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Biomedical subjects

R W Correll

Publications and source records attributed to R W Correll.

69 records · Page 4Linked to original sources
PubMed1981

Painful, ulcerated lesions of the palate and facial skin.

Herpes zoster is an acute viral infection that principally affects the skin. It occasionally may involve the oral region with patients sometimes initially complaining of toothache. Generalized skin involvement by the disease should alert the clinician to the possibility of an underlying malignancy. Dentists should also be aware that the disease is infectious and can be transmitted, especially to susceptible individuals.

Facial Dermatoses↗
PubMed1981

Recurring, painful oral ulcers.

Recurrent aphthous stomatitis is a chronic inflammatory disease characterized by painful, recurring ulcerations of the oral mucosa. Except for gingivitis, it is the most common disease affecting the oral mucosa. Approximately 20% of the general population will have this disease at one time or another. Ship and associates indicated that the incidence among professional students was much higher (60% in their study population). As aphthous-like lesions have been associated with several systemic diseases, Crohn's disease, ulcerative colitis, Behcet's syndrome, Reiter's syndrome, neutropenias, and allergies, any patient with recurring oral ulcers should be evaluated medically for the possible presence of later development of a more serious systemic disease.

Humans↗
PubMed1981

Asymptomatic nonulcerated swelling of the mandible.

This case emphasizes that radiographic changes, although not diagnostic, can be characteristic and highly suggestive of a disease process especially a benign or malignant tumor. Radiographic changes that suggested the possibility of a malignant process in this case included ill-defined margins of the lesion; bone production within the lesion, especially interdentally at the alveolar crest; widening of the periodontal ligament space around tooth roots within the lesions; and perpendicular bony striae extending outward from the surface of the bone (sun-ray effect). THese changes are not specific for a malignant process: however, when coupled with the clinical history, the probability of malignancy is high. Failure of recognition is considered the greatest problem in malignancy of the oral cavity. Clinicians should consider every abnormal condition as suspicious unless there are valid reasons for ruling out cancer.

Diagnosis, Differential↗
PubMed1980

Lingual cortical mandibular defects: a radiographic incidence study.

Two thousand six hundred ninety-three oral panoramic radiographs were reviewed, and thirteen (0.48 percent) displayed changes characteristic of lingual cortical defects of the mandible. The abnormalities were almost equally distributed on the right and left sides, and none occurred bilaterally. All of the patients with the defects were adult males, and none of the areas was symptomatic. In one patient the defect was determined to have been present for 7 years with no discernible radiographic change.

Adult↗
PubMed1980

Nevus cell aggregates in submandibular lymph nodes.

Nevus cell aggregates are occasionally found in the capsules and trabeculae of lymph nodes. These aggregates are similar histologically to those in typical cutaneous nevi and should be differentiated from metastatic tumor.

Carcinoma, Squamous Cell↗
PubMed1980

Irregular papular lesions of the hard palate.

Dental practitioners should be familiar with Darier's disease because oral lesions of the disease may resemble other diseases. Differential diagnosis should include papillary hyperplasia of the palate, acanthosis nigricans, Cowden's disease, nicotine stomatitis, and condyloma acuminatum. Careful observation of the oral and skin lesions and consideration of the medical and family history should assist in diagnosis. Vitamin A, given in high doses, has been used with variable success in the treatment of Darier's disease. Systemic corticosteroids have been used with good results, but these require prolonged use as they are not curative. Secondary infection is a common complication for which topical corticosteroids are helpful.

Adult↗
PubMed1980

Acute episodic inflammatory lesions of the mucous membrane and skin.

The first consideration in the treatment of erythema multiforme is to search for and eliminate a possible underlying cause. Mild cases require little treatment. Severe forms of the disease must receive prompt, active therapeutic measures. Fluid and electrolyte imbalance must be corrected, secondary bacterial infections must be combated with topical or systemic antibiotics, and large doses of systemic corticosteroids are used for short periods. Without treatment, lesions can persist for many weeks. Mild forms of the disease, which constitute most of the cases, usually subside in a few days to two to three weeks without sequelae. Severe forms persist for three to six weeks longer; sequelae include neurologic changes, corneal opacities, blindness, conjunctival, vaginal, or preputial synechiae, and esophageal strictures. Mortality of all forms has been reported as less than 0.5% but severe cases, at approximately 10%. Recurrences are likely in approximately 25% of the cases; the pattern is variable, chronic, and episodic.

Adult↗
PubMed1980

Asymptomatic multilocular radiolucent lesion of the mandible.

The odontogenic keratocyst is an established pathologic entity. Dentists must be aware of its existence and understand its clinical characteristics. Because it is impossible to radiographically and clinically differentiate the keratocyst from more innocuous odontogenic cysts, all cystic lesions removed from patients should be submitted for histopathologic examination and diagnosis.

Adult↗
PubMed1980

Bilateral cysts of the jaw occurring with multiple skin lesions.

As jaw cysts are frequently the initial manifestations of nevoid basal cell carcinoma syndrome, dentists have the opportunity to detect this disease early, before the patients seek medical treatment for the condition. Diagnosis of the syndrome should be considered in the case of any young patient with odontogenic keratocysts and there should be extensive followup to give early warning of the development of nevoid basal cell carcinomas.

Adult↗
PubMed1979

Epithelial islands associated with mandibular nerves. Report of two cases in the walls of mandibular cysts.

Epithelial islands in association with nerve fibers in the jaw bones have been reported previously. We describe two such cases and present evidence that the epithelial structures as observed in this study are odontogenic rests and not neuroepithelial organs. Regardless of origin, it should be recognized that these epithelial islands do not represent neural invasion by carcinoma.

Cytoplasm↗
PubMed1979

Mineralization of the stylohyoid-stylomandibular ligament complex. A radiographic incidence study.

In this Veterans Administration-based study, 1,771 oral panoramic radiographs were reviewed to detect abnormalities in the styloid process, stylohyoid-stylomandibular ligament complex. Three hundred twenty-three (18.2 percent) of the radiographs revealed mineralization in these areas which varied from an apparent elongation of the styloid process to extensive involvement of the entire ligament complex with segmentation, nodularity, and the development of jointlike structures. Mineralization was unilateral in 12.4 percent of patients and was observed more commonly in patients 50 to 59 years of age. No relationship could be established between the extent of mineralization and increasing patient age. This study suggests that mineralization of the stylohyoid complex is not uncommon and probably only rarely causes symptoms.

Adult↗
PubMed1979

Minor salivary gland calculi. A clinicopathologic study of forty-seven new cases.

An analysis of forty-seven previously unreported cases of minor salivary gland calculi revealed that they were usually solitary, firm, freely movable, small masses. Also, we noted that these calculi exhibited a striking predilection for the upper lip and buccal mucosa of adults. The organic matrix of all calculi was similar; however, the amount of mineralized material was variable. A variety of types of epithelial metaplasia was noted in the pericalcular ducts, with the most common type being squamous-cell metaplasia. Chronic periductal and lobular inflammation in addition to duct ectasia were common findings. The cause of minor salivary gland calculi is not known; however, local factors, such as duct morphology or biochemical alterations, or both, may be involved.

Adult↗