Oral and Maxillofacial Surgery Cases最新文献_第2页

Impressive regression of aggressive central giant cell granuloma with the use of intralesional corticosteroid injections

Oral and Maxillofacial Surgery Cases Pub Date : 2024-12-21 DOI: 10.1016/j.omsc.2024.100381

El Hamid Sami , Ilhami Ouail , Razem Bahaa , Oukerroum Abdelhakim , Slimani Faiçal

{"title":"Impressive regression of aggressive central giant cell granuloma with the use of intralesional corticosteroid injections","authors":"El Hamid Sami , Ilhami Ouail , Razem Bahaa , Oukerroum Abdelhakim , Slimani Faiçal","doi":"10.1016/j.omsc.2024.100381","DOIUrl":"10.1016/j.omsc.2024.100381","url":null,"abstract":"<div><h3>Introduction</h3><div>and importance: Giant cell granuloma (GCG) is a begnin tumor usually occurring in the mandible or maxilla. Clinical presentation can vary from small peripheral GCG to aggressive central GCG for which a surgical procedure can damage functional structures and have a poor aesthetic outcome. Alternative therapies are of essential interest in those cases, as a monomodal treatment modality or as a neoadjuvant therapy.</div></div><div><h3>Case presentation</h3><div>We herein present a case of aggressive central GCG in a 11 year old infant with a suspected pycnodysostosis treated with neoadjuvant intralesional injections of corticosteroids. Impressive reduction of the lesion was observed and the patient underwent surgical curretage of the remaining mass. The GCG recurred 7 months after surgery and the patient benefited from the same treatment plan. No sign of recurrence was observed after 29 months. The case has been reported in line with the SCARE criteria.(1)</div></div><div><h3>Clinical discussion</h3><div>GCGs commonly occur in a young population making the conditions management challenging in the maxillofacial region because of its anatomical relationship with vital and functional structures as well as the associated deformity risk. Different medical therapies have been described such as corticosteroid injections, biphosphonates, interferon alpha and calcitonin with a various degrees of success.</div></div><div><h3>Conclusion</h3><div>Surgery is the gold standard in treating GCGs, however alternative therapies should be discussed in the management of extensive lesions.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146604","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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Desmoplastic fibroma of the maxilla in a 5-year-old patient with Tuberous Sclerosis Complex (TSC): Case report and review of the literature

Oral and Maxillofacial Surgery Cases Pub Date : 2024-12-18 DOI: 10.1016/j.omsc.2024.100378

Hunter Watson , Sarah Glass , Yotom Rabinowitz , Daniel Hawkins

引用次数: 0

Recurrent clear cell odontogenic carcinoma initially diagnosed as ameloblastoma: A case report and review of literature

Oral and Maxillofacial Surgery Cases Pub Date : 2024-12-18 DOI: 10.1016/j.omsc.2024.100384

Thijs Bauwens , Frederik Piccart , Matthias Ureel , David Creytens , Wouter Bauters , Fréderic Duprez , Renaat Coopman

{"title":"Recurrent clear cell odontogenic carcinoma initially diagnosed as ameloblastoma: A case report and review of literature","authors":"Thijs Bauwens , Frederik Piccart , Matthias Ureel , David Creytens , Wouter Bauters , Fréderic Duprez , Renaat Coopman","doi":"10.1016/j.omsc.2024.100384","DOIUrl":"10.1016/j.omsc.2024.100384","url":null,"abstract":"<div><div>Clear cell odontogenic carcinoma (CCOC) is a rare, malignant tumor primarily affecting the mandible in middle-aged women, known to be highly recurrent post-surgery. A 56-year-old female, with an initial diagnosis of ameloblastoma based on radiological findings, had her diagnosis revised to CCOC at Ghent University Hospital after histopathological analysis and <em>EWSR1::CREB1</em> gene fusion confirmation. Despite undergoing a Brown-Shah IID maxillectomy, radical neck dissection, and fibula flap reconstruction, she faced a recurrence within a year, complicated by an <em>Aspergillus fumigatus</em> infection requiring antifungal treatments and debridements. Diagnosis relies on immunohistochemical markers p40, p63, CK5, SMA, Calponin, and S-100. Additionally, over 80 % of CCOC cases show <em>EWSR1</em> gene rearrangements. Treatment includes surgical resection and fibula free flap reconstruction. Adjuvant radiotherapy may be beneficial in cases with compromised margins or positive lymph nodes. Prophylactic antifungal treatment is recommended for at-risk patients. The complex nature of CCOC requires thorough follow-up and potentially adjuvant therapies.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100384"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146606","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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Case report: Chopstick penetrating into the left orbit and maxillary sinus without patient’s perception

