Zilefac Brian Ngokwe , Ntep Ntep David Bienvenue , Endalle Ewoudou Catherine , Nokam Kamdem Stephane , Mandeng Chanelle Valérie , Mballa Amougou Jean Claude
{"title":"Oral metastasis of a human chorionic gonadotrophin secreting primary hepatic carcinoma","authors":"Zilefac Brian Ngokwe , Ntep Ntep David Bienvenue , Endalle Ewoudou Catherine , Nokam Kamdem Stephane , Mandeng Chanelle Valérie , Mballa Amougou Jean Claude","doi":"10.1016/j.omsc.2023.100321","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100321","url":null,"abstract":"<div><p>Primary hepatic carcinomas are a leading cause of cancer deaths worldwide and more so, an important cause in women. Metastases from hepatic carcinomas to the oral cavity are rare. However, those reported are usually the first manifestation of the tumor.</p><p>We report a case of an oral metastasis from a primary hepatic carcinoma to a rare maxillary location including the hard palate presenting as a manifestation of the disease in a 48-year-old woman with elevated urine β-hCG. A biopsy of the oral lesion revealed nests of epithelial cells with hyperchromatic nuclei suggestive of metastatic hepatocellular carcinoma.</p><p>A possible route for this metastasis is the Batson's venous plexus. The prognosis after the appearance of oral metastases is usually poor as was observed with the demise of our patient about 12 weeks after the apparition of the oral mass. A multidisciplinary approach towards patients will help in early diagnosis, treatment and reduce morbidities and mortalities associated with this rare pathology.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 3","pages":"Article 100321"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49743952","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":"Facial vein hemorrhage secondary to maxillofacial trauma: A case report","authors":"Matthew Jenny, J. David Guo, MaryJane Anderson","doi":"10.1016/j.omsc.2023.100334","DOIUrl":"10.1016/j.omsc.2023.100334","url":null,"abstract":"<div><p>Limited literature exists regarding massive hemorrhage following maxillofacial trauma. We present a case of facial hemorrhage resulting from a displaced mandibular body fracture.</p><p>A 69-year-old male presented 3 days after blunt trauma to the left mandible following a fall sustaining a left mandibular body fracture. The patient was initially hemostatic but later developed hemorrhage from the severed facial vein. He was emergently taken to the operating room for airway establishment and definitive treatment. Surgical exploration and ligation of the facial vein was an appropriate and effective treatment in this case given the superficial location of the vessel as well as allowing for definitive repair of the fracture.</p><p>We review alternative options for management of maxillofacial hemorrhage including direct packing, temporary anatomic bony reduction, and transcatheter embolization. A facial trauma provider needs to have a facile understanding of hemostasis methods to provide optimal care for the bleeding patient.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 3","pages":"Article 100334"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45400319","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":"Immediate implant and simultaneous buccal bone reconstruction with a composite graft of calcium sulfate and leukocyte-platelet-rich fibrin. A one-year case report","authors":"Enrica Giammarinaro , Ugo Covani , Eugenio Velasco-Ortega , Simone Marconcini","doi":"10.1016/j.omsc.2023.100331","DOIUrl":"10.1016/j.omsc.2023.100331","url":null,"abstract":"<div><p>The placement of immediate implants in compromised sockets often requires adjunctive reconstructive measures. In particular, the loss of integrity of the buccal wall may preclude implant placement or, at least, it requires contextual, guided bone regeneration. There is no uniform consensus regarding the best biomaterial or strategy to reconstruct buccal bone defects.</p><p>In this clinical case, two immediate transgingival implants were placed in the extractive socket of the upper right first molar and in the second premolar position. The buccal bone defect was managed with sticky bone made out of calcium sulfate blended with patient-derived leukocyte- and platelet-rich fibrin (L-PRF).</p><p>After 4 months, the implants were connected to definitive abutments and crowns. The comparison between pre- 1-year—post-treatment computed tomography scans revealed exceptional bone reconstruction at the buccal level, where the initial lesion was present.</p><p>The use of a composite graft made out of calcium sulfate blended with L-PRF ensured bone reconstruction of the buccal defect around two immediate implants without the use of heterologous bone particulate and/or overlying collagen membranes. Further clinical studies are needed to explore the potential and limits of this technique.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 3","pages":"Article 100331"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49619731","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}
