Staying on the cutting edge and avoiding the bleeding edge.
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Biomedical subjects
Publications and source records attributed to J Niamtu.
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An extensive case of cherubism in a 17-year-old girl with no apparent familial history is presented. The rationale for treatment is presented and is compared with previous reports that have advocated nontreatment. The clinical and histologic similarities of cherubism to central giant cell granuloma and the giant cell tumor of bone are also discussed.
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Although carotid cavernous fistulas from head trauma are rare, definitive diagnosis is usually not difficult. The presence of a temporal, orbital, or supraorbital bruit on auscultation enables the clinician to exclude most other pathologic conditions that affect the orbital structure. Recent advances in neuroangiography seem to make balloon catheterization the treatment of choice, precluding the necessity to embolize the fistula or ligate the internal carotid artery outside the cavernous sinus. Early recognition and treatment usually results in total resolution, but return of full visual acuity and ocular mobility was delayed approximately four months in our patient.
A case of a transcervical-intraoral penetrating foreign body in a 49-year-old man is presented. This is of interest because of the unusual mechanism of this potentially fatal injury, including the oral cavity, and because of the absence of serious neurologic sequelae.