A 79-year-old male presented with recurrent maxillary ameloblastoma with intracranial invasion into the left orbit, previously histologically diagnosed as benign ameloblastoma. Skull x-ray films and computed tomography showed the multicystic mass had destroyed the skull base. The tumor was nearly completely removed. However, microscopic examination revealed residual tumor cells around the left optic nerve. Histological examination found no malignant transformation in the tumor specimen. Aggressive complete removal of maxillary ameloblastoma should be attempted even in cases of intracranial invasion.
HighlightsThe occurrence of schwannomas in the soft palate is considered rare.Following surgical resection, a buccinator musculomucosal flap (BMMF) was used for soft palate reconstruction.We report here the clinical progress of, and surgical method for excision of a schwannoma of the soft palate.
Congenital ectopic nails are a rare anomaly, but we observed a case of a 43-year-old woman with ectopic nails at the tips of her bilateral little fingers. On X-ray, the distal phalanx of the each little finger appeared depressed. We surgically removed the ectopic nails. One year and 6 months later, no relapse had occurred. The histopathological examination revealed undifferentiated nail tissue including nail, nail matrix, and nail epithelium.
The results of repairing cleft lip by aesthetic plastic surgery are now excellent. However, the cleft lip-nose deformity is still very difficult to repair with the present techniques. A technique that can repair the cleft lip-nose deformity with good results is presented. The technique is divided into three parts: Part I consists of nasal repair of the primary cleft lip. Part II is nasal reconstruction as a secondary operation with or without lip repair. For example, nasal reconstruction may be secondary to repair of deformities of the sill, rim, limen nasi, septum, or nasal bones. Part III is an aesthetic nasal operation such as rhinoplasty, mentoplasty, or zygomaplasty.
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