Pouya Namiranian , Robert S. Julian III , Brian M. Woo , Baorong Chen
{"title":"An unexpected finding: A case of papillary thyroid carcinoma within a lateral thyroglossal duct cyst","authors":"Pouya Namiranian , Robert S. Julian III , Brian M. Woo , Baorong Chen","doi":"10.1016/j.omsc.2023.100323","DOIUrl":"10.1016/j.omsc.2023.100323","url":null,"abstract":"<div><p>Thyroglossal duct cysts (TGDCs) are the most common congenital cysts in the anterior neck. The incidence of papillary thyroid carcinoma (PTC) being present within a cyst is less than 1% and in most cases, the diagnosis is made postoperatively. We present a 60-year-old female with PTC arising from a lateral TGDC, identified in pathologic study after intra-oral excision of the cyst. Further thyroid ultrasound and fine-needle aspiration of a highly suspicious lesion at the superior pole of the left thyroid lobe showed PTC. The patient then underwent left hemithyroidectomy, isthmusectomy, ipsilateral and central neck dissection revealing PTC with ipsilateral nodal metastasis. The patient later underwent completion thyroidectomy and right neck dissection which did not reveal any additional malignant disease or nodal metastasis.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 3","pages":"Article 100323"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46964703","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 spindle cell hemangioma of the upper lip","authors":"Takeshi Yoshida , Shuu Inoue , Tatsuto Kuramoto , Akihiko Yamaguchi","doi":"10.1016/j.omsc.2023.100327","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100327","url":null,"abstract":"<div><p>Spindle cell hemangioma (SCH) is a rare benign vascular neoplasm. Its occurrence is infrequently in the oral cavity and can be mistaken for other common oral lesions such as mucocysts and fibroma. Microscopically it mimics some malignant vascular tumors and could be misdiagnosed. We report a case of SCH in the upper lip of a 49-year-old woman. The mass was diagnosed as a benign tumor and resected under local anesthesia. Histopathological findings showed dense proliferation of short spindle cells, dilated capillaries, and collagen fibers at the margin. The tumor was positive for the human erythroblast transformation-specific related gene. Thus, considering the clinical and pathological findings, a diagnosis of SCH was made. Three years have passed since the operation, and no recurrence has been observed. Our findings indicate that although SCH in the oral cavity is rare, it must be considered during the differential diagnosis of a benign lip lesion.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 3","pages":"Article 100327"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49757587","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}
Saba Hawamdeh , Gustavo Andres Grimaldi Finol , Mathias Martinez , Ismail Farag
{"title":"Rare presentation of solitary fibrous tumor in the anterior hard palate; Case report","authors":"Saba Hawamdeh , Gustavo Andres Grimaldi Finol , Mathias Martinez , Ismail Farag","doi":"10.1016/j.omsc.2023.100333","DOIUrl":"10.1016/j.omsc.2023.100333","url":null,"abstract":"<div><p>Solitary fibrous tumors (SFT) are an uncommon group of neoplasm with an unknown origin reporting to appear in less than 2% of soft tissue tumors. Although SFT most commonly occurs in the pleura, several extra pleural sites of involvement have been reported. SFT most commonly present during the fifth and sixth decades of life, and there is no significant sex predilection. This report describes the case of a 44-year-old male patient who had unusual presentation of SFT in the anterior midline hard palate describing the morphology, histopathology, radiology management plan as well as follow up and literature review.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 4","pages":"Article 100333"},"PeriodicalIF":0.0,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44924831","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}
S.M. Abdullah Salman , Oam Parkash , Mehak Anis , Muhammad Rameez , Hammad Ul-Haq
