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1.
An. bras. dermatol ; 96(3): 358-361, May-June 2021. graf
Article in English | LILACS | ID: biblio-1285075

ABSTRACT

Abstract We report a 40-year-old man, with an unremarkable personal and family history, who presented for evaluation of an asymptomatic papule located on his right cheek. Histopathology revealed an encapsulated neoplasm within the dermis; composed by narrow, elongated, and wavy cells with an ill-defined cytoplasm, dense chromatin and tapered ends interspersed with collagen fibers. Pathologic findings were consistent with tissue of Antoni B pattern. The diagnosis was an infraorbital schwannoma. The incidental finding of rare tumors like this, should make clinicians consider a greater spectrum of differential diagnoses for a unilateral skin-colored papule on the cheek of patients.


Subject(s)
Humans , Male , Adult , Neurilemmoma/diagnosis , Cheek , Diagnosis, Differential
2.
Int. j. odontostomatol. (Print) ; 14(4): 653-657, dic. 2020. graf
Article in English | LILACS | ID: biblio-1134553

ABSTRACT

ABSTRACT: Pleomorphic adenoma (PA), also called benign mixed tumor, is the most common tumor of the salivary glands. About 70 % of these tumors occur in the parotid gland and an uncommon site are the minor salivary glands. The most common sites of PA of the minor salivary glands are the palate followed by lips and cheek. Other rare reported sites include the fauces, floor of the mouth, tongue, tonsil, pharynx, retromolar area and nasal cavity. Here we report a case of pleomorphic adenoma of minor salivary glands of the cheek in a 22-year-old male. The mass was removed by wide local excision with adequate margins, and the patient was followed for 1-year post operatively with no recurrence.


RESUMEN: El adenoma pleomórfico (AP), conocido también como tumor mixto benigno, es el tumor más común de las glándulas salivales. Alrededor del 70 % de estos tumores ocurren en la glándula parótida y con menor frecuencia en las otras glándulas salivales. Los lugares más comunes de AP en las glándulas salivales son el paladar, seguido de labios y mejillas. Otros sitios poco frecuentes reportados, incluyen las fauces, el piso de la boca, la lengua, las tonsilas palatinas, la faringe, el área retromolar y la cavidad nasal. En este estudio se presenta un caso de adenoma pleomórfico de las glándulas salivales menores de la mejilla en un hombre de 22 años. Se extirpó la masa mediante escisión local amplia con márgenes adecuados, con un seguimiento del paciente durante un año después de la operación sin recurrencia.


Subject(s)
Humans , Male , Young Adult , Salivary Gland Neoplasms/surgery , Salivary Gland Neoplasms/diagnosis , Adenoma, Pleomorphic/surgery , Adenoma, Pleomorphic/diagnosis , Salivary Gland Neoplasms/pathology , Cheek , Follow-Up Studies
3.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 15-21, set./dez. 2020. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1121724

ABSTRACT

Introdução: A bichectomia é um procedimento cirúrgico que remove parte do corpo adiposo bucal não apenas para fins estéticos, mas também funcionais, limitando o trauma recorrente na região jugal. A correta indicação cirúrgica e o auxílio de exames de imagem são essenciais para o planejamento cirúrgico e seleção da técnica a ser utilizada, minimizando as taxas de complicações e alcançando resultados seguros e satisfatórios. Objetivo: Relatar dois casos clínicos em que a bichectomia foi realizada, enfatizando a importância da ultrassonografia pré-operatória na determinação do volume do corpo adiposo bucal e abordando duas técnicas cirúrgicas. Relato de casos clínicos: Duas pacientes do sexo feminino (18 e 32 anos), normosistêmicas, relataram queixas de insatisfação estética com o contorno arredondado da face, além de trauma constante na mucosa jugal. Ao exame clínico, as pacientes apresentavam mucosa jugal de volume aumentado e traumatizado. A bichectomia foi realizada pelo acesso de Matarasso e pelo fundo de sulco. Conclusão: a ultrassonografia mostrou-se eficiente no planejamento cirúrgico da bichectomia, favorecendo a retirada do corpo adiposo da bochecha de forma previsível, rápida e segura. As duas técnicas cirúrgicas foram eficazes para remoção do corpo adiposo bucal(AU)


