A triple standard in double degree.
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Biomedical subjects
Publications and source records attributed to S K Lazow.
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Necrotizing fasciitis and mediastinitis are two rare but grave complications of orofacial infections. The clinical presentation, diagnostic modalities, anatomic pathways, microbiologic make-up, surgical management, and the use of adjuvant HBO therapy for both entities have been discussed.
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There have been only seven cases of plexiform ameloblastoma involving the maxillary sinus reported in the English literature. The eighth case is reported here. It involves the maxillary antrum of an 80-year-old female.
Although the use of rigid fixation techniques has become widespread for the treatment of mandible fractures, indications still remain for the utilization of biphasic external pin fixation in patients who suffer cranio-maxillofacial trauma. The treatment of continuity defects of the mandible secondary to avulsive injuries or ablative surgery is a primary indication for the utilization of biphasic external pin fixation. The placement of biphasic external pins requires an understanding of the surgical anatomy surrounding the mandible. In this article, the authors discuss the indications for, contraindications for, and complications associated with the use of biphasic external pin fixation, describe the procedure, and present a case report of a patient with parotid salivary fistula secondary to the placement of external pin fixation.
Treatment of the mandible fracture is basic to the treatment of maxillofacial trauma. Although there is universal agreement as to treatment goals and therapeutic principles, a plethora of currently accepted treatment modalities indicates a lack of consensus. This article reviews 435 mandible fractures in 268 patients treated by the Oral and Maxillofacial Surgery Service of Kings County Hospital/State University of New York Health Science Center at Brooklyn during a 3-year period from July 1, 1992 to June 30, 1995. Fifteen cases required reoperation or readmission for a complication rate of 3.4%. There was satisfactory bone healing in 99% of the cases. Based on these results, a mandible fracture protocol is proposed.
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While the dentigerous cyst is not uncommon, its development as a result of an impacted deciduous tooth is rare. According to the authors' search, this case is only the fifth of its type reported in the dental literature. The authors review the presentation and treatment of a deciduous dentigerous cyst.
The botryoid odontogenic cyst (BOC) is a rare entity which has been sporadically reported in the literature since Weathers and Waldron coined the term in 1973. Approximately twenty-five such lesions have been described in the last twenty-one years. However, the histologic origin and nomenclature of this cyst have been quite controversial. Cysts with similar characteristics may have been seen even earlier than 1973, but were classified as other types of cysts of odontogenic or mesenchymal origin. The purpose of this article is to chronicle a case and its management, and to delineate several criteria to insure the proper diagnosis of the botryoid odontogenic cyst clinically, radiographically and histologically.
Superior orbital fissure syndrome is a rare condition that presents itself as gross and persistent edema of the periorbital tissues, proptosis, subconjunctival ecchymosis, ptosis, ophthalmoplegia, dilation of the pupil, absence of direct light reflex and presence of consensual light reflex. The corneal reflex is lost, sensation is diminished over the forehead, and it is possible that the dimensions of the superior orbital fissure are reduced. Infection, however, is not often reported as the etiology. The case presented here describes an unusual occurrence of superior orbital fissure syndrome secondary to an infected dentigerous cyst of the maxillary sinus and its management.
An unusual case of localized South American blastomycosis of the maxilla, occurring in the United States, is reported. Clinical presentation, diagnosis, treatment, and reconstruction are reviewed.
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Chondrosarcomas of the maxillofacial region are extremely rare tumors, accounting for approximately 1% of chondrosarcomas of the entire body. This case represents the 12th case of mandibular symphyseal chondrosarcoma reported in the literature. It presented as a painful swelling of the alveolus, associated with a mobile mandibular incisor. The patient remains free from recurrence six years after a marginal resection.