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}
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}
Jeremie Oliver Piña , Gabriel Grisham , Chang min Richard Yim
{"title":"Simultaneous intraoral vertical ramus osteotomy and high condylectomy with custom internal fixation","authors":"Jeremie Oliver Piña , Gabriel Grisham , Chang min Richard Yim","doi":"10.1016/j.omsc.2024.100374","DOIUrl":"10.1016/j.omsc.2024.100374","url":null,"abstract":"<div><div>Condylar hyperplasia is a rare disorder typically associated with excess bone growth presenting unilaterally causing facial asymmetry. Oftentimes, patients will present with temporomandibular joint discrepancies as well as occlusion issues. While the pathogenesis and etiology are not well understood, surgical treatment options have been well defined and typically result in favorable clinical outcomes. Herein, we present a case of an 18-year-old female patient with a history of right condylar hyperplasia Type 1B who underwent simultaneous right mandibular high condylectomy with disc repositioning and intraoral vertical ramus osteotomy (IVRO), left mandibular sagittal split osteotomy (SSO), and 3-piece Lefort I osteotomy with bone grafting. To our knowledge, this is the first reported case in which the patient received bilateral customized hardware for simultaneous high condylectomy and IVRO, SSO, Lefort osteotomy.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100374"},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433131","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":"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}
Fabrizio Ferretti , Matteo Savoini , Giovanni Gerbino , Paolo Asperio
{"title":"Le Fort I and posterior maxillary segmental osteotomy for prosthodontic rehabilitation: A case report and review of the literature","authors":"Fabrizio Ferretti , Matteo Savoini , Giovanni Gerbino , Paolo Asperio","doi":"10.1016/j.omsc.2024.100371","DOIUrl":"10.1016/j.omsc.2024.100371","url":null,"abstract":"<div><h3>Purpose</h3><p>to describe a surgical treatment of a case in vertical posterior maxillary alveolar ridge excess and to perform a literature review of various surgical options.</p></div><div><h3>Methods</h3><p>we described a patient treated with a Le Fort I and a posterior maxillary segmental osteotomy (PMSO) for prosthodontic rehabilitation. A literature review on surgical treatments in posterior maxillary alveolar ridge excess is performed on Scopus, Embase, Pubmed and Cochrane with specific keywords.</p></div><div><h3>Results</h3><p>the case described is finally rehabilitated with implants in the mandible according to a correct Spee curve and occlusal plane. 49 articles describe surgical procedures of vertical posterior maxillary alveolar ridge excess. Only two reviews are described.</p></div><div><h3>Discussion</h3><p>literature has paid little attention to different combined orthognathic surgery procedures in prosthodontic rehabilitation of posterior maxilla. The orthognathic option is sometimes considered aggressive and difficult but with proper knowledge of the technique and surgical experience, correct and stable modification of inter arch space can be reached with predictability.</p></div><div><h3>Conclusion</h3><p>correct surgical and dental prosthetic planning are important to achieve a stable functional and aesthetic solution for patients.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100371"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000270/pdfft?md5=5485b329bbc03bf7bda44958ada345bc&pid=1-s2.0-S2214541924000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241983","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}
Oday Bisher, Jafar Hamdy, Majd Al Najjar, Ali Khalil
{"title":"Severe fascial space infection following botulinum toxin treatment – A rare and critical case report","authors":"Oday Bisher, Jafar Hamdy, Majd Al Najjar, Ali Khalil","doi":"10.1016/j.omsc.2024.100372","DOIUrl":"10.1016/j.omsc.2024.100372","url":null,"abstract":"<div><p>Botox treatment has become a popular method for reducing facial lines and wrinkles and rejuvenating the signs of aging. However, like any procedure, Botox can lead to temporary and minor complications. In the presence of certain systemic diseases such as diabetes mellitus, it is essential to take additional precautionary measures that should not be ignored, as it could turn into a life-threatening situation which may need to surgical intervention. Therefore, the key to success lies in ensuring that the procedure is carried out by skilled professionals, conducting a comprehensive medical history assessment, despite the simplicity of the procedure. Thus, we present a case of A 52-year-old diabetic woman came with a severe facial phlegmon persisting for 7 days and mentioned a previous Botox treatment 8 days ago. Drainage of the phlegmon was performed under general anesthesia using an intraoral vestibular approach.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000282/pdfft?md5=c401fecb173b1230abd38d3a890c4209&pid=1-s2.0-S2214541924000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150378","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}