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Evaluating of the Mental Foramen Region Based on CBCT
Cao Kun,
Li Jiafeng,
Bao Qiang,
Lv Zhongjing,
Lu Qiuning
Issue:
Volume 5, Issue 1, June 2019
Pages:
1-4
Received:
20 December 2018
Accepted:
11 January 2019
Published:
19 February 2019
Abstract: Objective: The aim of this study was to measure and evaluate the bone anatomy morphology in mental foramen area using cone-beam computed tomography (CBCT). Methods: CBCT images of 100 patients were retrospective studied and measured. The anatomy morphology and adjacency of mental foramen, mental canal and mandibular canal were observed and measured. All the dates were analyzed by statistical package of SPSS17.0 software. Results: The anterior terminal part of the mandibular canal divided into mental canal and incisor nerve canal, 87.5% mental canal bended backward, upward and outward then opened to the mental foramen. The average distance from the superior border of mental foramen to the alveolar crest was (12.9±1.28) mm, and from the anterior border of mental foramen to the anterior end of mandibular canal was (3.6±1.14) mm, and from the inferior border of mental foramen to the superior border of mandibular canal was (3.9±0.97) mm, and from the superior border of mental foramen to the superior border of mental canal was (1.4±0.42) mm. Conclusions: CBCT can reflect the bone anatomy morphology of mandible accurately, and the safe distance from the tip of implant to the mental foramen should be re-evaluated.
Abstract: Objective: The aim of this study was to measure and evaluate the bone anatomy morphology in mental foramen area using cone-beam computed tomography (CBCT). Methods: CBCT images of 100 patients were retrospective studied and measured. The anatomy morphology and adjacency of mental foramen, mental canal and mandibular canal were observed and measured...
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Ludwig Angina in Pregnancy: Treatment Outcome in 12 Patients and Review of Literature
Ibraïma Traoré,
Rasmané Béogo,
Toua Antoine Coulibaly,
Der Adolphe Some,
Alain Ibrahim Traore,
Gandaaza Euthyme Armel Poda
Issue:
Volume 5, Issue 1, June 2019
Pages:
5-9
Received:
6 November 2018
Accepted:
25 January 2019
Published:
11 March 2019
Abstract: Ludwig angina is a rare but severe life-threatening cellulitis, classically of odontogenic origin, characterized by an extensive and a rapidly progressive inflammation of subcutaneous tissue of the face and severe systemic toxicity. Its prognosis is potentially worse in pregnancy given the higher vulnerability of both mother and fetus to infection and to the consequences of therapies. Early diagnosis and timely treatment are of paramount importance in the prognosis of this condition but could be however challenging as it is infrequently observed in current daily practice. Moreover, literature dealing with Ludwig’s angina in pregnancy is scarce, consisting mostly in isolated case reports from developed countries. The aim of this article was to improve awareness on Ludwig angina in pregnancy through a report of experience in 12 patients and a literature review on the diagnosis and treatment of this clinical entity. To this end, medical records of 12 patients with Ludwig angina in pregnancy were analysed retrospectively and the diagnosis and treatment approaches discussed through a literature review. Age of pregnancy ranged from 27 to 37 weeks. In all the patients, the cellulitis origin was a carious molar of the mandible. The infection spread extended to the neck (4 patients), the thorax (3 patients) and the temporal fossa (2 patients). One patient presented with necrotizing fasciitis extending from the submandibular and submental regions to the thorax. Bacteriological examination of pus which was possible and successful in 4 patients only, showed staphylococcus aureus (2 patients) staphylococcus SP (1 patient) and staphylococcus epidermidis (1 patient). Death occurred in 2 mothers and in 7 fetus giving mortality rates of 16.7% and 58.3% respectively. Direct causes of death in mothers were sepsis shock and air way compromise. In 6 out of the 7 mothers who had dead fetus, the infection extended beyond the mouth floor. Oral health care providers should be aware for proper treatment of dental infections. They should also be alert for early recognition and multidisciplinary treatment of Ludwig angina in pregnancy in collaboration with obstetricians, specialists of intensive care and infectious diseases.
Abstract: Ludwig angina is a rare but severe life-threatening cellulitis, classically of odontogenic origin, characterized by an extensive and a rapidly progressive inflammation of subcutaneous tissue of the face and severe systemic toxicity. Its prognosis is potentially worse in pregnancy given the higher vulnerability of both mother and fetus to infection ...
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Fibrolipoma of the Floor of the Mouth and Submandibular Space: A Rare Clinical Entity
Aliyu Daniel,
Sahabi Saddiku Malam,
Zubairu Musa Yauri,
Adeyeye Foluso Mercy
Issue:
Volume 5, Issue 1, June 2019
Pages:
10-13
Received:
26 June 2018
Accepted:
14 March 2019
Published:
8 April 2019
Abstract: Lipoma is a benign soft tissue tumour of mature adepose tissue and are observed as slow growing, painless, and asymptomatic masses. Occurrance in the submandibular space is relatively rare. We report a case of an unusually huge and plunging fibrolipoma of the floor of the mouth and submandibular space. We report a 52 years old housewife with complaint of progressive painless swelling of the floor of the mouth and submandibular space with interference to speech and mastication for 3years. Clinical examination revealed an 8cm mobile lobulated mass in the floor of the mouth and plunging into the left submandibular space with no ulceration or signs of inflammation on the overlaying mucosa. A needle aspirate of the mass yielded no fluid. Ultrasonography revealed a lobulated extra-oral mass. The lesion was subsequently excised under general anesthesia and histopathological analysis of the tissue showed lobules of mature adipocytes admixed with fibrous tissues, which confirmed the diagnosis. Fibrolipoma of the floor of the mouth and submandibular space is an uncommon tumour with good prognosis. Complete surgical excision is the treatment of choice. Histopathological examination of the tissue must be performed to confirm diagnosis.
