ABSTRACT
If during a sagittal split osteotomy a buccal plate fracture occurs, it inevitably results in a time-consuming procedure with, in many cases, hypoesthesia of the mental region as a consequence of manipulation of the inferior alveolar nerve. We would like to present a novel technique to solve a (threatening) buccal plate fracture that is quick and easy to perform, and has thus far not resulted in hypoesthesia.
Subject(s)
Hypesthesia/prevention & control , Mandibular Fractures/etiology , Osteotomy, Sagittal Split Ramus/adverse effects , Humans , Hypesthesia/etiology , Mandibular Fractures/complications , Mandibular Fractures/diagnostic imaging , Osteotomy, Sagittal Split Ramus/methods , Radiography, PanoramicSubject(s)
Blepharoplasty/instrumentation , Blepharoplasty/methods , Eyelids/injuries , Eyelids/surgery , Female , Humans , MaleABSTRACT
We report on a child who presented clinical manifestations of both neurofibromatosis type 1 (NF1) and cherubism. With genetic testing, we found a mutation in the NF-1 gene, confirming the neurocutaneous disorder. Histology when correlated with radiological evaluation of a mandibular biopsy was consistent with cherubism. This is the first report in the literature of a child with proven neurofibromatosis type 1 and cherubism without extragnathic lesions. This emphasises that cherubism is a clinical phenotype that can be associated with a number of germline mutations involving SH3BP2, PTPN11 and NF1.
