Odontogenic keratocysts is a frequent manifestation of Gorlin-Goltz syndrome and can be its first sign, mainly in young patients.There are two methods for the treatment of KCOT, a conservative and an aggressive. A more careful approach for the syndrome is needed as there is high chance of malignant changes owing to improper management of the syndrome.
The management of face and neck defects has always been a difficult challenge, which tests the maxillofacial surgeons' ability to decide which therapeutic option is suitable for each individual patient, and which tools are to be used to guarantee an optimum management of the patient. We report the case of a patient with recurrent basal cell carcinoma of the chin area. Reconstruction of the large defect after tumor resection was successfully performed by a deltopectoral flap. We believe that this old flap can be a contemporary and effective answer, to difficult question of reconstruction of large defects of face and neck, especially in patients who may be exposed to certain risks relating to long-lasting anesthesia.
Brown tumors are a rare non-neoplastic lesion of late onset, resulting from an abnormality of bone metabolism during hyperparathyroidism. Their localization in the facial skeleton is rare. The positive diagnosis is based on a beam of arguments and conditions the management; the treatment depends on the etiology. We report a unicentric retrospective descriptive study, including 4 patients, carried out in the department of oral and maxillofacial surgery of the Mohammed V armed forces hospital in Rabat, over a 15-year period, from January 2007 to January 2022. According to the inclusion criteria, 04 patients were recruited in our study, all female, aged between 19 and 41 years, with no family history. Mandibular location was found in one patient, maxillary location in two patients, and maxillomandibular location in one patient. Primary hyperparathyroidism on parathyroid adenoma was found in 2 cases, secondary hyperparathyroidism on chronic renal failure in 1 case and tertiary hyperparathyroidism in 1 case. The treatment of the tumor was surgical in 2 cases (one tumor removal and one conservative surgical management) and medical in 2 cases. Two patients beneted from a parathyroidectomy. A complete regression was observed in 75% of cases. This study shows the importance of evoking the diagnosis of a brown tumor in the facial skeleton when a patient presenting hyperparathyroidism with giant cells on histological examination shows the presence of bone call points, even if they are rare and/or late. Management is multidisciplinary. Surgical removal is indicated in case of failure of medical treatment, absence or delay of tumor regression after parathyroidectomy, and will depend on the volume of the localization and the impact of the tumor. It would therefore be judicious, in the case of a giant cell tumor of the facial skeleton, to establish algorithms allowing a rapid and precise diagnosis guaranteeing an adequate management.
Introduction: The Cervicofacial rotation advancement flap (CRAF) is a random-pattern flap that provides an excellent match for cheek reconstruction. In this report, the authors review their experience with this flap and present their advantages in order to expand the awareness and promote the application.Methods: A retrospective analysis of reconstruction of cheek defects using CRAF was performed in 12 patients. Data on patient demographics; diagnosis, defect type, and outcome were collected. Results: These patients included 07 male and 05 female; they ranged in age from 56 to 88 years, with a mean age of 67 years.05 patients used tobacco and one patient had a history of radiation. On histopathological examinations of the specimen, 03patients had squamous cell carcinoma, and 09 patients had basal cell carcinoma. The mean defect size was 40cm² [range 10 to 67cm²]. The mean follow-up was 06 months [0 to 24 months]. One patient was lost to follow-up after suture removal. As complication 01 patient had flap necrosis No facial nerve injury was observed. All patients were pleased with the Cosmetic results outcome. Conclusion: Cervicofacial flap provides a technically simple, reliable, safe, efficient and cosmetic means to reconstruct defects of the cheek.
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