Introduction: Bichectomy is a surgical procedure that removes part of the buccal fat pad not only for esthetic but also functional purposes, limiting recurrent trauma in the jugal region. The correct surgical indication and the aid of imaging examinations are essential for the surgical planning and selection of the technique to be used, minimizing complication rates and achieving safe and satisfactory results. Objective: To report two clinical cases in which bichectomy was performed, emphasizing the importance of preoperative ultrasonography in determining the volume of the buccal fat pad. Report of clinical cases: Two female patients (18 and 32 years), normosistemic, reported complaints of aesthetic dissatisfaction with the rounded contour of the face, in addition to a constant complaint of trauma to the jugal mucosa. At the clinical examination, the patients presented jugal mucosa of increased and traumatized volume. A bichectomy was performed by Matarasso access and by the furrow fund. Conclusion: ultrasonography proved to be efficient in assisting the surgical planning of bichectomy, favoring the removal of the buccal fat pad in a predictable, fast and safe way. The two surgical techniques were effective for removal of the buccal fat pad(AU)


Subject(s)
Cheek , Cheek/surgery , Surgery, Oral , Adipose Tissue , Ultrasonography , Esthetics , Face
4.
Rev. cir. traumatol. buco-maxilo-fac ; 20(4): 12-15, out.-dez. 2020. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1252637

ABSTRACT

Introdução: A cirurgia de Bichectomia está sendo muito procurada por pessoas que visam diminuir o volume facial. O corpo adiposo da bochecha, ou bola de Bichat, possui uma complexa relação anatômica com estruturas faciais. Uma das complicações que o procedimento pode causar é a paralisia facial temporária ou permanente, em decorrência de injúrias causadas aos ramos terminais do nervo facial, devido à proximidade dessas duas estruturas anatômicas. Metodologia: O objetivo do presente artigo é enfatizar a relação anatômica da bola de Bichat com alguns ramos terminais do nervo facial através da dissecação de cadáveres. Foram feitas dissecações em três hemifaces de cadáveres humanos para a exposição do corpo adiposo da bochecha e dos ramos extracranianos do nervo facial. Resultados: A anatomia dos ramos terminais zigomáticos e bucais do nervo facial se mostrou variável em cada hemiface dissecada, mas sempre intimamente relacionados a bola de Bichat. Conclusões: O profissional que realiza a Bichectomia deve ter pleno conhecimento não só da técnica cirúrgica, mas também da variabilidade anatômica da região... (AU)


Introduction: The Buccal Fat Extraction surgery has been sought by people who aim to reduce facial volume. The Buccal fat pad has a complex anatomical correlation among the facial structures. The facial nerve paralysis is one of Bichat's fat extraction complications which might be temporary or permanent, due to the proximity of those anatomical structures. Methodology: The present article aims to emphasize the anatomical correlation between the Buccal fat pad and a few terminal branches of the facial nerve through the human cadaveric dissection. The dissection was performed on three human cadaveric hemifacial to expose the buccal fat pad body and the facial nerve extracranial branches. Results: The zygomatic and buccal terminal branches anatomy of the facial nerve has shown variables in each dissected hemifacial part. However, it has always presented closely related to Bichat's fat pad. Conclusions: The professional that performs the Buccal Fat Removal surgery must have to have the full knowledge not only about the surgical technique but the anatomical variability of the region, as well... (AU)


Subject(s)
Humans , Surgery, Oral , Cheek/anatomy & histology , Cheek/innervation , Adipose Tissue/innervation , Facial Nerve/anatomy & histology , Cadaver , Dissection
5.
Rev. cir. traumatol. buco-maxilo-fac ; 20(1): 6-12, jan.-mar. 2020. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1253527

