{"title":"Potential application of a non-contact tool using measurable autofluorescence in oral leukoplakia","authors":"Shinya Kokuryo , Daigo Yoshiga , Kazuya Haraguchi , Osamu Takahashi , Manabu Habu , Masaaki Sasaguri , Kazuhiro Tominaga , Izumi Yoshioka","doi":"10.1016/j.ajoms.2023.09.006","DOIUrl":"10.1016/j.ajoms.2023.09.006","url":null,"abstract":"<div><h3>Objective</h3><p>A fluorescence-based mouth-observation device has recently been developed, which shines the oral mucosa<span><span><span> with blue excitation light to visualize oral mucosal lesions<span>; this visualization is based on the differences in autofluorescence between </span></span>oral lesions and healthy </span>mucosa<span>. In recent years, it has received renewed attention in terms of infection control because of its non-contact protocol. This study used IllumiScan® (Shofu, Japan), a fluorescence device similar to a generic fluorescence visualization device, for the analysis of oral mucosal lesions. The study aimed to compare the relationship between the histopathological findings of leukoplakia and those obtained using IllumiScan®.</span></span></p></div><div><h3>Methods</h3><p>Fifty patients with a clinical diagnosis of oral leukoplakia and a histopathological diagnosis of epithelial dysplasia<span> or hyperkeratosis were included. The brightness of leukoplakia was reported as G values and was compared with those of tissue images. The G values were obtained using IllumiScan® and used for further analysis.</span></p></div><div><h3>Results</h3><p>The G values of areas surrounding the white lesions on the oral mucosa with epithelial dysplasia were significantly lower than those of areas surrounding white hyperkeratotic lesions and healthy mucosa.</p></div><div><h3>Conclusions</h3><p>By observing oral leukoplakia with the Illumiscan®, we were able to diagnose leukoplakia noninvasively by comparing G values in and around white lesions and applying fluorescence visualization retention and fluorescence visualization loss intensities.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347304","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}
Andrea Varazzani , Laura Tognin , Silvia Eleonora Gazzani , Luigi Corcione , Tito Poli
{"title":"A case report of nodular fasciitis of the parotid gland: An entity of concern","authors":"Andrea Varazzani , Laura Tognin , Silvia Eleonora Gazzani , Luigi Corcione , Tito Poli","doi":"10.1016/j.ajoms.2023.09.005","DOIUrl":"10.1016/j.ajoms.2023.09.005","url":null,"abstract":"<div><p><span>Nodular fasciitis (NF) is a benign, self-limiting, proliferative myofibroblastic lesion typically seen in </span>subcutaneous tissues<span>, muscles, and fascia<span>. NF of the parotid gland<span> is rare, frequently misdiagnosed as a malignant tumour, with the misdiagnosis resulting in inappropriate treatment such as wide surgical resection, radiation therapy, or chemotherapy with sometimes poor aesthetic outcomes.</span></span></span></p><p><span>We present the case of a 44-year-old woman with a 2-cm-diameter, solid, mobile nodular swelling with well-defined edges over the superior margin of the right parotid gland. She has no facial nerve palsy<span>, and the mass was not fixed to the overlying skin. Preoperative ultrasonography, magnetic resonance imaging (MRI), and </span></span>fine needle aspiration cytology<span> (FNAC) all suggested a pleomorphic adenoma. The postoperative histopathological findings revealed NF.</span></p><p>Cytological diagnosis<span> is crucial for NF diagnosis and management. Preoperative FNAC should be accompanied by immunocytochemical evaluation; if analysis is inadequate and/or suspicious, it should be repeated in a high-volume centre with experience in salivary gland lesions. Comprehensive MRI including diffusion-weighted imaging and perfusion sequences aid differential diagnosis. As NFs are benign and self-limiting, accurate preoperative diagnosis is essential to avoid unnecessary extensive treatment.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248660","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}
Pasquale Piombino, Simona Barone, Gerardo Borriello, Giovanna Norino, Umberto Committeri, Luigi Califano, Giovanni Dell’Aversana Orabona
{"title":"Tapia’s syndrome in maxillo-facial surgery: A case report and review of the literature","authors":"Pasquale Piombino, Simona Barone, Gerardo Borriello, Giovanna Norino, Umberto Committeri, Luigi Califano, Giovanni Dell’Aversana Orabona","doi":"10.1016/j.ajoms.2023.09.004","DOIUrl":"10.1016/j.ajoms.2023.09.004","url":null,"abstract":"<div><p><span>Tapia’s syndrome after an orbitozygomatic fracture is a rare event. However, other causes after endotracheal intubation have been widely reported in the literature. We present a rare case of a patient who developed left hemi-tongue deviation and </span>dysphonia<span> after endotracheal intubation for orbitozygomatic fracture repair. The purpose of this article is to sensitize clinicians in relation to the knowledge of symptoms by making a first differential diagnosis with other pathologies and by adopting preventive strategies for a correct management of endotracheal intubation.