ABSTRACT
INTRODUCTION: The lesions of the salivary ducts may be idiopathic, post- traumatic, or iatrogenic and lead to sialocele formation with persistent painful facial swelling or cutaneous fistula formation. No consensus on treatment of this condition exists: the options of treatment include needle aspiration, pressure dressings, antisialogogue therapy, radiotherapy, botulinum toxin and surgical approaches as duct repair, diversion, ligation, different drainage systems and even parotidectomy/submaxilectomy. The management and special features of iatrogenic salivary duct injury in patients with oral cancer who underwent head and neck reconstructive surgery has not been described yet. MATERIAL AND METHODS: We present four cases of iatrogenic lesions of salivary ducts and its management in patients with oral cancer. CONCLUSIONS: The iatrogenic lesions of salivary ducts are to be taken into account in patients with oral cancer as the distal ends of salivary ducts could be involved in the margins of surgical resection. Different options of treatment of this complication are described. Key words:Sialocele, oral cancer, salivary duct.
ABSTRACT
The formation of a new joint between a pathologically elongated coronoid process and the body of the malar homolateralbone is known as Jacobs disease.Coronoid process hyperplasia was first described in 1853 by Von Langenbeck, and it was not until 1899 whenOscar Jacob described the disease that it was named after him. Jacobss disease is an uncommon entity with onlya few documented cases in the literature. The condition first manifests with progressive limitation of mouth openingand facial asymmetry. Pain is uncommon and it mainly affects young patients. Different factors have beenpostulated as possible causes, including temporal muscle hyperactivity, previous trauma, chronic disc displacementof the ipsilateral temporomandibular joint, endocrine stimuli, and genetic alterations. Definitive diagnosis isby histopathology and it is necessary to confirm bone hyperplasia, the presence of cartilage and synovial capsuleforming the new joint between the malar bone and the coronoid process. We report a 52-year-old woman patientwith a history of childhood trauma in the right preauricular region. She came to our department with a 2-yearhistory of progressive limitation of mouth opening. Computed tomography (CT) revealed a right coronoid processelongation, in contact with the homolateral malar bone, causing it to deform. Surgery with general anesthesia wasperformed using an intraoral vestibular approach. Histopathology confirmed the diagnoses of Jacobs disease (AU)
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Subject(s)
Humans , Female , Middle Aged , Osteochondroma/pathology , Mandibular Injuries/complications , Zygoma/injuries , Tomography, X-Ray ComputedABSTRACT
The formation of a new joint between a pathologically elongated coronoid process and the body of the malar homolateral bone is known as Jacob's disease. Coronoid process hyperplasia was first described in 1853 by Von Langenbeck, and it was not until 1899 when Oscar Jacob described the disease that it was named after him. Jacobs's disease is an uncommon entity with only a few documented cases in the literature. The condition first manifests with progressive limitation of mouth opening and facial asymmetry. Pain is uncommon and it mainly affects young patients. Different factors have been postulated as possible causes, including temporal muscle hyperactivity, previous trauma, chronic disc displacement of the ipsilateral temporomandibular joint, endocrine stimuli, and genetic alterations. Definitive diagnosis is by histopathology and it is necessary to confirm bone hyperplasia, the presence of cartilage and synovial capsule forming the new joint between the malar bone and the coronoid process. We report a 52-year-old woman patient with a history of childhood trauma in the right preauricular region. She came to our department with a 2-year history of progressive limitation of mouth opening. Computed tomography (CT) revealed a right coronoid process elongation, in contact with the homolateral malar bone, causing it to deform. Surgery with general anesthesia was performed using an intraoral vestibular approach. Histopathology confirmed the diagnoses of Jacob's disease.
