A clinico-pathologic presentation. Unicystic Ameloblastoma.
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Biomedical subjects
Publications and source records attributed to E Cataldo.
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An investigation was designed to determine the differences in the amount of tissue damage produced by variations in the amount of cutting power delivered to the hamster tongue with electrosurgery. By dividing the power of an electrosurgical instrument into 5 W intervals, from the lowest setting which would produce a cut up to the 50 W setting, histometric comparisons were made in the hamster tongue. Histologic analysis showed the following: 1. The 30 W power interval produced less tissue damage than any other power interval. 2. The 25 and 35 W intervals produced significantly greater damage than the intervals from 40 thorugh 50 W. 3. Histologically the experimental defect showed an area of coagulation necrosis approximately 50 mu wide along the margin of the incision. Tissue damage decreased laterally and inferiorly from the surface of the defect except at the 30 W setting, where the damage in the epithelium and the damage in the connective tissue were essentially equal. 4. There is some validity to the sparking-dragging test for setting the power interval of an electrosurgical instrument. 5. Higher power values which produce excessive sparking should be avoided by the clinician during electrosurgery due to the imprecise nature of the clinical incision.
This investigation was designed to determine the differences in tissue alteration produced by electrosurgical machines with different carrier frequencies and waveforms. Histologic analysis showed that: 1. The machine with full-wave rectification and the lowest frequency of operation (machine I, 1.7 MHz) produced significantly greater tissue alteration in the superficial tissue layers than the full-wave rectification machines with higher frequencies of operation. 2. The continuous-output waveform produced significantly less tissue alteration in the superficial tissue layers than the modulated type at the same frequency of operation. 3. Histologically, the experimental defect showed a band of coagulation necrosis approximately 50 mu wide along the margin of the incision. Tissue destruction decreased laterally and inferiorly from the surface of the defect. 4. The experimental defect was similar in shape to the physical form of the cutting electrode.
A forty-seven year old woman had skin and oral lesions of three year's duration. The skin lesions were clinically and microscopically diagnosed as psoriasis. Oral examination revealed extensive involvement of the entire mucosa with white, elevated, circinate lesions. Biopsies of oral mucosa were interpreted as histologically similar to the characteristic dermal findings in psoriasis. Anesthetic mouth rinses afforded symptomatic relief; however, although there was definite improvement, the oral lesions have persisted.
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A 3-year-old girl had a large, painless, radiolucent lesion that involved the right side of the mandible. The lesion extended from the canine region to the condyle and coronoid process. A microscopic diagnosis of ameloblastoma was made by the hospital pathologist. Because it is unusual to find an ameloblastoma in a 3-year-old child and because the extensive surgical procedure that would be necessary to remove an ameloblastoma of this size, further consultation was required. As a result, the lesion was diagnosed as an ameloblastic fibroma and a more conservative surgical procedure was performed. Sixteen months after surgery, radiographic evidence showed complete resolution of the bony surgical defect, with no evidence of recurrence. This case once again points out the necessity for exact diagnosis of similar histologic lesions that may require a different approach in treatment.
An unusual defect was noted in a 10-year-old girl near the usual site of administration for an inferior nerve block. It was interpreted to be the result of a local anesthetic having been administered 2 months previously.
In an attempt to shorten tumor induction time and alter tumor anaplasticity, ductal metaplasia was induced in the submandibular gland of 30 rats by ligation of the duct and artery followed by the implanation of 4-mg pellets of pure DMBA. Control groups consisted of 19-ligated and 15-DMBA implanted rats. The ligate controls showed degeneration and atrophy of the affected gland and replacement of glandular tissue by scar tissue. The DMBA controls followed the expected pattern, with all rats eventually developing well-differentiated squamous cell carcinoma. The CMBA-ligated rats showed a combination of the two processes, each acting separately from the other. There was no difference either in induction time or tumor anaplasticity between the DMBA control rats and the DMBA-ligated rats. It seems that only factors relating to a change in the immunologic response of the host affect the latent period of tumor induction time in submandibular gland carcinogenesis.
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