Hussain Albannai , Abdulla Hanfesh , Yousif Al Nasrallah
{"title":"Orthognathic surgery in a patient with sickle cell disease: A case report and review of literature","authors":"Hussain Albannai , Abdulla Hanfesh , Yousif Al Nasrallah","doi":"10.1016/j.omsc.2024.100382","DOIUrl":"10.1016/j.omsc.2024.100382","url":null,"abstract":"<div><div>Sickle cell disease is a genetic hemoglobinopathy that has the potential to affect any organ of the body. Patients with sickle disease have high morbidity and mortality creating safety concerns among patients and physicians about surgery in this subset of population. Factors that predispose SCD patient to complications are divided into patient-related and surgery-related factors. Patient factors associated with increased complication rate include the type and severity of SCD.</div><div>Orthognathic surgery involves osteotomies, major movement of upper or lower jaw that, although safe, have the potential of list of complications in healthy individuals. Therefore, complications are expected to be higher in SCD population. This complicates the decision of surgery and mandates careful perioperative management.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100382"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146605","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":"Innominate artery injury during percutaneous tracheostomy; a case report and literature review","authors":"Fawaz H. Alotaibi , Marwa Hatem , Indrajit Sehbi","doi":"10.1016/j.omsc.2024.100380","DOIUrl":"10.1016/j.omsc.2024.100380","url":null,"abstract":"<div><div>Percutaneous tracheostomy is a common procedure that can be performed bedside by intensivists. The widespread adoption of bronchoscopy and ultrasound have also been utilized in the Intensive Care Unit (ICU), leading to the decline of conventional surgical tracheotomy. Percutaneous tracheotomy is thought to have several advantages over conventional tracheotomy. These include a smaller skin incision, less dissection and tissue trauma, and fewer wound complications. Long term complications have also been reported less frequently. One of the possible complications of performing these procedures is innominate artery injury, considered a rare but lethal injury. Injury to the innominate artery occurs in multiple different manners, including blunt, penetrating, or iatrogenic trauma.</div><div>We report a case of percutaneous tracheostomy complicated by injury to the innominate artery, requiring a conversion to an emergent open surgical tracheostomy. This case report illustrates the potentially fatal complication from performing a percutaneous tracheostomy, highlights the causes and management of innominate artery injury, and provides review of the literature this rare and uncommon complication.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100380"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147251","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}
Mohammad Nasoh Alzaeem , Bassel Brad , Ibrahim Haddad , Mohammad Y. Hajeer
{"title":"Effects of botulinum toxin type A on the masseter muscles of a patient with a temporomandibular joint disorder of muscular origin: A case report","authors":"Mohammad Nasoh Alzaeem , Bassel Brad , Ibrahim Haddad , Mohammad Y. Hajeer","doi":"10.1016/j.omsc.2024.100385","DOIUrl":"10.1016/j.omsc.2024.100385","url":null,"abstract":"<div><div>Temporomandibular joint disorders (TMDs) typically manifest with symptoms and signs such as pain, mandibular movement, dysfunction, or joint sounds. Botulinum toxin type A (BTX/A) is a biological toxin that inhibits the release of the neurotransmitter acetylcholine at the neuromuscular junction. This toxin is used to treat hyperactivity of masseter muscles and TMD symptoms. This case report aimed to investigate the effects of BTX/A injection in the masseter and lateral pterygoid muscles of a patient with painful symptoms of TMDs via electromyography (EMG), with a follow-up of six months post-treatment. During each visit, the clinical effects, which were evaluated based on pain intensity (NPRS), the bruxism questionnaire, and maximum mouth opening, were evaluated at five-time points, pre-injection and 2, 6, 12, and 24 weeks after the injection. Based on this case report, there was a clear improvement in the studied parameters, with a significant decrease in the electromagnetic activity of the injected muscles as shown by EMG; thus, BTX/A can be considered an effective treatment to relieve symptoms and improve the quality of life in patients with TMDs of muscular origin, relying on EMG as an effective diagnostic tool and for subsequent evaluation of treatment results.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100385"},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146599","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}