ABSTRACT

Introdução: Atualmente, a lipoplastia facial tem sido muito estudada, e isso se justifica em decorrência dos resultados estéticos, dentre eles a valorização da projeção do osso zigomático. Poucas técnicas cirúrgicas foram descritas, principalmente em relação ao resultado de satisfação e do acesso que é realizado para a remoção da bola de Bichat. Este estudo tem como objetivo realizar uma análise de banco de dados para avaliar a satisfação do procedimento de bichectomia pelos próprios pacientes, além de descrever uma abordagem cirúrgica distinta da encontrada na literatura. Metodologia: Foram selecionados 47 pacientes para o procedimento, sendo este realizado em nível ambulatorial, seguindo a mesma técnica cirúrgica em todos os pacientes, os quais foram acompanhados por 7, 14, 30 e 60 dias de pós-operatório, verificando-se o processo de cicatrização e dados referentes à satisfação em todas as consultas realizadas. Resultados: Mediante a técnica empregada, houve um bom número inicial de pacientes satisfeitos com a cirurgia, que aumentou gradativamente conforme o acompanhamento. Conclusões: Assim, confirma-se que a bichectomia é um procedimento seguro, com poucas complicações, devendo haver uma maior amplitude nas pesquisas que visem avaliar o grau de satisfação dos pacientes para atender melhor as suas expectativas... (AU)


Introduction: Facial lipoplasty has been widely studied today because of the aesthetic results provided, such as the enhancement of the ossozygomatic projection. Few surgical techniques have been described, mainly in regard to the satisfaction result and the access that is made for the removal of the bichat ball. The objective of the present study is to perform a database analysis to evaluate satisfaction of the bichectomy procedure by the patients themselves, in addition to describing a surgical approach distinct from that found in the literature. Methodology: 47 patients were selected for the procedure, and the procedure was performed on an outpatient basis, following the same surgical technique in all patients, which were followed for 7, 14, 30 and 60 postoperative days, and the healing process was verified and satisfaction data in all consultations. Results: As a result, it can be observed that by the technique employed, there was a good initial number of patients satisfied with the surgery, which increased gradually as the follow-up in the more returns. Conclusions: Thus, it is confirmed that bichectomy is a safe procedure, with few complications, and more research should be done to evaluate the degree of patient satisfaction to meet their expectations... (AU)


Subject(s)
Humans , Male , Female , Personal Satisfaction , Zygoma , Cheek , Patient Satisfaction , Esthetics
6.
Niger. J. Dent. Res ; 5(2): 94-98, 2020. ilus
Article in English | AIM, AIM | ID: biblio-1266992

ABSTRACT

Objective: A haemangioma is a benign vascular tumour consisting of an abnormal overgrowth of tiny blood vessels. Haemangioma may not be present at birth but may appear at 6 months of life. This vascular tumour is not common. We therefore report fifteen cases of haemangioma occurring in the oro-facial region: eight occurred in the cheek, one in the floor of the mouth, four in the lower lip and two in the maxillary gingivae. The objective of this study was to outline the clinical presentation and management of haemangioma in the oro-facial region treated in our Centre. Methods: This is a retrospective study of all the patients that were treated from July, 2009 to July, 2019. Information was extracted from case files of patients. Data collected included: age at presentation, sex, location of the tumour, treatment given, findings and histological diagnosis. Results: The result showed fifteen cases, nine (60.0%) were males and six (40.0%) females. Male to female ratio is 1.50 to 1.00. Our diagnostic tool was the aspiration of frank blood from the tumour which had similar clotting time with the normal blood and our mode of treatment included: injection of sclerosants and excision of the fibrous tissues. Conclusion: It is essential to treat the tumour as early as possible especially in large lesion with disfigurement or where it is complicated by haemorrhage or infection


