A case of unusual presentation of foreign body in the floor of mouth is reported. The patient presented with a history and clinical findings of sublingual ranula. Marsupialisation and sublingual sialadenectomy was planned. After marsupialisation, a foreign body (spray cover) was found between the lumen of the submandibular duct and the ranula.
occupying all the left mandibular body also extending to the inferior border. A bone biopsy revealed chronic osteomyelitis and a segment mandibulectomy was performed.Osteomyelitis is an inflammatory condition of bone in which the natural course of the disease is greatly influenced by the patient's overall condition. Team hypothesis was that long-term corticosteroid use could have predisposed to osteomyelitis and even worsened leprosy symptoms, as leprosy symptoms are also reported to increase due to a concomitant infection.
Basically the subgingival suture is similar to that of subcutaneous skin suture technique. An absorbable suture was used to make buried stitches in a region of the sub-epithelial connective tissue and simple interrupted or vertical matrix suture was carried out to complete the flap closure. The patients who underwent GBR surgery from June 2007 to June 2015 were reviewed by clinical record. Findings and Conclusion: In total, 403 GBR sites were evaluated. Compared to the previous published literatures, the failure rate of the primary closure for the technique is remarkably lower. Only five out of 30 cases have experienced the failure of the surgery that required additional GBR. Furthermore, the suture technique is not technically difficult. Thus the double layered suture or subgingival suture is can be worthwhile aid for successful GBR.
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