ABSTRACT
INTRODUCTION: Macrocheilia is a rare presentation for acute promyelocytic leukemia (APL). CASE REPORT: A 18 year-old man was referred to our department for an acute swollen lower lip, multiple swollen cervical lymph nodes and spontaneous gum bleeding. The diagnosis of APL was made and the treatment was rapidly started in an intensive care unit. DISCUSSION: APL is often found because of stomatologic symptoms but macrocheilia is rarely reported. APL is a vital emergency.
Subject(s)
Leukemia, Promyelocytic, Acute/diagnosis , Lip Neoplasms/diagnosis , Melkersson-Rosenthal Syndrome/diagnosis , Adolescent , Facial Neoplasms/complications , Facial Neoplasms/diagnosis , Facial Neoplasms/pathology , Humans , Leukemia, Promyelocytic, Acute/complications , Leukemia, Promyelocytic, Acute/pathology , Lip Neoplasms/complications , Lip Neoplasms/pathology , Male , Melkersson-Rosenthal Syndrome/etiologySubject(s)
Nose Neoplasms/pathology , Odontogenic Tumors/pathology , Paranasal Sinuses/pathology , Adult , Female , Humans , Nose Neoplasms/diagnostic imaging , Nose Neoplasms/surgery , Odontogenic Tumors/diagnostic imaging , Odontogenic Tumors/surgery , Paranasal Sinuses/diagnostic imaging , Paranasal Sinuses/surgeryABSTRACT
A retrospective study of mandibular resections performed from 1980 to 1984 was conducted to evaluate age, sex, aetiology, etc. The number of mandibular resections appears to have declined at the Institute of Stomatology and Maxillofacial Surgery of the Pitié-Salpêtrière Hospital. Different factors are involved included early diagnosis, improved surgical techniques and better patient follow-up. Partial mandibular resections are increasingly performed (52% of the cases) compared with total resections. Finally, a better understanding of the pathologies involved, especially tumours, has led to an adaptation of the resection techniques to avoid extensive mutilations.
Subject(s)
Mandible/surgery , Mandibular Diseases/epidemiology , Mandibular Diseases/surgery , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Carcinoma, Squamous Cell/epidemiology , Carcinoma, Squamous Cell/surgery , Child , Female , Humans , Male , Mandibular Neoplasms/epidemiology , Mandibular Neoplasms/surgery , Middle Aged , Osteotomy/statistics & numerical data , Paris/epidemiology , Retrospective Studies , Sex FactorsABSTRACT
Two cases with complete loss of the tooth-bearing portion of the mandible were repaired with a prosthesis. This type of defect can involve the loss of a large number of teeth and aggression to the remaining teeth must be limited as much as possible. A two-part "articulated" prosthesis with two rings appears to be the best adapted system. This method takes into account the requirements of for additional conventional prostheses and thus makes it possible to save the remaining teeth.
Subject(s)
Denture Design , Denture, Partial , Mandible , Aged , Ameloblastoma/surgery , Humans , Jaw, Edentulous, Partially/rehabilitation , Male , Mandible/surgery , Mandibular Injuries/surgery , Mandibular Neoplasms/surgery , Middle Aged , Wounds, Gunshot/surgeryABSTRACT
A prosthesis was implanted immediately after operation for a velo-palatal tissue defect in an active young female patient in order to avoid function, psychological and social complications involved with this mutilation. The three classical steps of the process were performed: immediate implantation of the prosthesis, temporary prosthesis, definitive prosthesis. Anchoring to the teeth maintained the prosthesis in position. A functional print is always needed to obtain perfect closure. A metallic bridge links the retention part and the obstructive part. The device is effective, discrete, functional and well-tolerated by the patient.