Subject(s)
Blood Vessels , Cheek , Hemangioma , Neoplasms
7.
Autops. Case Rep ; 10(4): e2020197, 2020. tab, graf
Article in English | LILACS | ID: biblio-1131843

ABSTRACT

Ochronosis is a cutaneous disorder caused by the accumulation of phenols, either endogenously as homogentisic acid in patients with alkaptonuria (autosomal recessive disorder with deficiency of the enzyme homogentisic acid oxidase), or exogenously in patients using phenol products such as topical creams containing hydroquinone or the intramuscular application of antimalarial drugs. Exogenous ochronosis (EO) typically affects the face and was reported in patients with dark skin such as Black South Africans or Hispanics who use skin-lightening products containing hydroquinone for extended periods. Recently more cases have been reported worldwide even in patients with lighter skin tones, to include Eastern Indians, Asians, and Europeans. However, just 39 cases of EO have been reported in the US literature from 1983 to 2020. Here we present two cases; a 69 and a 45-year-old female who were seen for melasma, given hydroquinone 4% cream daily and tretinoin 0.05%. Both patients noticed brown spots on their cheeks, which progressively enlarged and darkened in color. The diagnosis of ochronosis was confirmed by characteristic histopathological features on the punch biopsy. Unfortunately, neither patient responded to multiple treatments (to include, tazarotene 0.1% gel and pimecrolimus ointment, topical corticosteroids, and avoidance of hydroquinone containing products). We also present a case of classic (endogenous) ochronosis in a patient with alkaptonuria to picture the histological similarities of these two entities. EO is an important clinical consideration because early diagnosis and treatment may offer the best outcome for this notoriously refractory clinical diagnosis.


Subject(s)
Humans , Female , Middle Aged , Aged , Skin Pigmentation , Skin Cream/adverse effects , Ochronosis/diagnosis , Phenols , Skin , Skin Diseases , Cheek , Alkaptonuria , Homogentisic Acid
8.
Rev. odontol. Univ. Cid. São Paulo (Online) ; 31(3): [82,90], set.-dez. 2019. ilus
Article in Portuguese | LILACS | ID: biblio-1102954

ABSTRACT

A Cirurgia Plástica e a Odontologia constituem áreas intimamente envolvidas com a face, por ser esta "o cartão de visitas" do ser humano. O apelo estético está relacionado com a mídia, e também com a aceitação física e emocional. Uma estética harmoniosa representa um aumento da autoestima e uma demonstração de sucesso socioeconômico. A multidisciplinaridade tem ganho espaço nas ciências da saúde por representar uma associação de conceitos e técnicas entre diversos profissionais altamente especializados para a máxima performance dos resultados, trazendo realização e conforto para o paciente. Assim, a bichectomia é um procedimento contemporâneo que visa uma ressecção parcial do corpo adiposo da bochecha, com o intuito estético e funcional. Estético porque proporciona uma face mais harmônica; e funcional porque visa a correção de incômodos traumáticos promovidos por uma interferência na mastigação. O objetivo desta revisão sistemática foi ilustrar clínicos e pesquisadores sobre o procedimento cirúrgico (bichectomia) calcado em bases científicas evidenciáveis e em conhecimentos ético-legais.


Plastic surgery and Dentistry are areas closely involved with the face, as this is the "visiting card" of the human being. The aesthetic appeal is related to the media, but also to physical and emotional acceptance. A harmonious aesthetic represents a better self-esteem and a demonstration of socio-economic success. Multidisciplinarity has gained space in health sciences because it represents an association of concepts and techniques among several highly specialized professionals for maximum results performance, bringing achievement and comfort to the patient. Thus, bichectomy is a contemporary procedure that aims at a partial resection of the cheek adipose body for aesthetic and functional purposes. Aesthetic because it provides a more harmonious face; and functional because it aims to correct traumatic discomfort caused by interference with chewing. The aim of this systematic review was to illustrate clinicians and researchers about the surgical procedure (bichectomy) based on evidenced scientific and ethical-legal knowledge.


