Cutis verticis gyrata (CVG) is a benign proliferation and hypertrophy involving the scalp which exhibits furrows resembling the cerebral cortex convolutions. The diagnosis of CVG is based on clinical findings. Complementary investigations are recommended to rule out local or systemic underlying disorders.Idiopathic or essential primary CVG refers to cases without obvious origin and with no other associated abnormalities. These forms affect mainly men. Herein, the authors present a new observation of an idiopathic CVG in a female, which seems to be extremely rare.
Introduction. The aim of this study was to assess the complications resulting from third molar extraction under general anesthesia. Material and Methods. The retrospective study included all patients who underwent impacted third molars extraction from January 2008 until December 2011. 7659 third molars were extracted for 2112 patients. Postoperative complications were retrieved from medical files. Results. No complications were related to general anesthesia. The most frequent postoperative complication was infection (7.15%). Lingual nerve injuries affected 1.8% of the patients. All of them were transient and were not related to tooth section. Inferior alveolar nerve injuries were reported in 0.4% of the cases. 95.8% of these patients were admitted for one-day ambulatory care, and only two patients were readmitted after discharge from hospital. Discussion. This surgical technique offers comfort for both surgeons and patients. Risks are only linked to the surgical procedure as we observed no complication resulting from general anesthesia. One-day hospitalization offers a good balance between comfort, security, and cost. The incidence of complications is in agreement with the literature data, especially regarding pain, edema, and infectious and nervous complications. It is of utmost importance to discuss indications with patients, and to provide them with clear information.
SummarySevere hyperparathyroidism can affect bone metabolism and be in the origine of multiple brown tumours (generalized osteitis fibrosa cystica). When associated with fibro-ossifying tumours of the jaw, it realizes a rare genetic syndrome referred as Hyperparathyroidism-jaw tumour HPT-JT. We report the case of a patient we treated for HPT-JT, and literature review.
This paper focuses on the case of intrabony mandibular schwannoma in a 39 yrs healthy male who was addressed by his dentist for an asymptomatic radiolucency of the left mandibular corpus. Computed Tomography Dentascan showed a soft tumour continuous to the path of the inferior alveolar nerve. Confirmation was made after surgical excision and careful histological examination. Radiolucent images of the mandible are frequently met by dentists and oro-facial surgeons, and suggest first odontogenic cysts because of their high frequency. But even if sheath nerve tumours are very rare, this case report reminds the necessity to keep them in mind.
Key Clinical MessageEven if gossypibomas are extremely rare in the Oro‐Maxillofacial region, they should be evoked in bizarre tumors when repeated histology tests are not contributive, especially in patients with a history of dento‐sinusal surgery. As it is recommended in general surgery, gauzes should be carefully counted when used in dentistry.
Aim:We report a rare case of congenital muscular torticollis in an adult and review most of the different treatment approaches reported by authors. Presentation of Case: A 25 year old woman who underwent an unsuccessful surgery for her congenital torticollis in the childhood, presented to our department for the same problem. We performed a unipolar release of the sternocleidomastoid muscle with a large dissection and a resection of a fibrous part of the clavicular head followed by a muscular rehabilitation. Result was satisfactory with an 18 month follow-up. Discussion: Congenital muscular torticollis is rarely seen in adults. There are almost as many treatment protocols for congenital muscular torticollis as authors, with unequal outcomes. Surgical treatments give the best results in adults. We review most of the treatment protocols described in the literature. Case Report Conclusion:As surgeons, we have to deal with every special situation in the aim of respecting the integrity of healthy tissues and providing the best care for good functional and cosmetic outcome.
Mots clés : tumeurs bénignes / cavité buccale / épidémiologieRésumé -Les tumeurs bénignes de la cavité buccale représentent toutes les néoformations histologiquement bénignes ou de bénignité relative se développant à partir des éléments constitutifs de la muqueuse buccale. Ces lésions sont réparties cliniquement selon leur aspect macroscopique, mais leur diagnostic reste histologique et leur classification dépend de la nature des tissus qui les composent. Leurs étiologies sont diverses et dominées par la mauvaise hygiène buccodentaire, la consommation de tabac et par certaines infections virales. Leur fréquence est élevée mais reste difficile à apprécier ; près d'un tiers de la population serait concerné. En dehors d'études ciblant des populations bien spécifiques, peu de publications se sont penchées sur une étude épidémiologique dans la population générale. Ce travail a pour but d'évaluer la fréquence, la nature et les facteurs prédisposants des tumeurs bénignes de la cavité buccale dans une population aléatoire. Key words: benign tumors / oral cavity / epidemiologyAbstract -Benign tumors of the oral cavity: a retrospective series of 209 cases. The benign tumors of the oral cavity represent all the histologicaly benign lesions developping from the oral tissues. These lesions are classified according to their macroscopic aspect, but their diagnosis remains histological and their classification depends on the nature of the tissues which compose them. There are different etiologies, dominated by bad oral hygien, tobacco consumption and some oral viral infections. Their frequence is raised and remains difficult to appreciate thus nearly a third of population would be concerned. Few publications would be leaning on an epidemiological study in general population and it is accordingly that this work is registered with the goal to draw up an inventory of various aspects of oral cavity benign tumors in a random population.Les tumeurs bénignes de la cavité buccale représentent toutes les néoformations bénignes ou de bénignité relative, qui se développent aux dépens des éléments constitutifs de la muqueuse buccale. Ces lésions sont réparties cliniquement selon leur aspect macroscopique, mais leur diagnostic reste histologique et leur classification dépend de la nature des tissus qui les composent [1]. Leurs étiopathologies sont multiples : la mauvaise hygiène buccodentaire, le tabac et certaines infections virales, notamment les human papilloma virus (HPV), sont souvent incriminés [2]. La fréquence de ces tumeurs serait élevée mais reste difficile à apprécier. Près d'un tiers de la population serait concernée par des tumeurs buccales, avec une nette prédominance des lésions bénignes [3,4].
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