Oral and Maxillofacial Surgery Cases Pub Date : 2024-12-16 DOI: 10.1016/j.omsc.2024.100383

Nguyen Trieu Viet, Do Hoi, Nguyen Thi Kieu Tuyen

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Odontogenic myxoma of the maxillary sinus associated with an ectopic tooth

Oral and Maxillofacial Surgery Cases Pub Date : 2024-12-05 DOI: 10.1016/j.omsc.2024.100379

Robert S. Redman , Suman Chauhan , Brian B. Chang , Sonya C. Malekzadeh , Sarah K. Rapoport

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Mandibular ramus distraction osteogenesis and Lefort I osteotomy for obstructive sleep apnea: A case report monitored with home respiratory polygraphy 下颌支牵张成骨和Lefort I截骨治疗阻塞性睡眠呼吸暂停：1例家庭呼吸测谎监测报告

Oral and Maxillofacial Surgery Cases Pub Date : 2024-11-28 DOI: 10.1016/j.omsc.2024.100377

Galder Hernando Martín , Pilar Rubio-Bueno , Ana Martínez Gil-Ortega , Joaquín Durán-Cantolla

{"title":"Mandibular ramus distraction osteogenesis and Lefort I osteotomy for obstructive sleep apnea: A case report monitored with home respiratory polygraphy","authors":"Galder Hernando Martín , Pilar Rubio-Bueno , Ana Martínez Gil-Ortega , Joaquín Durán-Cantolla","doi":"10.1016/j.omsc.2024.100377","DOIUrl":"10.1016/j.omsc.2024.100377","url":null,"abstract":"<div><div>A new monitoring protocol for orthognathic surgery for addressing obstructive sleep apnea syndrome in adult patients using bilateral internal ramus distraction (BIRD) followed by Lefort I osteotomy and monitored by HRP is presented. This strategy is part of an outpatient major surgery protocol and includes preoperative 3d virtual planning, followed by surgery under general anesthesia with endoscopic assistance.</div><div>Following the procedure, patients are typically discharged on the same day, with the vertical lengthening of the mandibular ramus starting after a 5-day period and progressing at a speed of 0.5–1 mm per day over a period of 10–50 days. The process carries on until the negative dental overjet exceeds 10 mm or the apnea-hypopnea index falls beneath 15 events per hour, demonstrating a curative level.</div><div>Mandibular advancement monitorization based on clinical, polygraphic, or polysomnographic criteria enables the surgeon to meet the individual needs of each patient. The distractors are typically maintained in position for six months following elongation of 10–25 mm to ensure proper consolidation.</div><div>BIRD followed by LeFort I osteotomy, has demonstrated significant efficacy as a treatment for obstructive sleep apnea syndrome in adult patients, irrespective of the presence of retrognathia. Furthermore, this approach may offer particular advantages for patients with severe cardiovascular disease or diabetes.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100377"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744125","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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Noma recurrence in an adult: A case report from the Noma Children Hospital, Sokoto, Nigeria 成人坏疽性口炎复发：尼日利亚索科托诺马儿童医院的病例报告

Oral and Maxillofacial Surgery Cases Pub Date : 2024-11-12 DOI: 10.1016/j.omsc.2024.100376

Mujtaba Bala , K. Hakki Karagozoglu , Ramat Oyebunmi Braimah , Abdurrazaq Olanrewaju Taiwo , Ibrahim Kayode Suleiman , Abubakar Abdullahi Bello

