Desmoplastic fibromas are locally invasive, benign neoplasms of bone or connective tissue. They rarely metastasize, and they occur primarily in children. These lesions can involve various sites to include the deep tissues of the arm, leg, shoulder, abdominal, and pelvic organs, mediastinum or mesentary. 1 Rarely do they arise from the maxillary sinus, with fewer then 40 cases reported in the literature. We present a rare case of a desmoplastic fibroma arising from the maxillary sinus, and discuss its pathophysiology and treatment.
We conducted a placebo-controlled, single-blind study to determine the efficacy ofa local preoperative injection of a steroid/anesthetic combination in preventing posttonsillectomy pain. We randomi zed 21 adults to receive either triamcinolonelbupivacaine on the left side and saline on the right or vice versa. Injections were administered in the area ofthe tonsillar pillars following intubation and prior to tonsillectomy. Based on the "generalized estimating equations" model of statistical analysis, we found no significant differen ce in the degree ofpostoperative pain between the active-treatment and control sides.
Scientific Posters P251 apoplexy. Prompt surgical treatment for visual deterioration and ophthalmoplegia should be performed with the neurosurgical team.
diagnosis and management of this rare disorder, and reviews the literature. Methods: A case report and literature review. Results: A 5-year-old girl presented with a 4-day history of fever, facial swelling, neck stiffness, and right-sided otalgia, which was not associated with trauma or any systemic disorders. On physical examination, the patient had significant right-sided facial swelling, trismus, malocclusion, and cervical adenopathy. ACT scan revealed an abscess of the right TMJ. Staphylococcal and streptococcal species were cultured from a needle aspirate of the abscess. Incision and drainage of the abscess was subsequently performed, and the patient recovered well. The etiology of the temporomandibular septic arthritis was not known. Conclusion: Septic arthritis of the TMJ is a rare disorder. Twenty-five cases have been reported, with only 4 cases occurring in children. This condition may be associated with occult head and neck infections, sexually transmitted diseases, systemic or autoimmune disorders, and trauma. A thorough history and physical examination, serologic evaluation, radiographic studies, and prompt surgical treatment are essential in patient management.
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