Giant cell granuloma (GCG) is an uncommon bony lesion in the head and neck region, most commonly affecting the maxilla and mandible and has a female predilection. The clinical behavior of central GCG ranges from a slowly growing asymptomatic swelling to an aggressive lesion. The clinical, radiological, histological features and management of an aggressive GCG of maxilla in an 18-year-old female patient are described and discussed. It is emphasized that surgery is the traditional and still the most accepted treatment for GCG. Le Fort I osteotomy has been advocated as one of the access osteotomy for the surgical management of aggressive and extensive GCG involving the maxilla. The postoperative morbidity and recurrence have been discussed.
The mandible is very important bone of human body but surgical resection of the mandible due to the presence of benign or malignant tumor causes of the mandibular deviation and loss of various functions. The clinician must wait for proper healing of the wound before giving any prosthesis. This case report presents a case of the removable type of guide flange prosthesis for a hemimandibulectomy and hemimaxillectomy patient. This prosthesis helped the patient in preventing deviation and improved mastication and enhanced the overall quality of life of the patient.
Ours is a tertiary care center dealing with a variety of congenital hand anomalies. Recently, a patient with central polydactyly arising mid-palm near the wrist joint and capable of independent movements was encountered. The case and its treatment are described, and polydactyly is discussed.
Objective
The purpose of this study is to evaluate the safety and efficacy of cryoablation for benign breast fibroepithelial lesions (FELs) that otherwise warrant surgical excision, including symptomatic fibroadenomas, growing fibroadenomas, and cellular FELs.
Methods
All patients from 2016–2018 who had ultrasound-guided cryoablation of a symptomatic and/or growing fibroadenoma or cellular fibroepithelial lesion were reviewed. The electronic medical record was reviewed for any procedure-related complications and reduction in mass volume by ultrasound and was recorded to assess for efficacy. Patients were surveyed using a seven-point Likert scale to assess satisfaction with the procedure and a ten-point visual analog pain scale to assess level of discomfort.
Results
Twenty-four women (average age 37.1 years, range 19–57 years) with 26 FELs were treated with no adverse events and 100% technical success. Thirteen cellular FELs and 13 symptomatic and/or growing fibroadenomas were ablated. Twenty-two patients had an average imaging follow-up of 11.7 months (range 5–23 months), and 18 patients completed the follow-up survey. There was 92% (22/24) clinical success, defined as a greater-than-50% reduction in mass volume. Average reduction in mass volume was 86% overall. Eighty-five percent (17/20) would recommend the procedure to others and reported pain during the procedure to be minimal (average 2.4 out of 10) with overall satisfaction rating of 6.2 out of 7. Twelve symptomatic masses demonstrated a significant reduction in pain after cryoablation (P = 0.01).
Conclusion
Cryoablation is a safe and efficacious minimally invasive nonsurgical alternative for the treatment of benign breast FELs.
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