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Virtual surgical planning and custom titanium prosthesis for complex secondary mandibular reconstruction following gunshot injury: A case report 虚拟手术规划和定制钛假体用于枪伤后复杂的下颌骨二次重建：病例报告

Oral and Maxillofacial Surgery Cases Pub Date : 2024-10-24 DOI: 10.1016/j.omsc.2024.100375

Amir Jalal Abbasi , Somayeh Niakan , Seyed Mohammad Reza Noori , Rashin Bahrami , Nariman Nikparto

{"title":"Virtual surgical planning and custom titanium prosthesis for complex secondary mandibular reconstruction following gunshot injury: A case report","authors":"Amir Jalal Abbasi , Somayeh Niakan , Seyed Mohammad Reza Noori , Rashin Bahrami , Nariman Nikparto","doi":"10.1016/j.omsc.2024.100375","DOIUrl":"10.1016/j.omsc.2024.100375","url":null,"abstract":"<div><div>Advancements in reconstructive surgical techniques in the head and neck area have significantly improved the aesthetic and functional reconstruction of patients. Microsurgical techniques, virtual surgical planning (VSP), CAD-CAM technology, intraoperative dynamic navigation, and advanced implantology have greatly enhanced mandible reconstruction. The authors present a case report of a 30-year-old male who suffered a severe mandibular deformity from a gunshot injury. He underwent a complex reconstruction process that involved initial soft tissue repair followed by VSP for customized titanium prosthesis implantation and dental rehabilitation. Advanced software was used to aid in precise surgical and prosthetic design, ultimately restoring the patient's mandibular structure, chin alignment, and facial harmony. This innovative approach, which demonstrates the effectiveness of integrating digital technologies with surgical precision for intricate mandibular reconstructions following trauma, has a profound impact. It provides superior functional and aesthetic results compared to conventional methods, significantly improving the patient's quality of life.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528951","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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Simultaneous intraoral vertical ramus osteotomy and high condylectomy with custom internal fixation 口内垂直颌骨截骨术和高髁切除术同时进行，并定制内固定装置

Oral and Maxillofacial Surgery Cases Pub Date : 2024-10-11 DOI: 10.1016/j.omsc.2024.100374

Jeremie Oliver Piña , Gabriel Grisham , Chang min Richard Yim

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The Djo technique: A novel technique for unilateral cleft lip Djo 技术：治疗单侧唇裂的新技术

Oral and Maxillofacial Surgery Cases Pub Date : 2024-10-10 DOI: 10.1016/j.omsc.2024.100373

Djohansjah Marzoeki

{"title":"The Djo technique: A novel technique for unilateral cleft lip","authors":"Djohansjah Marzoeki","doi":"10.1016/j.omsc.2024.100373","DOIUrl":"10.1016/j.omsc.2024.100373","url":null,"abstract":"<div><div>In unilateral cleft lip, elevation of the cleft side of the philtrum follows the elevation of the whole philtrum, beginning from the point where the philtral ridge of the normal side meets the vermilion. To inferiorly rotate this segment of the lip, the incision line must pass through the entire width of the philtrum. If the incision is limited only partially across the philtrum, anatomical correction will not be achieved. Here, the Djo technique for unilateral cleft lips is introduced. This technique is based on the accurate measurement of lip deficiency on the affected side. A triangular flap was created to fill the gap and correct the deficit.</div><div>The design is made by marking points A, B and C on the white roll where the philtrum meets the vermillion. D and E are points where the philtrum ridges meet the nasal sills. To achieve downward rotation of point C to the level of point A, line m is made from D to F at the philtrum ridge of the normal side. After incision, a triangular gap is produced. This gap will be filled by triangular isosceles flap the cleft side of the lip.</div><div>During the first week of healing process, the white skin roll was in a symmetrical line and the lip was not retracted. All the patients demonstrated a good result.</div><div>The main advantage of the Djo Technique is its design, where the points and lines on the part to be incised have been measured with an accurate calculation.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433130","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