoma. The patient received palliative radiation therapy.</p></div><div><h3>Conclusion</h3><p>Osseous metastasis of SCC to the femur is rare. What is remarkable about this case report is the time span of 19 years between primary curative treatment, unremarkable follow up and the presence of metastatic late recurrence. Therefore long-term close follow-up in the treatment of oral cavity SCC in an interdisciplinary context is crucial.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100314"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870323","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}
Douglas Beals, Anthony Leon, Dexter Barber, John Francis, Trever Siu, Jemma Hanson
{"title":"Novel use of a piezo electric device for retrieval of a third molar root from the floor of the mouth: A case report","authors":"Douglas Beals, Anthony Leon, Dexter Barber, John Francis, Trever Siu, Jemma Hanson","doi":"10.1016/j.omsc.2023.100317","DOIUrl":"10.1016/j.omsc.2023.100317","url":null,"abstract":"<div><p>A 26-year-old female patient presented for extraction of her mandibular impacted third molars, teeth #17 and #32. The patient was consented with the understanding of potential complications of inferior alveolar nerve (IAN) and lingual nerve (LN) injury. A panoramic radiograph was the initial imaging used to determine the risk associated with the extraction of tooth #17 and tooth #32. Cone-beam computed tomography (CBCT) was also utilized and interpreted before the extraction surgery. During the removal of #32, there was a fracture of the thin lingual plate and a portion of the #32 root was displaced lingually out of the alveolus. This case presentation illustrates the use of a piezoelectric device (Mectron S·P.A., Carasco, Genoa, Italy) (PD) to create osteotomies of the lingual socket's cortical plate and allow for the retrieval of the root through the lingual plate perforation, avoiding further displacement into the sublingual space. This is a unique modification to a procedure published by Huang et al., in 2007 [1]. The procedure along with an account of the post-operative course is discussed in detail.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100317"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41414152","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}
Fahad Al Qooz , Mohammad Alanezi , Mohammed S. Al Olaimat , Haneen Noures , Zaid Rasheed Alzoubi
{"title":"Supraclavicular cavernous lymphangioma: A rare entity","authors":"Fahad Al Qooz , Mohammad Alanezi , Mohammed S. Al Olaimat , Haneen Noures , Zaid Rasheed Alzoubi","doi":"10.1016/j.omsc.2023.100313","DOIUrl":"10.1016/j.omsc.2023.100313","url":null,"abstract":"<div><p>Lymphangiomas are rare neck swellings usually benign in nature. It is almost always present in childhood. They can present at any site in the human body being the head and neck the most common region. Treatment is always directed in the surgical excision pathway. We present a 24-year-old female with a rare presentation at a late stage of left supraclavicular cavernous type lymphangioma.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100313"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47749564","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":"A case of adult-onset xanthogranuloma of the tongue","authors":"Taifu Hirano , Atsushi Nakayama , Genki Yamaya , Ryosuke Abe , Tadashi Kawai , Mikako Takahashi , Masaatsu Yagi , Yasunori Takeda , Hiroyuki Yamada","doi":"10.1016/j.omsc.2023.100298","DOIUrl":"10.1016/j.omsc.2023.100298","url":null,"abstract":"<div><p>Xanthogranuloma is a granulomatous lesion associated with histiocytic proliferation and lipid accumulation. It occurs as solitary or multiple smooth-surfaced papules or nodules. It generally appears on the skin in infancy and childhood, in which case it is known as juvenile xanthogranuloma, although a few adult-onset cases have also been reported. Adult-onset cases are known as adult-onset xanthogranuloma, and adult-onset xanthogranuloma of the tongue is extremely rare. The disease is difficult to diagnose clinically; it is instead diagnosed histopathologically in most cases. We herein report a case of adult-onset xanthogranuloma of the tongue.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100298"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47871397","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}