ABSTRACT
Subject(s)
Adolescent , Humans , Male , Academic Medical Centers , Basal Cell Nevus Syndrome , Carcinoma, Basal Cell , Cleft Lip , Cleft Palate , Diagnosis , Hypertelorism , Jaw , Megalencephaly , Odontogenic Cysts , Odontogenic Tumors , Prognathism , RibsABSTRACT
Subject(s)
Humans , Bone Remodeling , Bone Transplantation , Collagen , Follow-Up Studies , Jaw , Odontogenic Cysts , Porifera , Recurrence , TransplantsABSTRACT
OBJECTIVES: Lateral cephalometry, computed tomography (CT) and full-night polysomnography were used to examine the correlation of obstructive sleep apnea (OSA) severity. MATERIALS AND METHODS: A total of 29 patients (5 females, 24 males) diagnosed with OSA were evaluated by lateral cephalometry, CT and full-night polysomnography. Lateral cephalometry was performed in the closed and open mouth states. The radiographic and polysomnography measurements of the patients with OSA were evaluated statistically to determine the association with OSA severity. RESULTS: A significant relationship was observed between the increased respiratory disturbance index and closing lateral cephalometry. With mouth opening, the airway space narrowed and the OSA worsened. Lateral cephalometry revealed OSA patients to have an inferiorly positioned hyoid bone, longer-than-normal soft palate and narrowing airway space. As OSA was severe, the airway shape was ovoid in the CT horizontal view. CONCLUSION: Polysomnography and the radiographic parameter can be used for diagnosing OSA.
Subject(s)
Female , Humans , Airway Obstruction , Cephalometry , Hyoid Bone , Mouth , Palate, Soft , Polysomnography , Retrospective Studies , Sleep Apnea Syndromes , Sleep Apnea, ObstructiveABSTRACT
Epithelial-myoepithelial carcinoma (EMC) is a low-grade malignant salivary gland neoplasm that was first described in 1972. EMC occurs in the older age group, there is a female predilection and mainly involves the parotid gland. Most authors recommend superficial parotidectomy as a treatment for low-grade malignant tumor in the superficial lobe of parotid gland. The treatment of epithelial-myoepithelial tumors typically includes surgical excision aimed at achieving a R0 resection. This paper reports a case of EMC of the parotid gland treated only by a conservational surgical excision. The lesion was exposed by the retromandibular approach and detached. After the parotid gland envelop was exposed, the mass was observed and was easy to remove due to capsulation. The preoperative diagnosis was a pleomorphic adenoma on the left parotid gland. The tumor was removed surgically with a conservative extracapsular dissection. The postoperative diagnosis was EMC, so superficial parotidectomy or radiation therapy was considered. Nevertheless, the patient was observed and no additional treatment was attempted because the patient was old and a successfully excision of the tumor had been achieved.