Primary tuberculous osteomyelitis of the mandible mimicking a parotid fistula

Upadhyay, Smita; Sharma, Arpit; Tuljapurkar, Vidisha; Dabholkar, Jyoti

doi:10.1590/s1808-86942011000300023

Cited by 4 publications

(7 citation statements)

References 4 publications

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“…Primary orofacial tuberculosis represents 0.1% to 5% of all tuberculosis infections; primary tuberculosis of the mandible is an extremely rare entity which represents less than 2% of all skeletal localizations. [1] , [2] , [3] …”

Section: Discussionmentioning

confidence: 99%

“…Primary tuberculosis of the oral cavity is very rare .The mandibular localization of tuberculosis is rare and represents less than 2% of the skeletal locations [1] , [2] , [3] . The lesions of primary orofacial tuberculosis could be the only presentation of the disease; however the orofacial presentation is usually associated with systemic manifestations of tuberculosis [4] .…”

Section: Introductionmentioning

confidence: 99%

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Mandibular tuberculosis fortuitously discovered after surgical resection of an ameloblastoma: A case report

Elzouiti

Elayoubi

Tsen

2021

International Journal of Surgery Case Reports

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Introduction Mandibular localization of tuberculosis is rare and represents less than 2% of skeletal locations. Its clinical and radiological features are not specific. In this paper, we report a case of fortuitous discovery of mandibular tuberculosis after a histopathological analysis of the surgical resected specimen during surgical management of an ameloblastoma. Presentation of case A 50-year-old female patient was admitted to our department with a 2 years history of left cheek swelling, the clinical examination revealed a left cheek swelling, extending from the mandibular angle to below of temporomandibular joint, measuring approximately 5 cm in diameter. The swelling was firm to hard in consistency, and cervical lymphadenopathy of submandibular region was noticed. Computed tomography (CT) scan revealed a large multiloculated osteolytic expansive lesion measuring 56 ∗ 48 ∗ 53 mm. An interrupting hemimandibulectomy, was performed from the left parasymphys opposite to 33 tooth, extending to the left temporomandibular joint. The histopathological findings confirmed the diagnosis of ameloblastoma, with negative free margin. A mandibular and lymph node tuberculosis were associated with giant cells and caseating necrosis. The patient was successfully treated with a standard anti-tuberculosis therapy. Discussion Ameloblastoma is a benign odontogenic tumor, 80% of these tumors are found in the mandible. Primary mandibular tuberculosis is an extremely rare entity. Its clinical presentation is not specific. Radiologically, tuberculosis has no characteristic appearance. However, it is possible to evoke it in case of a lytic image of the mandible. The positive diagnosis is based on histology. The treatment is medical, but surgery is necessary for some cases. Conclusion The association between ameloblastoma and mandibular tuberculosis represents an extremely rare entity. Mandibular tuberculosis is rare and should be considered as a possible diagnosis in pandemic areas.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mandibular tuberculosis fortuitously discovered after surgical resection of an ameloblastoma: A case report

Elzouiti

Elayoubi

Tsen

2021

International Journal of Surgery Case Reports

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“…[14] Primary tuberculosis of the mandible is an uncommon entity which represents less than 2% of all skeletal tuberculosis. [1][2][3] As the mandible contains less cancellous bone, the chances of involvement of the mandible are very less in comparison to maxilla, except that the alveolar and angle regions have greater affinity. [15] In orofacial region, the mandible is affected more often than the maxilla and the angle and alveolus of the mandible are commonly affected areas [7].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Primary tuberculosis (TB) of the mandible is rare. It represents fewer than 2% of the skeletal locations [1][2][3]. Tuberculosis of the mandible usually presents as a part of multifocal lesions in the body, involving other bones and lungs.…”

Section: Introductionmentioning

confidence: 99%

Primary Mandibular Tuberculous Osteomyelitis Mimicking Ameloblastoma: A Case Report and Literature Review of Mandibular Tuberculous Osteomyelitis

Chalwade,

Khosa,

Ballary

et al. 2023

Arch Plast Surg

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Primary Tuberculous osteomyelitis involving the mandible represents less than 2% of skeletal locations. In this paper, we report a case of mandibular tuberculosis detected after histopathological analysis of the surgically resected specimen during surgical management of a suspected case of ameloblastoma. A 14 -year-old male patient presented to us with history of right sided chin swelling. The clinical examination revealed a swelling, involving right body and parasymphysis of mandible, measuring approximately 6cm in length and 2cm in width, extending from right lateral incisor till the first molar. Radiological scans revealed a large multiloculated osteolytic expansive lesion measuring 52 x 20 x18 mm. Excision of the lesion was performed and reconstruction was done with iliac bone grafting. The histopathological findings revealed a granulomatous lesion, suggestive of tuberculous osteomyelitis. The patient was successfully treated with standard multidrug therapy. One year after completion of therapy, there were no signs of recurrence. Primary mandibular tuberculosis is an extremely rare entity. Its clinical presentation is not specific. Radiologically, tuberculosis has no characteristic appearance. The positive diagnosis is based on histology. Primary mandibular tuberculosis is rare and should be kept amongst differential diagnoses in susceptible population and in endemic areas.

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“…These developed nations recorded an actual decrease in TB for several decades, but the extrapulmonary form increased especially in AIDS disease [6,[8][9][10]. Thus, oral TB can occur without systemic manifestations (latent TB) [11]. Bony tuberculous lesions occur rarely in the form of chronic osteomyelitis.…”

Section: Introductionmentioning

confidence: 99%