Subject(s)
Humans , Male , Female , Surgery, Oral , Cheek , Adipose Tissue , Esthetics, Dental
9.
Einstein (Säo Paulo) ; 17(2): eAO4576, 2019. tab, graf
Article in English | LILACS | ID: biblio-1001897

ABSTRACT

ABSTRACT Objective: To evaluate the effect of red propolis and L-lysine on angiogenesis and tumor growth in a new model of hamster cheek pouch inoculated with Walker 256 tumor cells. Methods: The study consisted of two experiments with four groups each (total: 57 hamsters). In the experiment 1, the animals were inoculated with Walker tumor cells, followed by administration of test substances (red propolis 200mg/5mL/kg or L-lysine 150mg/kg) or control substances (gum arabic 5mL/kg or water 5mL/kg) for 10 days. The animals in the experiment 2 received red propolis, L-lysine, gum arabic or water at the same doses, for 33 days prior to inoculation of Walker tumor cells, followed by 10 days of treatment with the same substances. Based on single-plane images, angiogenesis was quantified (mean vascular area), in percentage, and tumor area (mm2) and perimeter (mm). Results: In the experiment 1, compared to animals receiving water, the mean vascular area expressed in percentage was significantly smaller in animal treated with propolis (p<0.05) and L-lysine (p<0.001). Conclusion: Both red propolis and L-lysine inhibited tumor angiogenesis in the new hamster cheek pouch model when administered after tumor inoculation.


RESUMO Objetivo: Avaliar o efeito da própolis vermelha e da L-lisina na angiogênese e no crescimento tumoral em novo modelo de bolsa jugal de hamster inoculada com células de tumor de Walker 256. Métodos: O estudo consistiu em dois experimentos com quatro grupos cada (total: 57 hamsters). No experimento 1, os animais foram inoculados com células de tumor de Walker, tendo em seguida administradas as substâncias teste (própolis vermelha 200mg/5mL/kg ou L-lisina 150mg/kg) ou controle (goma arábica 5mL/kg ou água 5mL/kg) por 10 dias. Os animais do experimento 2 receberam própolis vermelha, L-lisina, goma arábica ou água nas mesmas doses, por 33 dias antes do inóculo das células de tumor de Walker, seguido por 10 dias de tratamento com as mesmas substâncias. Baseado em imagens em plano único, foram quantificados a angiogênese (área vascular média), em termos percentuais, e a área (mm2) e o perímetro (mm) do tumor. Resultados: Comparada aos animais que receberam água, a área vascular média, expressa em percentagem, foi significativamente menor nos animais tratados com própolis (p<0,05) e com L-lisina (p<0,001). Conclusão: Tanto a própolis vermelha quanto a L-lisina inibiram a angiogênese no novo modelo de bolsa jugal de hamsters, quando administradas após a inoculação do tumor.


Subject(s)
Propolis/therapeutic use , Angiogenesis Inhibitors/therapeutic use , Lysine/therapeutic use , Neovascularization, Pathologic/drug therapy , Mouth Neoplasms/chemically induced , Mouth Neoplasms/blood supply , Mouth Neoplasms/drug therapy , Carcinoma 256, Walker/blood supply , Weight Gain , Cheek , Cricetinae , Mesocricetus , Treatment Outcome , Models, Animal , Antioxidants
11.
Article in English | WPRIM | ID: wpr-763315

