Dental treatment of pediatric patients under general anesthesia at Prince Rashid Bin Al-Hassan Hospital: a retrospective study

The aim of this study was to evaluate the indications, characteristics of patients, and modalities of dental treatment of pediatric patients under general anesthesia at Prince Rashid military hospital in Irbid This was a hospital- based, non- comparative, retrospective study, conducted at Prince Rashid Bin Al-Hassan military hospital in the North of Jordan over a period of 7 years between January 2006 and February 2013. Medical records of all pediatric patients who were treated under general anaesthesia were included. Extracted data included: age, gender, indication for treatment, type of treatment and procedure[s], number of teeth treated, number of previous dental treatment under general anesthesia, general health status, outcome, and follow up period. All patients were preoperatively assessed for general anaesthesia fitness by a pediatrician. A total of 265 patients had dental treatment under general anesthesia, 144 [54.3%] males and 121 [45.7%] females with a male to female ratio of 1.2: 1 in both groups. The healthy patients were 226 [85.3%], 118 males and 108 females [male: female 1.1:1] and the disabled patients were 39 [14.7%], 28 males and 11 females [male: female 2.5: 1]. The mean age of the patients was 5.98 years with a range of 2.5 to 15 years. The commonest age group treated was 4 to 6 years and the least common was 13-18 years in both healthy and disabled patients. The main indication for treatment of disabled and healthy patients was extreme un-cooperation. The commonest dental treatment provided for healthy male patients was dental extraction and for healthy female patients was dental fillings, while in disabled patients it was dental extraction for both male and female patients. The majority of patients were treated once under general anesthesia although percentage of disabled patients treated more than one time under general anesthesia was slightly higher than healthy patients. The main cause of medical or mental disability was cerebral palsy and rare syndromes such as De Lange, Ellis Van Crevelled, Cockayne, and Sanjad Sakati. Follow up period ranged between 6 months and 7 years with an average of 2.8 years. Although dental treatment under general anesthesia is effective and has the privilege of comprehensive treatment being done in one visit, risks of general anesthesia pose limitations for its use. The main indication for treatment was extremely uncooperative children with extensive dental damage. The commonest dental treatment provided was extraction and rare syndromes were more frequently seen than previous reports

Malignant tumors of the oral cavity among Jordanians

To determine the incidence of primary malignant tumors of the oral cavity in Jordan and to compare the incidence rates among Jordanian population with world standard population. A retrospective study was conducted during the period 2000 and 2007, on 156 cases with histological diagnosis of primary malignant tumors of the oral cavity. The cases were registered and received by active case finding from the maxillofacial departments at the Royal Medical Services Hospitals, Hospitals of the Ministry of Health, Hospitals of Jordan University and Jordan University of Science and Technology and private hospitals. The records included the age, sex and primary site. The age-adjusted standardized rates were calculated and the incidence rates among Jordanian population were compared with the other world standard population. Over seven years, the primary malignant tumors of the oral cavity in Jordan accounted for 156 cases, of these 96 [61.5%] were males and 60 [38.5%] were females, with a male to female ratio of 1.6: 1. The overall age-adjusted standardized rate was 5.26 per 100,000 [standard world population], and the age-adjusted standardized rates was 6.60 per 100,000 males and 3.87 per 100,000 females. The squamous cell carcinoma was the most common accounting for 67.3% of all oral cavity malignant tumors. On the other hand the most frequent site of oral malignant tumors in Jordan was lips for males, accounting for 23.7% while the tongue was the most common site of oral cavity tumor in Jordan for both sexes accounting for 18.6%, and the age-adjusted standardized rate was somewhat equal in both sexes: 1.01/100,000 versus 0.96/100 000, respectively. The age-adjusted rate of primary malignant tumors in Jordan was 5.26 per 100,000 [standard world population]. The frequency rate increased with increasing age and was more common in males. The squamous cell carcinoma was the most common type with a tendency for a tongue cancer in both sexes and lip cancer becoming more frequent in males

Pediatric oral and maxillofacial lesions: a 26 year retrospective review

To study the occurrence, distribution, types, and clinical presentation of the common maxillofacial lesions occurring in children and teens. A total of 141 histopathology reports of patients, who had been diagnosed, treated and followed up at the maxillofacial units as an outpatient and inpatient at two main Royal Medical Services Hospitals of Jordan [King Hussein Medical Center and Prince Rashid hospital] between 1985 and 2011 were included in this study. Male to female ratio was 1.5:1. The highest percentage of lesions was seen in children aged 11 years. The majority of the lesions were inflammatory and reactive lesions seen in 36% of patients followed by cystic lesions in 22 %, and odontogenic tumors in 10.5% of patients. Non odontogenic tumors constituted 21.3% and malignant tumors 5%. Lesions presented as swellings were 47.5%, masses 45.4%, and as an ulceration 7.1%. Inflammatory and cystic lesions remain the most commonly encountered oral and maxillofacial lesions in children and teens; malignant tumors are extremely rare and pose difficulty regarding the origin of the tissue they arise from and the modality of treatment to be involved

Solitary fibrous tumor of the oropharynx: a case report

We report a case of a solitary fibrous tumor of the oropharynx and the retromolar area among a 26 years old female patient who was referred with a large mass in the oropharynx causing dysphagia and nocturnal dyspnea. Physical examination, Magnetic Resonance Imaging, Carotid Angiography, and Fine Needle Aspiration revealed the presence of a highly vascular solid multilocular mass of the oropharynx. Multiple aspirations revealed pure blood aspirate with no cellular components to reach a preliminary diagnosis, it was decided to embolize and reomove the lesion to be submitted as an excisional biopsy

Oral granulomas at Prince Rashid Hospital -north Jordan a retrospective study of 62 cases

To investigate the distribution of granulomas of the jaws and the oral cavity and to evaluate the clinical and radiological data contained in the submitted histopathology request forms in a peripheral hospital in the North of Jordan. All the patients who had been treated surgically for oral granulomas at Prince Rashid Bin Al-Hassan hospital during the period 1984-2002 were included in this study. Histopathology records for those patients were retrospectively analyzed for the following data: Age, gender, presentation of the lesion, site distribution, and adequacy of the clinical data provided in the histopathology records. During the study period, 62 patients received surgical treatment by excision and / or curettage for oral granulomas. The majority of granulomas were found in females 34]54.8% compared to males 28 [45.2%]. Twenty-four cases [38.7%] were in the mandible and 23 cases [37.1%] in the maxilla. The highest percentage of granulomas [38.7%] was found in the young patients within the age group of 10-20 years. Pyogenic granulomas were the most encountered type in 29 cases [46.8%], followed by peripheral giant cell granulomas, 22 [35.5%]. The chief complaint at presentation was friable mass in 38.7% of the patients, followed by swelling and firm mass in 33.9% and 27.4% of the patients respectively. Oral granulomas are more common in the jawbones than other sites of the oral cavity. These lesions are benign and rarely recur if properly treated. Pyogenic granuloma is the most encountered type, and central giant cell granuloma showed the highest recurrence. All the possible personal, clinical, and radiological data should be provided in the histopathology request forms, to provide better categorization of these lesions and to help better follow up