Alveolar soft-part sarcoma of the tongue: report of a case

Alveolar soft-part sarcoma(ASPS) is a rare, aggressive malignancy of uncertain histologic origin with a propensity for vascular invasion and distant metastasis. ASPS may mimic benign vascular neoplams of malformation but careful evaluation of the unique imaging features on CT scans, MR images, and angiograms lead to the correct diagnosis. ASPS of the tongue is slow-growing, painless mass, especially ASPS of the base the tongue is difficult to be noticed by patient, dentists or oral and maxillofacial surgeons on oral examintion because of its location and clinical resemblance to a benign lesion. And it leads to delayed or inadequate diagnosis. We report radiologic and clinical features of an ASPS of the basal portion of the tongue in a 17-year-old boy, showing normal appearance, but palpation of the tongue and floor of the mouth reveals the tumor. Among the 23 cases of a primary ASPS of tongue reported, 7 cases occured on the basal region of the tongue, inculding the present one. There has been no recurrence or metastasis as of 3 years postoperatively.

Complications of mandibular third molar extraction : two case reports of hyperventilation syndrome and displacement of roots into submandibular space

Endovascular Treatment for a Penetrating Vertebral Artery Injury: Case Report

The vertebral artery injuries are rare in frequency and penetrating injuries are most likely to damage the vertebral artery as a sort of a collateral damage from striking the bony cervical spine. A 49-year-old man was struck in the face with a metal bar. The plain skull X-ray showed a long nail penetrating from the maxilla to the suboccipital area. Digital subtraction angiography revealed an injury of the left vertebral artery with a strong retrograde flow down the rostral segment and a filling with thrombus within the distal portion from injured segment. The patient underwent Guglielmi detachable coils embolization for complete isolation of the injured segment. The manual removal of the foreign body was attempted and was successfully completed.

Clinical study of maxillary anterior supernumerary teeth

The prevalence of supernumerary teeth is between 1~3%. Of these, 90~98% occur in the maxilla with particular predilection for the premaxilla, preceded by mandibular third premolars, mandibular forth molars and maxillary paramolars. The most common ones occur in the maxillary anterior region, they may occur singly between the central incisors(mesiodens), or they may be double(mesiodentes). Maxillary anterior supernumeraries may erupt into the oral cavity or remain unerupted. It is found that approximately 25% are erupted, while the rest are unerupted. They are usually a small tooth with a cone-shaped crown and a short root. They may cause delayed eruption, median diastema, bodily displacement or rotation of the adjacent permanent teeth. Occasionally they may lead to the developement of dentigerous cyst or primordial cyst, or eruption into nasal cavity. In this study, 109 supernumeraries surgically extracted from premaxilla in 84 patients are analysed. The results are as follows : 1. Sex distribution of male and female is 2.2 : 1 2. Almost cases are in pediatric age from 5 to 12 years old (87%). 3. Problems with supernumeraries are tooth malpositon, diastema, delayed eruption, eruption to nasal cavity and cyst formation. 4. Of 109 supernumeraries, 16(15%) are erupted into oral cavity, 92(84%) are impacted, and 1(1%) is erupted into nasal cavity. 5. Of 84 patients, 59(70%) have one supernumeray while 25(30%) have two supernumeraries. 6. Of 109 supernumeraries, 96(88%) are found within the region of the central incisors. 7. Of 109 supernumeraries, 94(86%) are vertically impacted , 11(10%) are horizontally impacted , 3(3%) are labiopalatally impacted and 1(1%) is impacted in nasal cavity. 8. Of 84 patients, we used palatal flap in 67(80%), labial flap in 6(7%), both flaps in 4(5%) and no flap in 7(8%). And incisive nerve was cut in 33(49%) of 67 palatal flaps. 9. Extration with ostectomy was done in 72 supernumeraries(66%), without ostectomy in 37 teeth(34%). 10. Extraction with tooth sectioning was done in 21 supernumeraries(19%), without tooth sectioning was done in 88 teeth(81%). 11. We used local anesthesia in 70 patients(83%) and general anesthesia in 14 ones(17%).

Histomorphometric and Removal Torque Values Comparision of Rough Surface Titanium Implants

Penetrating injury of face and neck with the vertebral artery injury: a case report

A CLINICAL STUDY OF ODONTECTOMY IN IMPACTED MANDIBULAR THIRD MOLARS

Surgical removal of impacted mandibular third molars frequently require tooth sectioning or bone removal. In this study, 361 mesioangular or horizontal impacted mandibular third molars are removed surgically by tooth section, the methods of tooth section are classified as 4 stages and 12 grades in the number of times and technics of crown or roots section and difficulties. Grades and their cases are followings: 1. occlusal crown first section(100, 28%) 2. distal crown first section(69, 19%) 3. occlusal crown second section(29, 8%) 4. distal crown second section(52, 14%) 5. occlusal crown first section and root section(10, 3%) 6. distal crown first section and root section(27, 7%) 7. occlusal crown third section(3, 1%) 8. distal crown third section(22, 6%) 9. occlusal crown second section and root section(13, 3%) 10. distal crown second section and root section(17, 5%) 11. occlusal crown third section and root section(2, 1%) 12. distal crown third section and root section(17, 5%)

A case report of congenital epulis in the fetus