Abstract: Lipoma is a benign soft tissue tumour of mature adepose tissue and are observed as slow growing, painless, and asymptomatic masses. Occurrance in the submandibular space is relatively rare. We report a case of an unusually huge and plunging fibrolipoma of the floor of the mouth and submandibular space. We report a 52 years old housewife with compla...
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Diagnostic and Therapeutic Pieges Before Clinicoradiological Elements Eviding a Mandibular Ameloblastoma
Mabika Bredel Djeri Djor,
N’Guessan N’dia Dominique,
Opango Christian,
Kharbouch Jinane,
Benzenzoum Zahira,
El Bouihi Mohamed,
Mansouri Nadia Hattab
Issue:
Volume 5, Issue 1, June 2019
Pages:
14-17
Received:
10 March 2019
Accepted:
15 April 2019
Published:
20 May 2019
Abstract: The management of mandibular ameloblastoma is currently radical by many teams, to reduce the risk of recurrence. And this consists of interrupted mandibulectomy often in the course of a diagnosis based on radiological, clinical and epidemiological elements without prior histopathological certainty. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe the case a patient of ages 29 years, received for mandibular swelling evolving for 3 years with slowly increasing volume. The clinical and radiological signs simulating ameloblastoma. In place of an interrupted subtotal mandibulectomy that was usually planned, a simple biopsy was performed and the results favored an epidermoid cyst rather than an ameloblastoma. The indication of an enucleation with curettage supported was carried out in place of an interrupted mandibulectomy usually performed before this radio-clinical chart. The biopsy prior to any radical surgery for suspicion of ameloblastoma has two notorious advantages: the diagnostic confirmation and the typology of the ameloblastoma therefore the precision of its high invasiveness or not.
Abstract: The management of mandibular ameloblastoma is currently radical by many teams, to reduce the risk of recurrence. And this consists of interrupted mandibulectomy often in the course of a diagnosis based on radiological, clinical and epidemiological elements without prior histopathological certainty. The document provides a descriptive and cross sect...
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Management of a Giant Sublingual Dermoid: A Case Report
Eapen Thomas,
Ravi Rajan,
Akhilesh Prathap,
Vinesh Udayakumar,
Nithin Pratap
Issue:
Volume 5, Issue 1, June 2019
Pages:
18-21
Received:
14 January 2019
Accepted:
6 May 2019
Published:
4 June 2019
Abstract: Dermoidcyst are usually seen as a slow growing benign painless mass. The treatment of choice for dermoid cysts is surgical enucleation. The most common location in the head and neck region is the external third of the eyebrow. Sublingual location is very rare. They are benign lesions arising from entrapment of epithelial rests during embryogenesis. Due to its malignant potential, understanding about this lesion is very essential. With the help of radiological investigation like MRI the precise location, extension and relationship of the cyst with the surrounding structures can be identified. Here we represent a case of sublingual swelling in a twenty year old female patient who was treated by surgically excision under general anesthesia. To conclude with proper radiological investigation dermoid cyst in the floor of the mouth can be managed by surgical excision.
Abstract: Dermoidcyst are usually seen as a slow growing benign painless mass. The treatment of choice for dermoid cysts is surgical enucleation. The most common location in the head and neck region is the external third of the eyebrow. Sublingual location is very rare. They are benign lesions arising from entrapment of epithelial rests during embryogenesis....
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Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus
Mabika Bredel Djeri Djor,
Ngoua Lysette,
Aziz Zakaria,
Garango Allaye,
El Bouihi Mohamed,
Mansouri Nadia Hattab
Issue:
Volume 5, Issue 1, June 2019
Pages:
22-28
Received:
5 February 2019
Accepted:
17 May 2019
Published:
20 June 2019
Abstract: Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions. They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.
Abstract: Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions. They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducte...
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Mapping of Maxillofacial Trauma in the Region of Marrakech Tensift al Haouz (MTH)
Mabika Bredel Djeri Djor,
Aziz Zakaria,
El Hadek Reda,
Sebti Mohammed,
Mansouri Nadia Hattab
Issue:
Volume 5, Issue 1, June 2019
Pages:
29-36
Received:
17 May 2019
Accepted:
26 June 2019
Published:
16 July 2019
Abstract: The control of Maxillo-facial traumas in the region of MARRAKECH TENSIFT AL HAOUZ can be done by putting the mapping of these traumas in perspective, thus allowing a concise and effective representation of the traumatisms on a geographical space by the determination of the social profile of the victim of the maxillofacial trauma and to determine the main places of occurrence of these traumas and their characteristics in order to help the rapid and relevant understanding of the problem. A prospective study data collection, conducted from January to June 2015, described the epidemiological, geographical and socio-economic parameters of 418 patients that were admitted for maxillofacial trauma. The victims were predominantly male (77.27%), 37.79% were unemployed. The main mechanism of trauma was road accident (44.7%). The geographical distribution of the traumatized victims was majority of the patients coming from the surroundings of the city of Marrakech (rural area). For origins of patients, the first position was the surroundings of Marrakech or the district of the Medina, which are plagued by poverty and unemployment.
Abstract: The control of Maxillo-facial traumas in the region of MARRAKECH TENSIFT AL HAOUZ can be done by putting the mapping of these traumas in perspective, thus allowing a concise and effective representation of the traumatisms on a geographical space by the determination of the social profile of the victim of the maxillofacial trauma and to determine th...
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