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Biomedical subjects

A B Bataineh

Publications and source records attributed to A B Bataineh.

11 recordsLinked to original sources
PubMed2006

Long-term clinical and radiological outcomes of surgical management of central giant cell granuloma of the maxilla.

The aim of this study was to report the results of long-term clinical and radiological follow up of the surgical management of central giant cell granuloma of the maxilla. A retrospective analysis was conducted on 12 patients--5 male and 7 female whose ages ranged from 9 to 41 years, with central giant cell granuloma of the maxilla treated between 1991 and 2000. The anterior maxilla was involved in five cases, seven cases were in the posterior region, and none crossed the midline. Four patients were asymptomatic and eight patients presented with pain, mobility of teeth, and rapidly enlarging facial swelling. Radiographically, all lesions were radiolucent; 58.3% were unilocular, and the borders were well-defined in 33.3%. Roots were commonly displaced by the lesion, but no root resorption was observed. Cortical perforation was seen clinically and on CT scan in four patients. All cases were treated with thorough curettage until healthy bone was encountered. In cases with cortical perforation the affected buccal and/or palatal mucosa was excised. When the maxillary sinus was affected or the lesion was bulging into the nose, the nasal mucosa was also removed. All patients were reviewed annually for a follow-up period of 2-9 years; the condition recurred in two patients. It is concluded that thorough curettage is a satisfactory method for the treatment of non-aggressive and aggressive central giant cell granuloma of the maxilla, with a low recurrence rate and favorable postoperative outcome.

Adolescent↗
PubMed2001

Sensory nerve impairment following mandibular third molar surgery.

PURPOSE: This prospective study reports the rate and factors influencing sensory impairment of the inferior alveolar and lingual nerves after the removal of impacted mandibular third molars under local anesthesia. PATIENTS AND METHODS: There were 741 patients with 741 mandibular third molars removed under local anesthesia during a 3-year period from 1994 to 1997. Standardized data collection included the patient's name, age and gender, side of operation, angulation of the tooth, lingual flap elevation, use of vertical or horizontal tooth division, the experience of the operator, and the occurrence of lingual and/or inferior alveolar nerve paresthesia. RESULTS: Postoperative lingual nerve paresthesia occurred in 19 patients (2.6%). There was a highly significant increase in the incidence associated with raising of a lingual flap (P <.001). The incidence of inferior alveolar nerve paresthesia was (3.9%). It was highest in the under 20-year-old age group (9.8%), and there was a highly significant relationship to the experience of the operator (P <.001). Statistical analyses revealed that both lingual and inferior alveolar nerve paresthesia were unrelated to the other variables. CONCLUSIONS: The elevation of lingual flaps and the experience of the operator are significant factors contributing to lingual and inferior alveolar nerve paresthesia, respectively.

Adult↗
PubMed2000

Effect of preservation of the inferior and posterior borders on recurrence of ameloblastomas of the mandible.

OBJECTIVE: The purpose of this study was to evaluate the experience and results of using a rational radical conservative approach in the surgical treatment of mandibular ameloblastomas. STUDY DESIGN: A retrospective analysis of every patient with an ameloblastoma of the mandible treated in the Department of Oral Medicine and Oral Surgery at the Jordan University of Science and Technology between 1989 and 1999 was conducted. All were operated on by the author, who used a uniform surgical protocol in every case. All soft tissues in contact or overlying the lesion and a wide margin of cancellous bone related to the tumor were destroyed. The compact bone comprising the lower border of the mandible and the posterior border of the ascending ramus together with the nutrient periosteum attached to them were preserved, thus maintaining the continuity of the mandible and the facial contours. When teeth, soft tissues, or both were involved, they were destroyed. All patients were reviewed annually for a follow-up period of 3 to 10 years (mean, 6.5 years) by the same clinician. RESULTS: All ameloblastomas were located in the mandible; 21 were in the angle/molar region and the ascending ramus, and 2 cases were in the anterior region. There was no clinical or radiographic evidence of recurrence observed during the follow-up period. CONCLUSION: Ameloblastoma has a high rate of local recurrence if it is not adequately removed. The findings of this study to date suggest that the technique of rational radical conservative resection may have a place in the treatment of ameloblastoma of the mandible and is worthy of further trial.

Adolescent↗
PubMed1998

Etiology and incidence of maxillofacial fractures in the north of Jordan.

