Bone sequestration from lower 3rd molar region.
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Biomedical subjects
Publications and source records attributed to D R Macintyre.
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Pyogenic granulomas are benign growth occurring in various oral mucosal sites. They are thought to be caused by tissue response to non-specific irritation. Surgical excision and removal of irritants are the usual treatments, and recurrence is rare. The exception is the 'pregnancy epulis', where excision should only be considered if there is incomplete regression following childbirth.
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General anaesthesia is desirable for a wide range of oral and maxillofacial operations and nasal intubation is essential for some procedures, particularly orthognathic surgery. The patient who has undergone pharyngoplasty presents with a reduced velopharyngeal orifice which may interfere with the insertion of the nasal tube. It is suggested that nasal pharyngoscopy or a similar investigation should be included as part of the preoperative assessment for these patients if nasotracheal intubation is anticipated.
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3 cases of primary oral malignant melanoma are described. 2 of these patients died as a result of metastatic disease, one 12 months after the initial diagnosis, the other within 33 months. The 3rd patient, still alive after 27 months, has metastatic melanoma deposits in the liver. The clinical presentation of oral malignant melanoma is discussed and reference is made to treatment and the overall prognosis of the lesion.
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