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82854443","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 developing odontoma of the mandible with suspected BRAF p.V600E mutation","authors":"Atsuko Niki-Yonekawa , Yoshihiro Morita , Yukiko Kusuyama , Yoshio Ueno , Ayano Nishimoto , Motoko Shintani , Nobuo Morita , Narikazu Uzawa","doi":"10.1016/j.ajoms.2023.09.003","DOIUrl":"10.1016/j.ajoms.2023.09.003","url":null,"abstract":"<div><p><span>Ameloblastic fibro-odontoma (AFO) is a rare benign mixed odontogenic tumor composed of proliferating odontogenic epithelium in a cellular </span>ectomesenchyme<span><span><span> with the formation of dental hard tissues, including enamel and dentin. According to the 2017 WHO Classification of </span>Head and Neck Tumours<span>, AFO is no longer defined as an independent entity but as part of a series of histological changes observed in a developing odontoma (DOD). Nevertheless, it is believed that this classification does not apply to all lesions diagnosed as AFO before 2017, some of which have neoplastic characteristics with BRAF p.V600E mutation. We report a case of DOD in the posterior mandible of an 8-year-old girl. Surgical excision was performed under </span></span>general anesthesia. This case was diagnosed based on detailed clinical, radiological, and histopathological analyses. In addition, the mutant BRAF p.V600E was suspected by immunohistochemical analysis. BRAF mutation detection may contribute to accurately diagnosing the true neoplastic nature in odontomas. In the present case, no recurrence was observed until at least 11 months after surgery.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72367388","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":"Role of induction chemotherapy for locally advanced oral squamous cell carcinoma. A systematic review and meta-analysis based on the GRADE approach","authors":"Saisei Fu , Haruki Sato , Mitsuo Goto , Saki Tanno , Daisuke Takeda , Taiki Suzuki , Hidemichi Yuasa , Masatoshi Adachi , Narikazu Uzawa , Hiroshi Kurita","doi":"10.1016/j.ajoms.2023.08.020","DOIUrl":"10.1016/j.ajoms.2023.08.020","url":null,"abstract":"<div><h3>Objective</h3><p>A few reports have demonstrated the additional survival benefit obtained from induction chemotherapy. However, some facilities have differing opinions regarding the suitability of induction chemotherapy. The aim of this systematic review was to investigate the effectiveness of induction chemotherapy in patients with unresectable oral cancers without distant metastases.</p></div><div><h3>Methods</h3><p>A comprehensive search of randomized controlled trials was conducted specifically targeting patients with primary unresectable oral cancer, defined as an intervention group (induction chemotherapy followed by chemoradiotherapy) and a control group (chemoradiotherapy alone). The electronic databases PubMed, Cochrane Central Register of Controlled Trials, and Ichushi-Web database were searched for relevant papers. The primary outcome was overall survival, and the secondary outcomes were progression-free survival and treatment-related deaths, all of which were judged to be of critical importance. Data available for integration were subjected to a meta-analysis, and the certainty of evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation approach.</p></div><div><h3>Results</h3><p>A search was conducted until February 2022, and four articles were included. The meta-analysis showed that the point estimates (95 % confidence interval) of the hazard ratios were 0.87 (0.74–1.01) for overall survival, 0.85 (0.75–0.97) for progression-free survival, and 0.98 (0.97–1.00) for treatment-related death. The certainty of the evidence for each item was very low.</p></div><div><h3>Conclusion</h3><p>Little data are available to support the use of induction chemotherapy before chemoradiotherapy in patients with unresectable primary locally advanced oral cancer.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212555823002028/pdfft?md5=de670c5a03b4906e4905ee71a21a162d&pid=1-s2.0-S2212555823002028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80339979","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}
Bárbara Barata , Filipe Freitas , Miguel Vilares , João Caramês
