ABSTRACT
INTRODUCTION: Surgical therapy is effective for medication-related osteonecrosis of the jaw. However, appropriate conservative treatment options are still important for cases in which surgery is contraindicated. We report a case of medication-related osteonecrosis of the jaw successfully treated conservatively for a pathological mandibular fracture. PRESENTATION OF CASE: An 84-year-old female patient presented to our department with a chief complaint of inadequate healing of an extraction tooth socket. She had been taking minodronic acid hydrate for approximately five years for osteoporosis. The clinical examination revealed erythema, diffuse swelling of the left mandibular angle, erythema of the buccal gingiva adjacent to the left mandibular first molar, and fistula formation. Although surgery was recommended, the patient declined to proceed. Therefore, a conservative treatment was initiated. A pathological fracture of the inferior mandibular margin was observed one month after the initial visit. Mouth opening was restricted for six months using a bandage. Two months after the pathological fracture, the inferior margin of the fracture was aligned. Five months later, the inferior margin continued. One year later, the bony union of the fracture was observed. DISCUSSION: Conservative treatment and restricting mouth opening was effective in our case. Three years and seven months after the pathological fracture, no new sequestrum formation was observed, and the patient was doing well. CONCLUSION: Conservative treatment can be effective for medication-related osteonecrosis of the jaw with severe cases.
ABSTRACT
Peripheral odontogenic fibroma (POdF) is a rare, benign ectomesenchymal tumor. Herein, we report a case of a 15-year-old female patient who developed POdF in the mandible. The lesion was resected along with the periosteum. Histopathological findings revealed a small mass and cord-like epithelium. There was no recurrence 16 months postoperatively.
ABSTRACT
INTRODUCTION: Elongated styloid process syndrome represents a group of symptoms, such as recurrent throat pain and neck pain, caused by elongation of the styloid process. We report a case of elongated styloid process syndrome with prolongation of the superior cornu of the thyroid cartilage. CASE PRESENTATION: A 50-year-old man was referred to our clinic with the chief complaint of discomfort on the right side of his neck. He had no history of any disease. Extraoral findings indicated pain during neck rotation. Computed tomography showed prolongation of the styloid process beyond the mandibular plane and close to the hyoid. Moreover, prolongation of the superior cornu of the thyroid cartilage was detected. The discomfort during rotation of the neck was due to the stimulation by the styloid process. Styloid resection was performed using the extraoral approach under general anesthesia. CONCLUSION: Discomfort in the neck was resolved after operation.
