Eagle's syndrome: lesser cornu amputation: an alternative surgical solution?

A case is reported of a 42-year-old female patient, who presented with clinical symptoms of Eagle's syndrome, radiographic evidence of marginally elongated styloid processes as well as markedly elongated lesser cornua of the hyoid. The symptoms were successfully treated by amputating the lesser cornua of the hyoid. The patient has now been asymptomatic for more than 6 years.

Randomized double-blind comparison of tiaprofenic acid and diclophenac sodium after third molar surgery.

OBJECTIVE: This study compares the effectiveness of tiaprofenic acid with diclophenac sodium over a 7-day period with respect to pain, facial swelling, and trismus. STUDY DESIGN: Sixty patients who required general anesthesia for removal of bilateral impacted third molar teeth were included. Intraoperatively, they received intramuscular injections of either tiaprofenic acid or diclophenac sodium followed respectively by tiaprofenic acid tablets for 5 days and placebo for an additional 2 days or diclophenac sodium tablets for the full 7 days. Surgical and anesthetic techniques were standardized. Pain levels were compared hourly for 4 hours postoperatively and thereafter twice daily for 7 days. Changes in facial swelling and trismus were compared on days 2 and 7 postoperatively. RESULTS: No statistically significant difference was found between the two treatment groups with respect to pain or facial swelling. Only with respect to recovery in mouth-opening ability (trismus) from day 2 to day 7 did diclophenac sodium reveal a statistically significant advantage (p = 0.0452).

Treatment of large oro-nasal fistulae using a triple-layer technique: 38 cases.

A one stage, triple-layer technique for the closure of large oro-nasal defects is described. This technique has been used successfully in 37 out of 38 cases.

A rapidly fatal palatal ulcer: rhinocerebral mucormycosis.

A case of a patient with a palatal ulcer who was in a diabetic ketoacidotic coma is described. This ulcer proved to be the presenting sign of rhinocerebral mucormycosis. The patient had hemifacial swelling, ocular signs, and gross tissue destruction and died less than 4 weeks after she was first seen.

Ameloblastic odontosarcoma with epithelial atypia: a case report.

A case report of an ameloblastic odontosarcoma in which the epithelial component showed a dysplastic change is presented. The epithelium contained pleomorphic cells and numerous mitotic figures.

A comparison of labetalol, acebutolol, and lidocaine for controlling the cardiovascular responses to endotracheal intubation for oral surgical procedures.

Arterial blood pressure and pulse rate changes following tracheal intubation were studied in 80 patients undergoing oral surgical procedures who received an etomidate/suxamethonium anesthetic induction sequence. Three treatment groups and a control group were used. Intravenous labetalol (1 mg/kg), acebutolol (0.25 mg/kg), lidocaine (2 mg/kg), and saline (1 ml), injected prior to anesthesia, were compared with respect to their effect on the hemodynamic consequences of direct laryngoscopy followed by the passage of an endotracheal tube. A pre-induction dose of labetalol was found to be more effective than acebutolol and lidocaine in attenuating the pressor response to instrumentation and intubation. Labetalol should prove most useful for those patients at risk from the transient hypertension and tachycardia following instrumentation and intubation.

Calcifying odontogenic cyst with ameloblastic fibro-odontome: one lesion or two?

The calcifying odontogenic cyst is unusual in that it is frequently found in conjunction with the histologic features of a variety of other odontogenic conditions. Two cases are reported, one of which contained areas histologically similar to the ameloblastic fibro-odontome and also showed condensations of cells in the stroma beneath epithelial strands proliferating from the cyst lining. In both cases the "ghost cells" stained strongly for disulphide groups but only occasional areas were positive for sulphydryl groups. No amyloid or "amyloid-like" material was detected. As no part of the current name is specific to this lesion it is suggested that the nomenclature should be changed--perhaps to "ghost cell dyst".

Variations in the normal anatomy of the inferior dental (mandibular) canal: a retrospective study of panoramic radiographs from 3612 routine dental patients.

A review of 3612 panoramic radiographys from routine dental patients indicates that the mandibular canals are usually, but not invariably, single and bilaterally symmetrical. The position of the canal varies with respect to the lower border of the mandible and the apices of the roots of the teeth and this excludes its use as a set reference point for prosthetic or orthodontic assessment. Three distinct varieties of supplemental mandibular canals, large enough to be seen on panoramic radiographs, are described.

Pathological conditions of the mandible: their effect on the radiographic appearance of the inferior dental (mandibular) canal.

Whilst the special anatomical features of the mandible may make radiographic comparison of jaw lesions with similar conditions in other bones more difficult, the changes that occur in respect to the mandibular canal and the teeth may in themselves aid diagnosis. Benign cysts and neoplasms generally cause a displacement of the mandibular canal, but its cortical plate remains intact, Severe infections and malignant tumours result in an irregular erosion of bone and loss of the sclerotic outlines of the canal.

Chondromyxoid fibroma of the mandible.

A new case of chondromyxoid fibroma of the jaw arising in a 16-year-old white girl is presented. It is possible that unrepresentative biopsy specimens of this condition could be misdiagnosed as myxofibroma, chondrosarcoma, or mesenchymal chondrosarcoma.

Chondrosarcoma of the mandibular condyle. Report of a case with special reference to radiographic features.

A case of chondrosarcoma of the mandibular condyle is described. With carefully taken tomographs, a diagnosis of chondrosarcoma of the mandibular condyle can be made with some degree of certainty, on radiological evidence alone. Chondrosarcomata of the mandibular condyle may manifest with the typical symptoms of the temporomandibular joint dysfunction syndrome. Tumours of the condyle can reach a large size without producing clinically obvious swellings. The literature pertaining to chondrosarcoma of the mandibular condyle is reviewed.