{"title":"Oral mucosal melanoma: A systematic review of case reports and case series","authors":"Bárbara Barata , Filipe Freitas , Miguel Vilares , João Caramês","doi":"10.1016/j.ajoms.2023.09.002","DOIUrl":"10.1016/j.ajoms.2023.09.002","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aims to analyze the cases of oral mucosal melanoma (OMM) published in the literature, describe their sociodemographic and clinical features, relate them to mortality and determine the survival rate.</p></div><div><h3>Methods</h3><p>Search of PubMed database was carried out for case reports and case series of OMM. The variables were demographic, clinical features, follow-up and survival.</p></div><div><h3>Results</h3><p>This systematic review identified 112 studies, comprising 167 cases; 93 males and 71 females. The mean age was 57.7 years. The most affected sites were maxillary gingiva and hard palate. The lesion was more frequently described as a black/ grey nodule, with an average size of 3.46 cm. In most cases there was associated symptomatology and radiographically evident bone destruction, but no involvement of lymph nodes or distant metastases. The most frequently implemented treatment was surgery. The survival rate at 3 and 5 years was 52.4% and 41.2%, respectively.</p></div><div><h3>Conclusions</h3><p>OMM is a rare neoplasm with a poor prognosis. In most cases, the lesion was identified by the patient, and the diagnosis is made at a late stage of its development. Elementary nodular lesion, involvement of lymph nodes and the presence of distant metastases are associated with a lower survival rate.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212555823002041/pdfft?md5=207b71b47a7d22759c374e8834a2c212&pid=1-s2.0-S2212555823002041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83223735","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}
Gustavo Matus-Miranda , Antonio Mancilla , René Martinez , Maureen Marshall , Juan Pablo Aravena-Salazar , María José Quijarro , Víctor Moraga
{"title":"Utility of biomarkers in predicting the development of medication-related osteonecrosis of the jaws: A scoping review","authors":"Gustavo Matus-Miranda , Antonio Mancilla , René Martinez , Maureen Marshall , Juan Pablo Aravena-Salazar , María José Quijarro , Víctor Moraga","doi":"10.1016/j.ajoms.2023.09.001","DOIUrl":"10.1016/j.ajoms.2023.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p><span><span>Medication-related osteonecrosis of the jaws<span> (MRONJ) is a severe reaction consisting of progressive destruction of maxillofacial bone tissue caused mainly by antiresorptive and </span></span>antiangiogenic drugs. The aim of this scoping review is to identify biomarkers that can predict the development of MRONJ </span>in patients<span> undergoing dental treatment.</span></p></div><div><h3>Methods</h3><p>A scoping review was performed, using PubMed/MEDLINE, Web of Science and Scopus databases using the search formula with MesH terms: “(((((\"Bisphosphonate-Associated Osteonecrosis of the Jaw\"[Mesh]) OR \"Osteonecrosis\"[Mesh]) AND \"Maxilla\"[Mesh]) OR \"Mandible\"[Mesh]) AND \"Oral Surgical Procedures\"[Mesh]) OR \"Surgery, Oral\"[Mesh]”. Inclusion and exclusion criteria were applied for article selection.</p></div><div><h3>Results</h3><p>We found 113 articles and screened 80 publications. After, 30 manuscripts remained for full-text evaluation. Twenty were discarded for not being related to the proposed objectives, leaving 9 articles included for qualitative analysis.</p></div><div><h3>Discussion</h3><p><span><span>Several biomarkers considered as possible predictors of MRONJ development were found: bone alkaline phosphatase (BAP), </span>parathyroid hormone (PTH), </span>osteocalcin<span><span> (OC), procollagen type 1 amino terminal propeptide (P1NP), N-terminal telopeptide of </span>collagen type I<span><span> (NTX), interleukin 6 (IL-6), deoxypyridinoline (DPD), </span>25 hydroxyvitamin D<span> (25OHD), creatinine and total calcium, white blood cells (WBC), serum albumin (ALB), hemoglobin (HB), total cholesterol (CHL), C-reactive protein (CRP) and serum alkaline phosphatase (ALP). The most evaluated was C-terminal telopeptide of collagen type I (CTX).</span></span></span></p></div><div><h3>Conclusion</h3><p>The use of predictive biomarkers would represent, for the population consuming drugs associated with osteonecrosis of the jaws, an advance and improvement in the planning of appropriate treatments<span> and in their quality of life. Currently, it has not yet been possible to establish one or more specific biomarkers capable of predicting the development of MRONJ.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77543800","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}
Ikumi Imajo , Tomohiro Yamada , Takahiro Fujinaga , Koki Nagano , Wataru Kumamaru , Yuta Yanai , Toru Chikui , Tamotsu Kiyoshima
{"title":"Mandibular metastasis from prostate cancer that clinically mimicked osteosarcoma: A case report","authors":"Ikumi Imajo , Tomohiro Yamada , Takahiro Fujinaga , Koki Nagano , Wataru Kumamaru , Yuta Yanai , Toru Chikui , Tamotsu Kiyoshima","doi":"10.1016/j.ajoms.2023.01.009","DOIUrl":"https://doi.org/10.1016/j.ajoms.2023.01.009","url":null,"abstract":"<div><p><span><span>Metastatic tumors in the </span>oral cavity<span> are rare, accounting for only 1% of all oral malignancies<span>. The most common site of metastatic tumors in the oral cavity is the mandibular molar region. The primary sites differ between the sexes. Among men, the primary sites are the lung, kidney, liver, and prostate in the order of frequency. Moreover, 11% of jawbone<span> metastases among men originate