Leiomyoma is a type of benign smooth muscle neoplasm that is a common neoplasm of the uterus and gastrointestinal tract but rarely affects the head and neck region and is especially unlikely to affect the oral cavity. The diagnosis of leiomyoma is mainly determined by histopathological studies due to variation in its clinical appearance and symptoms. In the present paper we report two rare cases of gingival angioleiomyoma in the posterior maxilla and mandible. After total excision, hematoxylin-eosin and smooth muscle actin staining confirmed the diagnosis of angioleimyoma.
In this study, we present the surgical treatment of obstructive sleep apnea in a child with Treacher Collins syndrome. A 10-year-old girl with a past history of Treacher Collins syndrome presented to our clinic with her parents for respiratory distress and insomnia. The patient was referred to a sleep laboratory where she was diagnosed with obstructive sleep apnea, which was a consequence of her Treacher Collins syndrome. The patient underwent mandibular distraction osteogenesis under general anesthesia. The mandible was expanded by 15 mm using internal bilateral distractors. After distraction osteogenesis, the patient’s respiratory problems resolved, and she was able to sleep comfortably. Distraction osteogenesis was an effective method of advancing the mandible, increasing the upper airway space and ultimately preventing obstructive sleep apnea syndrome in patients with Treacher Collins syndrome.
Fibrous dysplasia in the maxilla: Report of two cases Fibrous dysplasia is a developmental, slow growing, benign fibrous-osseous lesion of the bone and is generally seen in children and adolescents. Fibrous dysplasia has two clinical forms; monostotic and polyostotic. Increases in bone formation within the lesion create a radiographic appearance that is referred to as 'ground glass' or 'orange peel'. In this report, two fibrous dysplasia, whose diagnosis are made with clinical, histopathological and radiographic information, are presented.A 19-year-old male patient reported to our department with a chief complaint of swelling in the upper right region since 3 months. The swelling was asymptomatic. Oral examination revealed the presence an expansion in the vestibule of the alveolar ridge of upper jaw. Under local anesthesia the lesion's size was reduced with the contour correction for functional and esthetic problems.56-year-old female patient admitted our clinic with a swelling in right maxilla. Intraoral examination revealed vestibular and palatal bone expansion in the right maxilla. The histological findings led to the definite diagnosis fibrous dysplasia. The large and asymptomatic lesion is being followed-up with monthly visits.Fibrous displasia in jaws is rare and can be difficult to differentiate from other benign and malignant bone disorders. Malignant transformation is extremely rare and appears almost exclusively in polyostotic cases. Therefore the following period is important.
Aim:The most common odontogenic cysts of the jaws are the radicular cyst and dentigerous cyst. The treatment of cystic lesions depends on cyst's location, size and the proximity to the anatomical structure such as maxillary sinus, mandibular canal, nasal cavity. The aim of this study was to analyze clinic and radiologic features of jaw cysts that treated with marsupialization. Material and Method:In this retrospective study, cysts in large size that were located in the maxilla and mandible were decided to treat with marsupialization in order to avoid damage to adjacent anatomical structures. Patients were followed with routine clinical and radiological examinations. Patient data and clinical-radiological features of odontogenic cysts were analyzed.Results: 11 patients (5 females and 6 males) were included in the study. 7 of lesions in this patients were radicular cyst (63.4%) and 4 of them were dentigerous cyst (36.6%). Mandible was found to be the most affected jaw. The follow-up period varied between 8-40 months. Conclusion:Marsupialization is an effective treatment method in the treatment of cysts in large sizes with a low complication rate.
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