Salivary gland tumors generate considerable interest because of their heterogeneous and variable histology, grade of malignancy, and clinical behavior. Fine needle aspiration cytology (FNAC) is considered the first diagnostic modality for salivary neoplasms due to its ready availability and ease of performance. However it cannot always be relied upon in isolation, and should be used in conjunction with other investigations like incisional biopsy. We present two cases, which highlight the drawbacks of relying on FNAC alone, which resulted in misdiagnosis of adenoid cystic carcinoma as pleomorphic adenoma.
Cemento-ossifying fibroma (COF) is a benign fibro osseous lesion of the jaws which has been described as a demarcated or rarely encapsulated neoplasm consisting of fibrous tissue and varying amounts of mineralized material resembling bone and/or cementum (Dinkar et al. in IJDA 2(4):45-47, 2010). Majority of lesions occur in the mandible and only few cases of COFs of the maxillary sinus and bilateral COFs of the mandible have been reported in literature (Dinkar et al. in IJDA 2(4):45-47, 2010; Tamiolakis et al. in Acta Stomatol Croat 39(3):319-321, 2005; Hamner et al. in Oral Surg Oral Med Oral Pathol 26(4):579-587, 1968; Gunaseelan et al. in Oral Med Oral Pathol Oral Radiol Endod 104:e21-e25, 2007). These lesions have a very low recurrence rate (Ertug et al. in Quintessence Int 35(10):808-810, 2004) and are generally treated by enucleation. In this paper we present a rare case of COF occurring in both the maxilla and mandible of the same patient. Only one such case (Takeda and Fujioka in Int J Oral Maxillofac Surg 16(3):368-371, 1987) has been reported in literature so far.
Alar cinch suture restores the normal alar width by preventing the lateral drift of the naso-labial muscle and thereby reducing the postoperative nasal flare significantly.
Purpose To evaluate the effect of cleft width and the presurgical position of the permanent cuspid, on the success of secondary alveolar bone grafts, using preoperative and post-operative radiographs. Methodology A total of 20 cases treated with secondary alveolar bone grafting for alveolar clefts were included in the study. Pre-surgical maxillary occlusal radiograph was used to determine the cleft width. Canine position was assessed by marking 6 points on a pre-surgical intra oral periapical radiograph. Alveolar bone contour and the success of bone grafts were determined using 11 points marked on post-operative periapical radiographs taken after a minimum follow-up of 6 months. Results Linear regression analysis of pre-operative cleft width and pre-operative position of the permanent cuspid were carried out on the bone graft success which was determined using post-surgical periapical radiographs. P \ 0.05 was set. The results obtained had weak correlations and were statistically not significant. Conclusion We concluded that the success of the alveolar bone graft has minimal or no relation to the pre-operative width of the cleft or the position of the permanent cuspid at the time of grafting.
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