ABSTRACT

OBJECTIVES: Endoscopic prelacrimal medial maxillectomy (EPMM) was previously reported to treat maxillary inverted papilloma. This study aimed to compare prelacrimal recess approach with the conventional Caldwell-Luc approach (CLA) to remove benign maxillary sinus tumors and to evaluate the usefulness of this approach based on our experience. METHODS: Ten patients who underwent EPMM at our hospital from January 2013 to December 2017 were reviewed. We also reviewed 30 patients who underwent benign maxillary sinus tumor resection via CLA during the same period. From medical records, postoperative pathological results, complications due to surgery, and recurrence rate were evaluated. RESULTS: There were eight inverted papilloma, one ameloblastoma, and one ossifying fibroma in the EPMM group. In the CLA group, all 30 cases were inverted papilloma. There were no cases of failure at gross total removal during surgery, and no recurrences were observed during follow-up in either groups. Mean follow-up period was 13.0 months in CLA group and 10.8 months in EPMM group. Regarding postoperative complications, 11 patients of the CLA group (37%) and three patients of the EPMM group (30%) had numbness around the cheek and upper lip area after surgery (P=0.715). In the CLA group, there were eight patients who had numbness lasting more than 3 months after surgery, and two patients had numbness for more than 1 year. However, facial numbness disappeared within 3 months in all patients in the EPMM group, in which epiphora was not observed. CONCLUSION: EPMM is the effective surgical approach for resecting benign maxillary sinus tumor compared with CLA. Although facial numbness was reported in EPMM, the duration of numbness was shorter than CLA.


Subject(s)
Ameloblastoma , Cheek , Endoscopy , Fibroma, Ossifying , Follow-Up Studies , Humans , Hypesthesia , Lacrimal Apparatus Diseases , Lip , Maxillary Sinus Neoplasms , Maxillary Sinus , Medical Records , Papilloma, Inverted , Postoperative Complications , Recurrence
12.
Article in English | WPRIM | ID: wpr-762792

ABSTRACT

Intraorbital infection shows a low incidence, but it might cause blindness or even death. This case is unusual in that its origin from a craniofacial bone fracture prior to infection of the maxillary sinus. A 33-year-old female patient was referred for right cheek swelling. When she visited the emergency room, we removed right cheek hematoma and bacterial examination was done. In the past, she had craniofacial bone surgical history due to a traffic accident 6 years ago. Next day, the swelling had remained with proptosis and pus was recognized in the conjunctiva. We planned an emergency operation and removed the pus which was already spread inside the orbit. And the evaluation for sinusitis was consulted to the otorhinolaryngology department simultaneously. There were Prevotella oralis and methicillin-resistant Staphylococcus epidermidis bacterial infection in the intraorbital and sinus respectively. Afterwards, the vigorous dressing was done for over a month with intravenous antibiotics. Though the intraorbital infection was resolved, blindness and extraocular movement limitation were inevitable. In conclusion, close follow up of the maxillary sinus in facial bone fracture patients is important and aggressive treatment is needed when an infection is diagnosed.


Subject(s)
Accidents, Traffic , Adult , Anti-Bacterial Agents , Bacterial Infections , Bandages , Blindness , Cheek , Conjunctiva , Emergencies , Emergency Service, Hospital , Exophthalmos , Eye Infections , Facial Bones , Female , Follow-Up Studies , Fractures, Bone , Hematoma , Humans , Incidence , Maxillary Sinus , Methicillin Resistance , Orbit , Otolaryngology , Prevotella , Sinusitis , Staphylococcus epidermidis , Suppuration
13.
Article in English | WPRIM | ID: wpr-762778

ABSTRACT

Dysplastic nevus is common and affects about 10% of the northern European-descendent population. Studies over the past several decades have identified dysplastic nevi as a risk factor for malignant melanoma. Furthermore, in rare cases, they confirmed that dysplastic nevi have progressed to melanoma. Cases in which dysplastic nevi progressed to malignant melanoma in multiple studies are not uncommon. A 35-year-old woman presented with the major symptom of multiple itchy brown nodules (2.0 cm× 1.3 cm) in the left cheek that had first appeared 20 years earlier. Complete excision was performed at the first visit; subsequent biopsy confirmed that they were dysplastic nevi. They recurred three times over 3 years at the same site, all of which were histologically diagnosed as dysplastic nevi. Five years after the final excision, a brownish nodule developed in the left cheek, with others at the left temporal region, right retroauricular region, and left shoulder at the same time. These lesions were histologically diagnosed as malignant melanoma. We experienced a case of malignant melanoma that occurred at the same site after three recurrences of dysplastic nevi. Although rare, the possibility of malignant melanoma should be considered in follow-ups in cases involving repeatedly recurrent dysplastic nevi.


