Massive tongue necrosis secondary to temporal arteritis.

A case of unusually massive necrosis of the tongue secondary to temporal arteritis is presented. The clinician must include temporal arteritis in the differential diagnosis of patients presenting with signs and symptoms of tongue ischemia.

Central giant cell granuloma of the mandible. A case report.

Although a benign lesion, the central giant cell granuloma can be locally aggressive and quite destructive. The case reported here involved a giant cell lesion occurring in the mandibular symphysis of an 11-year-old girl. The treatment required four hospital admissions over a period of 4 years. The surgical intervention was complicated by a localized infection requiring closed reduction and bone grafting. The patient was followed over a period of 8 years, during which there was no recurrence of tumor or infection subsequent to the last surgical procedure.

Possible relationship of primary hyperparathyroidism and fibrous dysplasia: report of case.

This report has considered the possibility that the described patient had a maxillary and possibly a mandibular fibrous dysplasia concomitant with a parathyroid abnormality. It has attempted to arouse the diagnostician's suspicion of possible interrelations of fibrous dysplasia and endocrine abnormalities, and to strengthen the hypothesis of others that association of fibrous dysplasia and hyperparathyroidism is not coincidental. Clinical, radiographic, and laboratory examinations more than a year postoperatively further substantiate our hypothesis that the patient had a facial fibrous dysplasia concomitant with primary hyperparathyroidism. The maxilla and mandible continued to enlarge clinically. Systemic manifestations of hyperparathyroidism had resolved. Calcium phosphorus, and parathyroid hormone levels returned to normal limits. Radiographically, there had been remodeling and recalcification of all involved bones except the maxilla and mandible which continued to expand. A possible explanation is that the maxillofacial lesions represent the polyostotic fibrous dysplasia component of the Albright syndrome. The endocrine abnormality could be manifested by the hyperparathyroidism. The third component of Albright syndrome, café au lait lesions, has not been identified. The potential interrelation of fibrous dysplasia with endocrine abnormalities is obviously important from a diagnostic and therapeutic standpoint. If there is more than a coincidental relationship-hereditary, hormonal, neurological, developmental, or any as-yet-unknown factor-only further research and studies will confirm or disprove it.

Plasmacytoma of the maxilla: report of case.

A case report of plasma cell tumor of the maxilla has been reported. In addition, the characteristics of both the solitary lesion and multiple myeloma are presented to compare and contrast the two lesions. We realize that the follow-up period to date has not been sufficient to justify the final diagnosis of solitary plasma cell tumor, even though laboratory data thus far have not indicated dissemination. The patient's condition may or may not progress into the disseminated stage, but this will be determined by time.

Parotid sialocele and fistula after mandibular osteotomy.

Two cases are presented that show the progression to sialocele or salivary fistula, or both, after a modified Risdon approach is used for mandibular subcondylar osteotomy. Use of antisialogogues and conservative management is recommended.

Anatomic considerations in infections of the face and neck: review of the literature.

An attempt was made to summarize the literature concerning the potential spaces between fascial layers in the face and neck and to correlate the variations in terminology used by different authors. It soon became evident in a search of the literature that far too many names are given to the same anatomical space and that there is a wealth of written material for study. As a result, the descriptions given here deal with the terminology that was most frequently encountered (Table). As anatomical relations form the basis of diagnosis and therapy, a thorough knowledge of the nature of infective processes in the facial and cervical regions is essential. The various fascial spaces are described and some general aspects of diagnosis are considered.

Oronasal fistula following anterior maxillary osteotomy.

A complication of oronasal fistula secondary to anterior maxillary osteotomy occurred; it was successfully treated after two attempts at closure.