from the prostate gland. Symptoms differ according to the location of the metastasis; besides, metastases-related imaging findings are nonspecific, making it difficult to reach an accurate diagnosis. Metastatic oral cancer has a poor prognosis; therefore, early diagnosis and treatment are important to improve the survival-rate and </span></span></span></span>quality of life<span><span><span>. A 76-year-old male patient was referred to our hospital with complaint of right-sided mandibular swelling and past medical history of adenocarcinoma of the prostate gland. Intraoral examination revealed a hard hemispherical mass on the right </span>mandibular first molar<span> region. Computed tomography showed a well-marginated radiopaque hemisphere mass with a typical sunburst periosteal reaction. Based on the imaging findings, we suspected primary </span></span>osteosarcoma<span> or metastatic prostate cancer<span>. Histopathological examination of the mandible revealed a glandular structure with atypia similar to that of the primary prostate cancer cells. After prostate specific antigen monitoring therapy, the metastatic cancer did not grow. Metastatic cancers from other organs should be considered in the differential diagnosis of jawbone malignancies because the metastatic cancer might present similarities to the primary cancer in imaging findings, as in the present case that clinically mimicked osteosarcoma.</span></span></span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49849559","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":"Mandibular condylar displacement and the associated factors following intraoral vertical ramus osteotomy","authors":"Yuki Nagata , Norifumi Moritani , Katsuhiko Amano , Yuki Arimura , Kazuki Nakatsuji , Soma Kato , Ayaka Mikami , Tatsushi Matsumura , Seiji Iida","doi":"10.1016/j.ajoms.2023.01.005","DOIUrl":"https://doi.org/10.1016/j.ajoms.2023.01.005","url":null,"abstract":"<div><h3>Objective</h3><p>In intraoral vertical ramus osteotomy (IVRO), the proximal and distal bony segments are not fixed rigidly and thus mandibular condyles are easily displaced. Since there have been only a few reports which examined any factors relating to the condylar displacement and mobility, we aimed to analyze the change in position over time through IVRO and elucidate the associated clinical factors.</p></div><div><h3>Methods</h3><p><span>A retrospective study included 100 condyles in 50 patients. The Schüller's radiographs and posteroanterior cephalograms collected at the determined 6 time points were analyzed. The condylar head position was defined using X-Y coordinates. The amount of condylar displacement, the height of articular eminence and the ramus </span>angulation<span> were measured. The clinical information such as patient’s age, sex, operation time, setback quantity, TMJ<span> noise or pain and surgical methods (1 or 2 jaw surgeries) was collected. Statistical analyses concerning the postoperative condylar displacement was performed.</span></span></p></div><div><h3>Results</h3><p>The most of condyles showed the significant anterior and inferior shift immediately after surgeries which displacement had been restored over time and mostly resolved in one-year after surgery. We found some positive correlations of the amount of operative condylar displacement with setback quantity, the ramus angulation changes and the height of the articular eminence. The significant differences were found in the items of TMJ noise and surgical method. The recovery amount of condyles was significantly different in the surgical methods.</p></div><div><h3>Conclusion</h3><p>Our study provides the detail radiographic data of condyles and some associated factors to which attention should be paid when performing IVRO.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49849598","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}
Yuan Yuan , Long Qin , Mengwei Shi , Yingli Wang , Yang Gao , Qingwei Chen , Qingyu Ji
{"title":"Adult cystic teratoma of the neck: A rare case report and a review of literature","authors":"Yuan Yuan , Long Qin , Mengwei Shi , Yingli Wang , Yang Gao , Qingwei Chen , Qingyu Ji","doi":"10.1016/j.ajoms.2023.01.006","DOIUrl":"https://doi.org/10.1016/j.ajoms.2023.01.006","url":null,"abstract":"<div><p><span>To report a rare adult case of cystic teratoma of the neck. A 51-year-old male patient who had a neck mass for 20 years, and the mass enlarged with the symptom of neck compression in two weeks. The patient was performed a surgical operation after a definite diagnosis through a </span>CT<span><span> scan, pathology, and other necessary examinations. It is rare to find an adult case of cystic teratoma of the neck. The physician should explore rare cases with detailed imaging studies for early diagnosis and prevention of potentially fatal complications such as malignant transformation, airway obstruction, and </span>dysphagia.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49849599","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}