Subject(s)
Adult , Biopsy , Cheek , Dysplastic Nevus Syndrome , Female , Follow-Up Studies , Humans , Melanoma , Recurrence , Risk Factors , Shoulder , Temporal Lobe
14.
Article in English | WPRIM | ID: wpr-762771

ABSTRACT

BACKGROUND: Age-related changes in facial skin is a major concern in women. This study aimed to objectively evaluate normal skin elasticity and age-related differences in the faces of East Asian women. There are no standard values for data related to normal skin on East Asian women. METHODS: We studied 129 healthy East Asian women without a history of cosmetic procedures or surgeries. Skin elasticity was assessed at the cheek and lower eyelid points, which were assessed on both the right and left sides of the face. RESULTS: The age of the subjects showed significant negative correlations with the R2 and R7 parameters, which represent skin elasticity after deformation. CONCLUSION: We therefore concluded that the primary decrease in skin elasticity in East Asian women occurs in the midface region.


Subject(s)
Asian Continental Ancestry Group , Cheek , Elasticity , Eyelids , Female , Humans , Rejuvenation , Skin Aging , Skin
15.
Article in English | WPRIM | ID: wpr-762765

ABSTRACT

In branchial lymphoepithelial cyst (BLEC), which is also known as branchial cleft cyst, the remnants of a branchial arch develop into a cyst, causing swelling. The first case of BLEC in the parotid gland was reported by Hildebrant in 1895. Since then, BLEC in the parotid gland has continued to be reported, but in rare cases. A 45-year-old man presented to our hospital with a swelling of the left cheek of approximately 6 months’ duration. The patient underwent a superficial parotidectomy and was pathologically diagnosed with BLEC. Of note, this was the first case of non-human immunodeficiency virus (HIV)-related BLEC of the parotid gland in South Korea. BLEC is a benign condition, but its treatment depends on the presence of HIV infection. In HIV-negative patients, BLEC does not require a further work-up to evaluate metastasis. Our case report describes the diagnosis and treatment of BLEC in a patient without HIV.


Subject(s)
Branchial Region , Branchioma , Cheek , Diagnosis , HIV , HIV Infections , Humans , Korea , Middle Aged , Neoplasm Metastasis , Parotid Gland , Salivary Glands
16.
Article in English | WPRIM | ID: wpr-762762

ABSTRACT

Merkel cell carcinoma (MCC) is a rare and highly aggressive neuroectodermal carcinoma arising from mechanoreceptor Merkel cells. Multiple MCCs are even rarer. We report a case of two independent MCCs simultaneously present in the cheek of a patient, which were effectively and esthetically treated using a cheek flap. Punch biopsy performed in a 60-year-old woman admitted with a chief complaint of two skin-colored hard nodules in her left cheek, accompanied by an itching sensation, was suggestive of MCC. Accordingly, we performed sentinel lymph node biopsy through the modified Blair incision under general anesthesia, in cooperation with the head and neck surgery department. The defect was covered with a cheek flap by slightly extending the existing incision following wide excision with a safety margin of 1 cm. This paper is significant in that it introduces an effective reconstruction technique that maintains function using a cheek flap for the management of this rare case. In addition, this paper is the first to classify multiple MCCs according to the time of onset. We believe that this paper presents an effective alternative reconstruction technique with sentinel node biopsy through the modified Blair incision.