OBJECTIVE: The objective of this investigation was to determine the causes and incidence of maxillofacial fractures in the country of Jordan. DESIGN: A retrospective review of patient records and radiographs for the 5-year period from 1992 to 1997 was conducted. Data regarding age, gender, cause of fracture, anatomic site, and treatment modalities were reviewed. RESULTS: During the 5-year period, 563 patients with 756 maxillofacial fractures were treated. The age range was 5 to 73 years (mean, 28.8 years). Of the 563 patients, 75.3% were male, with the peak incidence occurring in the age group 20 to 29 years. The bone of fracture was most frequently the mandible (seen in 419 cases, or 74.4% of the total), followed by the maxilla (76 cases; 13.5%), the zygomatic arch (60 cases; 10.7%), and the alveolar process (8 cases; 1.4%). Of the fractures, 55.2% were due to traffic accidents, 19.7% to accidental falls, and 16.9% to assaults. Most patients (82.3%) were treated by closed reduction surgery (45.2% with eyelet wiring; 54.8% with arch bars and intermaxillary fixation). Only 17.7% of patients were treated by open reduction surgery. All maxillary fractures were treated by orbital and circumzygomatic suspension with interdental wiring and intermaxillary fixation. Of the zygomatic complex fractures, 26 cases were treated with Gillies' temporal approach, 20 with percutaneous hook elevation, and 14 with observation alone. CONCLUSION: The findings support the view that both the causes and the incidence of maxillofacial fractures vary from one country to another.

Accidental Falls↗
PubMed1998

Treatment of mandibular odontogenic keratocysts.

OBJECTIVE: The purpose of this study was to report our experience with surgical treatment of 31 mandibular odontogenic keratocysts, with special reference to their recurrence, and to review the literature on this subject. STUDY DESIGN: A retrospective analysis was conducted of all odontogenic cysts treated in the Department of Oral Surgery and Oral Medicine at Jordan University of Science and Technology between 1989 and 1995. Of a total of 227 odontogenic cysts, 31 odontogenic keratocysts were histopathologically diagnosed preoperatively. They were surgically treated through an intraoral approach by resection without continuity defects. The lower border of the mandible and/or the posterior border of the ramus was left intact. In cases where teeth were in continuity with the lesion, they were extracted. In cases where cortical perforation occurred, any associated overlying mucoperiosteum was excised. All patients were reviewed annually for a follow-up period of 2 to 8 years. RESULTS: All odontogenic keratocysts were found in the mandible. Of these, 23 were in the ramus and angular region (74.2%) and 8 were located in the body of the mandible. No recurrences of the operated odontogenic keratocysts were observed during the follow-up period. CONCLUSION: Our findings indicate that removal of odontogenic keratocysts by resection without continuity defects is a satisfactory method of treatment.

Adolescent↗
PubMed1997

Extraoral epidermoid cysts.

Three boys presented with extraoral epidermoid cysts at the ages of 21 months and 10 and 12 years respectively. These were excised satisfactorily. We suggest that submental or extraoral epidermoid cysts constitute a distinct clinical entity, may arise below the mylohyoid muscle and when small are best removed via an extraoral approach.

Child↗
PubMed1997

Aneurysmal bone cysts of the maxilla: a clinicopathologic review.

PURPOSE: This study evaluated the significant differences in clinicopathologic features of aneurysmal bone cyst in the maxilla and mandible. MATERIALS AND METHODS: A search of the literature showed 30 recorded maxillary cases, and these together with one previously unrecorded case formed the basis of the study. RESULTS: There were no differences in the age and sex incidence. Only two patients complained of pain, and no patient complained of tenderness. No patient gave a history of trauma. Swelling was present in virtually every patient. In seven cases, there was tooth mobility or migration of teeth. Two patients complained of paresthesia. Four patients presented with proptosis, two of whom complained of diplopia. The radiographic appearance of the aneurysmal bone cyst is suggestive but not diagnostic. CONCLUSION: Although these differences do not enable the clinician to make a definitive diagnosis before biopsy, they have important implications for management.

Adolescent↗
PubMed1997

Arsenical necrosis of the jaws.

After a brief historical review of the use of arsenic in dental practice two cases of arsenical necrosis of the jaws, affecting the maxilla and mandible respectively, are reported. Both patients were treated conservatively over an extended period with excellent results. It is concluded that there is no justification, whatsoever, for the use of arsenic in modern dental practice and that, although prolonged, conservative treatment of chemical necrosis of the jaws is preferable to more radical treatment.

Adult↗
PubMed1996

Oral infiltrating lipomas.

Infiltrating lipomas are unusual benign tumours of mesodermal origin which infiltrate adjacent skeletal muscle and tend to recur after excision. We report three previously unrecorded cases that developed about the mouth, and describe the clinical characteristics of these lesions, together with those of the seven previously reported cases. We have identified a number of differences from oral lipomas that could be of diagnostic value.

Adolescent↗
PubMed1995

An unusual case of the Melkersson-Rosenthal syndrome. A case report.

A case of Melkersson-Rosenthal syndrome in a woman with a history of trauma and infection is presented. In addition to the classical triad of signs, the patient also exhibited several other features of rare occurrence associated with Melkersson-Rosenthal syndrome. Clinical diagnosis was confirmed by biopsy, which revealed the characteristic features of Melkersson-Rosenthal syndrome.

Adult↗