ABSTRACT
Acute maxillary sinusitis is a common disorder affecting children. Untreated acute sinusitis can develop into chronic sinusitis, and complications, such as orbital cellulitis or abscess, can occur. Maxillary sinusitis of odontogenic origin is not a well-recognized condition and is frequently missed in children. As an odontogenic source of sinusitis, the dentigerous cyst is one of the most prevalent types of odontogenic cysts, and it is associated with the crown of an unerupted or developing tooth. This report concerns a nine-year-old boy who was diagnosed with maxillary sinusitis originating from a dentigerous cyst with supernumerary teeth. The boy visited our pediatric clinic presenting with rhinorrhea and nasal obstruction and was initially diagnosed with maxillary sinusitis only. With antibiotic treatment, his symptoms seemed to improve, but after 2 months, he came to our clinic with left facial swelling with persistent rhinorrhea and nasal obstruction. Radiographic examinations of the sinuses were performed, and he was diagnosed with maxillary sinusitis originating from a dentigerous cyst with supernumerary teeth. After a surgical procedure involving the removal of the dentigerous cyst with supernumerary teeth, the symptoms of sinusitis gradually diminished. There are only very few cases in the pediatric medical literature that remind us that odontogenic origin can cause maxillary sinusitis in children. Our patient can act as a reminder to general pediatricians to include dentigerous cysts in the differential diagnosis of maxillary sinusitis.
Subject(s)
Child , Humans , Male , Abscess , Crowns , Dentigerous Cyst , Diagnosis, Differential , Maxillary Sinus , Maxillary Sinusitis , Nasal Obstruction , Odontogenic Cysts , Orbital Cellulitis , Sinusitis , Tooth , Tooth, SupernumeraryABSTRACT
Subject(s)
Aged , Humans , Male , Carcinoma , Carcinoma, Squamous Cell , Gingiva , Head , Lymph Nodes , Neck , Neck Dissection , Neoplasm Metastasis , Thyroid Gland , Thyroid Neoplasms , ThyroidectomyABSTRACT
Subject(s)
Adult , Humans , Anesthesia , Colloids , Dizziness , Equidae , Fluid Therapy , Headache , Orthognathic Surgery , Postoperative Period , Pulmonary Edema , Surveys and Questionnaires , Sleep Stages , Surgery, Oral , ThirstABSTRACT
There have been many trials to decrease the scar formation followed by wound treatment. TGF-beta plays a important role on wound healing in adult. Therefore the repression of TGF-beta expression will be helpful to decrease scar formation. Decorin is known to competitively inhibit TGF-beta expression. Decorin were subcutaneously administered in surgical wounds in rabbits to investgate the preventing effect of scar formation for clinical application. Histologic findings of wound healing progresses is similar with control and experimental group at 2week. 2.5 microgram decorin of administrated group was similar to those of control group at 4 and 8week. In wound healing process 10 microgram decorin of administrated groupsat showed that thickness of immature collagen fibers(scar) was decreased as compared with control group at 4, 8 weeks. 20 microgram decorin of administrated group showed similar histologic features to 10 microgram administrated group. The wounds of 8week experimental group(10, 20 microgram) were completely recovered to the normal surrounding skin tissue including sweat gland and hair follicle. These results suggested that decorin can be of help to the prevention of local scar formation.
Subject(s)
Adult , Humans , Rabbits , Cicatrix , Collagen , Decorin , Hair Follicle , Repression, Psychology , Skin , Sweat Glands , Transforming Growth Factor beta , Wound Healing , Wounds and InjuriesABSTRACT
Subject(s)
Diplopia , Epistaxis , Facial Asymmetry , Facial Bones , Hemorrhage , Incidence , Maxillary Sinus , Nasal Bone , Orbit , Trismus , ZygomaABSTRACT
Subject(s)
Humans , Analgesics , Gastric Bypass , Orthognathic Surgery , Orthopedics , Pain, Postoperative , Passive Cutaneous Anaphylaxis , Postoperative Nausea and Vomiting , VomitingABSTRACT