Subject(s)
Anesthesia, General , Biopsy , Carcinoma, Merkel Cell , Cheek , Female , Head , Humans , Mechanoreceptors , Merkel Cells , Middle Aged , Neck , Neural Plate , Pruritus , Sensation , Sentinel Lymph Node Biopsy , Surgical Flaps
17.
Annals of Dermatology ; : 460-463, 2019.
Article in English | WPRIM | ID: wpr-762347

ABSTRACT

No abstract available.


Subject(s)
Cheek , Melanosis , Neck
18.
Article in Korean | WPRIM | ID: wpr-759783

ABSTRACT

Cactus spines can easily puncture the skin with only minor pressure. Removal of the offending cactus spine is the treatment of choice; however, it is very difficult, even with tweezers. A 17-year-old Korean girl presented for evaluation of multiple purple-colored macules and papules on the left cheek and left thumb. Two months earlier, she had pricked her finger and face on cactus spines while volunteering in Haiti. An ultrasound identified wedge-shaped echogenic materials suspected as cactus spines. We recommended surgical removal of the spines, but she vehemently refused. We then advised her to take amoxicillin/clavulanic acid and undergo regular follow-up. During the follow-up period, the spines dislodged spontaneously for easy removal and the patient removed them with tweezers. The lesions actually improved over the next several months. Here, we report this rare and interesting case for educational purposes because such a case has never been previously reported in Korea.


Subject(s)
Adolescent , Cactaceae , Cheek , Female , Fingers , Follow-Up Studies , Haiti , Humans , Korea , Punctures , Skin , Spine , Thumb , Ultrasonography , Wounds and Injuries
19.
Article in Korean | WPRIM | ID: wpr-759747

ABSTRACT

Basal cell carcinoma (BCC) is the most common malignant skin tumor that usually develops in the head and neck region. It has a wide range of histological variants and constitutes approximately 65% of epithelial tumors. Cutaneous plasma cell infiltration can occur in individuals with various disorders, including amyloidosis, plasma cell neoplasm, and infectious diseases such as syphilis and deep fungal infections. A 53-year-old woman presented with scaly erythematous plaque on the left cheek. Skin biopsy showed smooth-bordered collections of basaloid proliferation with epidermal connection, and fibrotic stromas were noted in the dermis. Notably, mixed inflammatory cells were noted in the upper dermis, and they were mainly plasma cells. There was no evidence of other organ involvement and infection. She was diagnosed with BCC with plasma cell infiltration and was treated with topical and oral steroid, and excision was performed. In our literature review, plasma cell infiltration is related to tumor ulceration and more likely to be seen in patients with high-risk BCCs. Herein, we report a peculiar case of BCC with plasma cell infiltration.


Subject(s)
Amyloidosis , Biopsy , Carcinoma, Basal Cell , Cheek , Communicable Diseases , Dermis , Female , Head , Humans , Middle Aged , Neck , Neoplasms, Plasma Cell , Plasma Cells , Plasma , Skin , Syphilis , Ulcer
20.
Article in English | WPRIM | ID: wpr-759708

ABSTRACT

Cheilitis granulomatosa (CG) is a subset of orofacial granulomatosis (OFG) and considered to be a monosymptomatic form of Melkersson-Rosenthal syndrome (MRS), which is characterized by the triad of chronic lip swelling, facial paralysis, and fissured tongue. The labial swelling is thought to be associated with an orofacial swelling, which affects the chin, cheeks, and oral mucosa. Histologically, it is distinguished by noncaseating granulomas consisting of lymphohistiocytes and giant cells. Although systemic steroids with or without intralesional triamcinolone injections are the mainstay of treatment, and various agents have been proposed for this rare disease, no successful treatment modality has been reported in the literature yet. Herein, we present our experience with three different CG cases, which showed a varied level of positive response to the combination therapy.


Subject(s)
Cheek , Cheilitis , Chin , Facial Paralysis , Giant Cells , Granuloma , Granulomatosis, Orofacial , Lip , Melkersson-Rosenthal Syndrome , Mouth Mucosa , Rare Diseases , Steroids , Tongue, Fissured , Triamcinolone
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