ABSTRACT
BACKGROUND: Spindle cell hemangioma (SCH) is an uncommon benign vascular tumor that rarely occurs in the mouth. METHODS AND RESULTS: We present an SCH arising in the tongue of a 52-year-old otherwise healthy woman. SCH should be considered in the differential diagnosis of vascular tumors in the oral cavity and not misinterpreted as a more aggressive vascular tumor. We describe the clinical presentation, investigation, differential diagnosis and management of this condition and a literature search showing published case reports. CONCLUSION: Although SCH rarely presents in the oral cavity it needs to be considered in the differential diagnosis of oral cavity tumors.
Subject(s)
Hemangioma/surgery , Tongue Neoplasms/surgery , Diagnosis, Differential , Female , Hemangioma/pathology , Humans , Middle Aged , Tongue Neoplasms/pathology , Treatment OutcomeABSTRACT
We report a case of Langerhans cell histiocytosis with a restricted presentation (eosinophilic granuloma of the mandible) complicated by multiple reactivations.
Subject(s)
Histiocytosis, Langerhans-Cell/diagnosis , Mandibular Diseases/diagnosis , Antimetabolites/therapeutic use , Antineoplastic Agents/therapeutic use , Antineoplastic Agents, Phytogenic/therapeutic use , Biopsy , Child , Cladribine/therapeutic use , Curettage , Eosinophilic Granuloma/diagnosis , Female , Glucocorticoids/therapeutic use , Humans , Mercaptopurine/therapeutic use , Methotrexate/therapeutic use , Prednisolone/therapeutic use , Recurrence , Tomography, X-Ray Computed , Vinblastine/therapeutic useABSTRACT
Relatively few patients develop such severe degenerative temporomandibular joint (TMJ) disease that they require total joint replacement. Current indications include those conditions involving condylar bone loss such as degenerative (osteoarthritis) or inflammatory joint disease (ankylosing spondylitis, rheumatoid, and psoriatic). Ankylosis of the temporomandibular joint (TMJ) secondary to ankylosing spondylitis remains an under investigated entity. We aim to provide an overview of treatment objectives, surgical procedures, and our experience with total TMJ replacement for this condition.
ABSTRACT
OBJECTIVE: In 1998 the delivery of cleft care in the United Kingdom was examined by the Clinical Standards Advisory Group, the outcomes of which led to the wide restructuring of cleft services in the United Kingdom. We present a retrospective study evaluating the radiographic outcome of 53 consecutively performed alveolar bone grafts following the regional centralization of secondary alveolar bone grafting to the South West Cleft Centre between 2004 and 2006. METHODS: A retrospective audit of one surgeon's outcome of 53 consecutively performed alveolar bone grafts, assessed radiographically using the Kindelan method. RESULTS: That 94% of bone-grafted sites achieved a successful radiographic outcome compares favorably with the previously published Clinical Standards Advisory Group data of 58% with Bergland scores. CONCLUSION: The radiographic outcome for alveolar bone grafting has improved with centralization. A small number of patients are being grafted after the ideal chronological age, and this needs to be addressed throughout the region. The Kindelan assessment provides a reliable method of early assessment for alveolar bone grafting.
Subject(s)
Alveolar Bone Grafting , Cleft Lip/surgery , Cleft Palate/surgery , Adolescent , Child , Cleft Lip/diagnostic imaging , Cleft Palate/diagnostic imaging , Female , Humans , Male , Radiography , Retrospective Studies , Treatment Outcome , United KingdomABSTRACT
Free flap reconstruction following the surgical resection of head and neck malignancy optimally utilises the internal jugular vein as the main recipient vessel for venous anastamosis. We describe an unusual case of thrombosis having arisen de novo within the internal jugular vein and identified at the time of neck dissection. We believe this is the first case of this phenomenon in a patient without a history of thrombophilia, distant malignancy, or local invasion by tumour.
