Benign osteoblastoma of the mandibular ramus: review of the literature and report of a case.
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Biomedical subjects
Publications and source records attributed to A L Nwoku.
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OBJECTIVES: To determine the most common position of the mental foramen in a selected Saudi population and to compare the results with those reported for other populations. METHODS: Four hundred and fourteen panoramic radiographs of a Saudi population from four different dental centres were studied. RESULTS: The commonest position of the mental foramen was in line with the longitudinal axis of the second premolar (45.3%) followed closely by location between the first and second premolars (42.7%). The mental foramen was symmetrical in 80% of patients. CONCLUSION: Clinicians should expect to find the position of the mental foramen to be symmetrical and in line with the second premolar teeth.
A case of jaw deformity in association with right-sided Poland anomaly in an 18-year-old male patient is presented. As there have been no cases previously reported of pectoralis major muscle hypoplasia combined with dentofacial deformity, it is hoped that other reports would emerge to describe a new syndrome.
Surgical gauze left in the operative site after surgery may be responsible for bizarre and varied complications. The patient may remain asymptomatic for months or years or may suffer serious or even life-threatening consequences. Such cases can create a difficult diagnostic image and are seldom reported because of medicolegal implications. Diagnosis may sometimes be confusing and difficult especially when the history is misleading.
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An unusual case of odontogenic carcinoma with dentinoid is presented and discussed. This case is the first reported to show this peculiar histologic picture. The lesion recurred following what was deemed adequate surgical excision from both the clinical and histologic viewpoints. Adequate therapy and follow-up for such lesions is thus stressed.
A rare case of true congenital ankylosis of the mandible to the maxilla, noticed at birth without any associated deformity, is presented. The child was initially kept alive by nasogastric tube feeding and proper oral feeding was established later by bilateral coronoidectomy to release the ankylosis. The pathogenesis of congenital ankylosis is also discussed.
This paper presents a review of Burkitt's lymphoma of the jaws seen at the Lagos University Teaching Hospital. The debate on certain aspects of the disease, particularly the pathogenesis, has also been reviewed, while the experience gained in the management has been included.
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Two cases of unusually rapid and extensive bone regeneration are presented. Heterotopic bone formation in small deposits has often been reported in the literature, but bone regeneration extending over a distance of one half of the mandible in a period of six months is extremely rare. Both patients were young and had had a resection performed for benign lesions which were infected at the time of operation. Preservation of periosteum, coupled with the age of the patients, possible genetic factors and infection may play important roles in rapid bone regeneration.
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Although the probability of ankylosis following injury of the temporomandibular joint is small, patients, especially children with temporomandibular joint ankylosis, are greatly handicapped. Of the 42 cases of ankylosis seen in our clinic, six occurred in the adult, and 36 in children under 14 years of age. Treatment in all cases was surgical, and the results were beneficial, although the greatest difficulty in the treatment had been the early recurrence of ankylosis. Based on our experience, osteoarthrotomy for temporomandibular joint ankylosis in children has been advocated.
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