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}
Hunter Watson , Sarah Glass , Yotom Rabinowitz , Daniel Hawkins
{"title":"Desmoplastic fibroma of the maxilla in a 5-year-old patient with Tuberous Sclerosis Complex (TSC): Case report and review of the literature","authors":"Hunter Watson , Sarah Glass , Yotom Rabinowitz , Daniel Hawkins","doi":"10.1016/j.omsc.2024.100378","DOIUrl":"10.1016/j.omsc.2024.100378","url":null,"abstract":"<div><div>The following case report details the presentation of a left maxillary painless expansile lesion in a five-year-old female that was proven to be desmoplastic fibroma (DF) of the maxilla, which was treated via a conservative excision. Given the paucity of DF cases in the Maxillofacial literature, there are no formally agreed-upon guidelines for the treatment of DF, especially in the maxillary sinus. A thorough review of the literature was completed and discussed, highlighting the correlation of DF with Tuberous Sclerosis Complex (TSC) and the proposed treatment when encountered in the maxillary sinus of a pediatric patient.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146603","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}
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}
{"title":"Case report: Chopstick penetrating into the left orbit and maxillary sinus without patient’s perception","authors":"Nguyen Trieu Viet, Do Hoi, Nguyen Thi Kieu Tuyen","doi":"10.1016/j.omsc.2024.100383","DOIUrl":"10.1016/j.omsc.2024.100383","url":null,"abstract":"<div><div>Chopsticks are used very common in daily meals of Asian people. It can cause minor trauma during using without attention. But the serious trauma into the structures at the head and neck region is quite rare. Therefore, we would like to report a very rare case-a 24 yrs old male patient with chopstick penetrating into the left orbit destroying the orbit floor and lateral wall of maxillary sinusafter after an accident 3 weeks before admission and was treated with Caldwell-Luc surgery combined with paranasal endoscopy surgery to ensure completely removal of the foreign body and bone fragments.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100383"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146598","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}
Robert S. Redman , Suman Chauhan , Brian B. Chang , Sonya C. Malekzadeh , Sarah K. Rapoport
{"title":"Odontogenic myxoma of the maxillary sinus associated with an ectopic tooth","authors":"Robert S. Redman , Suman Chauhan , Brian B. Chang , Sonya C. Malekzadeh , Sarah K. Rapoport","doi":"10.1016/j.omsc.2024.100379","DOIUrl":"10.1016/j.omsc.2024.100379","url":null,"abstract":"<div><div>Odontogenic myxoma is an uncommon, benign neoplasm that tends to recur because it locally invades or is trapped among the bony trabeculae. It is thought to arise from mesenchymal tissue associated with teeth and periodontium, as it develops in the tooth-bearing area of the jawbones, often in proximity to an unerupted tooth. Occasionally it may displace teeth. Those occurring in the maxilla often invade the maxillary sinuses. We report here a rare case of an odontogenic myxoma of the maxillary sinus associated with an ectopic tooth which was impinging on the nasal mucosa and accordingly was extracted through the nose.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100379"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146600","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":"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}
Mujtaba Bala , K. Hakki Karagozoglu , Ramat Oyebunmi Braimah , Abdurrazaq Olanrewaju Taiwo , Ibrahim Kayode Suleiman , Abubakar Abdullahi Bello
{"title":"Noma recurrence in an adult: A case report from the Noma Children Hospital, Sokoto, Nigeria","authors":"Mujtaba Bala , K. Hakki Karagozoglu , Ramat Oyebunmi Braimah , Abdurrazaq Olanrewaju Taiwo , Ibrahim Kayode Suleiman , Abubakar Abdullahi Bello","doi":"10.1016/j.omsc.2024.100376","DOIUrl":"10.1016/j.omsc.2024.100376","url":null,"abstract":"<div><div>Noma, also known as gangrenous stomatitis, is a devastating gangrenous infection of the mouth that predominantly affects children living in the poorest regions of the world. Although rare, noma can also affect adults, particularly those who are immunocompromised. Controversy exists about whether noma can recur. We report a case of a 65-year old man with recurrence of noma symptoms 2 years after his initial presentation. The patient responded well to antibiotic therapy, supportive care and serial debridement. This case demonstrates that noma can recur in adults, even after successful treatment of the initial treatment.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142654900","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}