{"title":"Idiopathic avascular maxillary necrosis: A case report","authors":"S.M. Abdullah Salman , Oam Parkash , Mehak Anis , Muhammad Rameez , Hammad Ul-Haq","doi":"10.1016/j.omsc.2023.100332","DOIUrl":"10.1016/j.omsc.2023.100332","url":null,"abstract":"<div><p>Osteonecrosis of the jaw (ONJ) is a rare phenomenon that usually occurs in individuals exposed to certain medications, radiation, or physical or chemical insults that ultimately result in compromised vascularity of the jaws. However, in some cases, it is difficult to pinpoint a specific risk factor that might have caused the patient to suffer this pathologic condition. Here, we are reporting a case of idiopathic maxillary necrosis for which a specific risk factor could not be established despite thorough investigations.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 4","pages":"Article 100332"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45193848","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":"Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses","authors":"Larry M. Wolford , Olga del Pilar Amaya Gomez","doi":"10.1016/j.omsc.2023.100325","DOIUrl":"10.1016/j.omsc.2023.100325","url":null,"abstract":"<div><h3>Purpose</h3><p>Present case reports that have generated new treatment protocols improving treatment of patient outcomes with jaw deformities and airway compromises requiring counterclockwise rotation (CCWR) of the maxillo-mandibular complex (MMC) with or without a requirement for temporomandibular joint (TMJ) total joint prostheses (TJP). Presented are studies that verify the efficacy of these procedures.</p></div><div><h3>Methods</h3><p>Initial case presentations were identified in reference to CCWR of the MMC without and with TMJ total joint prostheses in cases of co-existing end-stage TMJ pathology. A non-systematic literature search was conducted to identify studies pertinent to subject matter.</p></div><div><h3>Results</h3><p>Two case reports are presented that have significantly affected our specialty: 1) CCWR of the MMC and effect on airway, and 2) TMJ TJP with concomitant maxillary osteotomies for CCWR of the MMC. Forty papers were identified meeting the filtered criteria. Twenty-nine papers were excluded as case reports, philosophy, technique, or small case series. Eleven studies met the inclusion criteria and are summarized according to the data included. These studies validate the efficacy and stability of CCWR of the MMC in the presence of healthy joints as well as patients with end-stage TMJ pathology using custom TMJ TJP in conjunction with orthognathic surgery.</p></div><div><h3>Conclusions</h3><p>Patients with healthy TMJs can be treated with CCWR of the MMC with predictable outcomes and stability. Patients with end-stage TMJ pathology can benefit from TMJ TJP and orthognathic surgery for CCWR of the MMC with good stability, improved function, decreased pain, improved airway, and quality of life.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 4","pages":"Article 100325"},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46933011","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}
Ida Barca, Francesco Ferragina, Elvis Kallaverja, Maria Giulia Cristofaro
{"title":"Synergy of electrochemotherapy and immunotherapy in the treatment of skin squamous cell carcinoma of the head and neck","authors":"Ida Barca, Francesco Ferragina, Elvis Kallaverja, Maria Giulia Cristofaro","doi":"10.1016/j.omsc.2023.100330","DOIUrl":"10.1016/j.omsc.2023.100330","url":null,"abstract":"<div><p>Treatment of advanced-stage head and neck cutaneous squamous cell carcinoma is a challenge for maxillofacial surgeons, oncologists, and radiotherapists. These carcinomas respond with difficulty to systemic therapy and most of them relapse. Electrochemotherapy combines the use of cytotoxic drugs and electroporation, preserving organ function in combination with effective local control of the tumour. It can be used alone or in combination with other therapies, such as immunotherapy.</p><p>This study aims to verify whether electrochemotherapy performed with immunotherapy on head and neck squamous cell carcinoma can lead to an increase in the objective response rate. We report the case of a patient with head and neck skin squamous cell carcinoma treated with a combination of electrochemotherapy (by using both linear and finger probes) and immunotherapy (by using Cemiplimab, antibody blocking the programmed death receptor-1 – PD-1). This association has been shown to be effective both in controlling the progression of the disease, and in reducing the symptomatology of the patient (reduction of pain and bleeding), leading to an improvement in the quality of life.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 4","pages":"Article 100330"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41659240","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, Ntep Ntep David Bienvenue, Endalle Ewoudou Catherine, Nokam Kamdem Stephane, Mandeng Chanelle Valérie, Mballa Amougou Jean Claude
{"title":"Oral metastasis of a human chorionic gonadotrophin secreting primary hepatic carcinoma; A case report observed at the Yaoundé University Teaching Hospital","authors":"Zilefac Brian Ngokwe, Ntep Ntep David Bienvenue, Endalle Ewoudou Catherine, Nokam Kamdem Stephane, Mandeng Chanelle Valérie, Mballa Amougou Jean Claude","doi":"10.1016/j.omsc.2023.100321","DOIUrl":"https://doi.org/10.1016/j.omsc.2023.100321","url":null,"abstract":"","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47010231","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}