Malignant fibrous histiocytoma (MFH) is an aggressive soft tissue sarcoma occurring in the late adulthood. It may rarely arise as a primary neoplasm in bone, but usually in the long bones and accounts for less than 1% of the malignant tumors of bone. Its presentation in the facial bones and skull is extremely rare. Malignant fibrous histiocytoma of bone is a highly malignant tumor that recurs, metastasizes, and commonly results in death despite aggressive surgical therapy. This article documents the clinical, radiographic and pathologic features of malignant fibrous histiocytoma of maxilla in a 45-year-old female patient and discusses the considerations related to the diagnosis.
Maxillofacial trauma refers to any injury to the face or jaw caused by physical force, foreign objects, or burns. For all traumatic events imaging examination is an essential component which is done both pre-operatively and post-operatively. This study was to assess the accuracy of CBCT imaging and the conventional imaging in evaluation of maxillofacial fracture. To assess the maxillofacial fracture using conventional radiography and CBCT. To compare the diagnostic acurracy of cone beam computed tomography (CBCT) with conventional radiography. To validate the best method for assessment of maxillofacial trauma.: Depending on type of fracture conventional imaging and CBCT imaging was done. Following which fracture was assessed using AOCMF classification.The most common fracture was zygomatic complex fracture of about 76.9%. CBCT showed significant P-value in assessment of level-2 fracture evaluation, extension of fracture and in Level-3, number of fragment, angulations, displacement, inferior obital fissure, crown root fracture assessment. The sensitivity and specificity of CBCT was better than conventional imaging. CBCT assess the maxillofacial fracture more precisely than conventional imaging.
Ameloblastoma is a benign odontogenic neoplasm which exhibits a locally aggressive behaviour. It commonly affects the mandible and seen in third to fifth decades of life. In most cases, an ameloblastoma is usually asymptomatic and may be detected during the course of routine radiographic examination. Radiographically, it may have a unilocular or multilocular appearance, which is usually well defined and have corticated margin in the mandible whereas ill-defined in case of maxilla. In this case series, we report 3 cases of ameloblastoma of the mandible.
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