Lipomatous nevus and urethral caruncle mistaken for ambiguous genitalia in a female infant.

We report the case of a 46,XX infant referred at 3 months of age for evaluation of ambiguous genitalia with no palpable gonads. The phallus was replaced by a homogeneous peduncular structure covered by skin, and a second peduncular structure covered by mucosa was located between the labia minora above the urethral meatus and the vaginal opening. There were no associated anomalies, and she had normal growth and neuromotor development. During surgery to remove these structures, a bifid clitoris was detected and cystoscopy and vaginoscopy revealed normal female urethra and vagina. The structure located on the phallic region was a superficial lipomatous nevus, and the other mass was a congenital urethral caruncle with ectopic migration/differentiation of colonic epithelium into ventral and anterior part of the urogenital sinus. Both genital lipomas and congenital caruncles of the female urethra are very rare and their etiology is unknown. There is no previous report of coincidence of these two rare findings in an otherwise healthy girl.

Fate of autologous and fresh-frozen allogeneic block bone grafts used for ridge augmentation. A CBCT-based analysis.

OBJECTIVES: To evaluate dimensional changes in autologous (AT) and fresh-frozen allogeneic (AL) block bone grafts 6 months after alveolar ridge augmentation. MATERIAL AND METHODS: Twenty-six partially or totally edentulous patients treated either with fresh-frozen AL bone or AT bone onlay block grafts prior to implant placement (13 patients in each group), were included in this analysis. Patients received CBCT (i-CAT Classic) examinations prior to surgery and 14 days and 6 months after grafting. Differences in alveolar ridge area among the various observation times were evaluated by planimetric measurements on two-dimensional CBCT images of the grafted regions. Nineteen grafted blocks from each group were evaluated. RESULTS: Significant increase in alveolar ridge dimensions, allowing implant placement, was obtained with both types of grafts 6 months after grafting; no significant differences in alveolar ridge area were observed between the groups at the various observation times. However, graft resorption in the AL group was significantly larger compared to that in the AT group at 6 months. CONCLUSIONS: Larger bone graft resorption was seen in patients treated with fresh-frozen AL bone than in those treated with AT bone 6 months following alveolar ridge augmentation.

Prostheses removal for suture removal after immediate load: success of implants.

PURPOSE: The aim of this cohort study was to evaluate the success of implants after immediate loading in cases when the prostheses were removed for suture removal on the tenth day following implant placement. We describe a technique for fabricating effective definitive prostheses passively fitted to facilitate immediate load in edentulous patients. MATERIALS AND METHODS: Seventy-one patients with resin-metal prostheses installed within less than 48 hours after implant placement were recalled. Patients for whom various amounts of time had elapsed since implant placement returned for follow-up. Time elapsed ranged from 6 months to 7 years. Stability of the implants was tested after prosthesis removal by horizontal and vertical percussion tests. Implant success was determined as the number of functional implants displaying no mobility. RESULTS: Follow-up revealed that all implants from each period evaluated were stable, with no mobility (100% of implants success), except for the 1-year time point (99.5%) and the 2-year time point (98.9%). No signs of inflammation and/or bleeding were observed. CONCLUSION: Prosthesis removal for suture removal on the tenth day after implant placement represents a reliable and predictable procedure that did not jeopardize implant stability during bone remodeling.