Pseudoaneurysm of Facial Artery After Orthognathic Surgery.

Sagittal osteotomy of the mandibular branch is to be included common approach for alteration of facial tooth shapes and it is treated technically safe. This conduct can breed various complications, among other things vascular complications. A clinical case has described the development of pseudoaneurysm in the facial artery in a 33-year patient undergoing bilateral osteotomy Le Fort I sagittal osteotomy of the mandibular branch. Subsequently, there was a vascular complication treated by the vascular surgeon that generated a rejection process to the material used for treatment, generating aesthetic damage to the patient and the need for plastic surgery intervention. The leading mode of conduct of vascular injuries are analyzed, and embolization is established to be technically secure conduct.

Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors / Fractura Tardía de Ángulo de Mandibula Post Extracción de Tercer Molar Impactado: Reporte de un Caso y Revisión de Factores Predisponentes

Third molar surgery is the most common surgical procedure in the oral cavity. Whenever extraction is indicated, careful planning based on clinical and radiographic examinations is essential to guard against postoperative complications like: bleeding, alveolitis, infections, injury to adjacent teeth, oroantral communications, or even mandibular fractures. Although rare, the risk of postoperative mandibular fractures after third molar impaction surgery is related to some factors. Our case report a 50-year-old white female patient with a complaint of pain in the region of the left mandibular angle and stated that three weeks before she had the left mandibular third molar extracted, which computerized tomographic confirmed the presence of a fracture in the mandibular angle. However, our report contributes to showing the predisposing factors to cause this injury after a review of the literature, showing the clinician what they should take like consideration when they indicate the extraction of third molars. To avoid this complication, factors like bony impaction, depth of tooth within bone, proximity to the inferior dental canal, tooth position in relation to adjacent teeth, the presence of root dilacerations and others must be taken into account. A case of late mandibular fracture that occurred 21 days after third molar extraction is reported. Conservative treatment was adopted and after six-months of radiographic and clinical follow-up, the patient had fully preserved mandibular function, normal occlusion and no discomfort.

Cirugía del tercer molar es el procedimiento quirúrgico más común en la cavidad oral. Cuando se indica la extracción, una cuidadosa planificación basada en los exámenes clínicos y radiográficos es esencial para evitar complicaciones postoperatorias como sangrado, alveolitis, infecciones, lesiones a los dientes adyacentes, comunicaciones oroantrales o incluso fracturas mandibulares. Aunque es raro, el riesgo de fracturas mandibulares postoperatorias después de la cirugía del tercer molar impactado se relaciona con algunos factores. Reportamos el caso de un paciente de 50 años de edad con queja de dolor en la región del ángulo mandibular izquierdo, quien y declaró que tres semanas antes se había extraído el tercer molar inferior izquierdo. Por tomografía computarizada se confirmó la presencia de una fractura en el ángulo mandibular. Este informe contribuye a mostrar los factores que predisponen para provocar esta lesión después de una revisión de la literatura, que muestran que el clínico los debería tener como consideración cuando indican la extracción de los terceros molares. Para evitar esta complicación, factores como el grado de impactación ósea, profundidad del diente en el hueso, proximidad al canal mandibular, posición en relación a dientes adyacentes, presencia de dilaceraciones radiculares, entre otras, deben ser tomadas en cuenta. Se presenta un caso de fractura mandibular tardía que ocurrió 21 días después de la extracción del tercer molar. Se realizó un tratamiento conservador y después de seis meses de seguimiento radiográfico y clínico, el paciente conservó completamente la función mandibular, con una oclusión normal y sin molestias.

Metastatic adenocarcinoma involving several bones of the body and the cranio-maxillofacial region: a case report.

Malignant tumours that have metastasized to the oral and maxillofacial region from distant sites account for only 1% of all malignancies of the jaw. These metastatic tumours are most often located in the mandible, and the majority of these in the molar region. The most common primary sources of metastatic tumours found in the oral region are the lung, kidney and prostate gland for the males, and the breast, genital organs and kidneys for females. The exact location of the primary tumour, however, is often difficult, sometimes impossible, to identify. We present the case of a 51-year-old woman with metastatic adenocarcinoma involving the condyle and mandible, and other bones of the body. The oral presentation of the metastasis was the source of the definitive diagnosis.