Temporomandibular joint condylar prosthesis: a ten-year report.
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Biomedical subjects
Publications and source records attributed to R K Akin.
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Destructive facial or oropharyngeal lesions, or both, require aggressive diagnostic inquiry. Early differentiation of clinically similar lesions is vitally important but often difficult. Both cases presented in this report were initially diagnosed as having midline (nonhealing) granuloma. Further diagnostic efforts were required to establish a definitive diagnosis.
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Although biopsy of the parotid gland is occasionally necessary for diagnostic purposes, surgeons hesitate to perform a biopsy because of the possible adverse effects, such as facial scarring or damage to facial nerves. An intraoral technique was used for biopsy of a parotid gland of a young woman. The procedure was successful; a diagnosis was made and there was no facial scarring. The potential hazards must be weighed against the benefits.
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A case report of a patient with amyloidosis presented in which macroglossia and bilateral carpal tunnel syndrome were the initial features and myeloma was the probable underlying cause.
The diagnosis of Sjögren's syndrome, a multi-systemic disease, is often difficult. Sialography is useful; however, biopsy of labial salivary glands is a simple procedure that aids significantly in arriving at a positive diagnosis. Treatment of the disease is usually on the basis of symptoms.
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