Intraoral Cellular Schwannoma Involving Maxillary Gingiva: A Rare Case Report.

Oral schwannomas (OSs) are uncommon benign nerve sheath tumors accounting for 1% of all schwannomas and may arise from either soft tissue or bone. Cellular schwannoma is a rare histological variant of schwannoma which is characterized by increased cellularity. The most common intraoral site of occurrence is the tongue followed by the floor of the mouth and palate. Here, we are reporting a rare case of intraoral cellular schwannoma involving both facial and palatal gingiva of the right maxilla in a young Indian male patient.

Vanishing the Existence of the Mandible?

Phantom bone disease, also known as Gorham's disease, is a rare disorder characterized by the progressive destruction of one or more skeletal bones. Commonly involved bones are the upper and lower extremities. Very few cases have been reported in the maxillofacial region with unilateral mandible being commonly involved. This case, to our knowledge, is the third case of Gorham's disease involving the whole length of the mandible in a 55-year-old female with a brief discussion on its clinical, radiographic, and histopathological presentation and treatment options.

Rare hybrid tumor of odontogenic fibromyxoma and central giant cell granuloma in maxilla: First reported case.

Fibromyxoma is a locally aggressive rare benign tumor of mesenchymal origin with or without odontogenic epithelium. The etiology of this tumor remains unknown and it is responsible for approximately 3-8% of all cysts and tumors. Another locally destructive benign lesion is central giant cell granuloma (CGCG) which contains osteoclast-like multinucleated giant cells. CGCG accounts for about 7% of all benign jaw tumors, which usually affects younger females. A hybrid lesion with histologic features of both central fibromyxoma and CGCG has not been reported in the literature so far. In the present article, we report the first case of a hybrid tumor comprising odontogenic fibromyxoma with CGCG in a female along with a brief review of its clinical presentation, radiographic features, histological features, and management.

Comparative evaluation of efficacy of skin staples and conventional sutures in closure of extraoral surgical wounds in neck region: A double-blind clinical study.

Background: The development of the skin stapling technique for surgical wound closure is less time-consuming than the conventional sutures. Aim: This study aims to evaluate the efficacy of skin staples and 4-0 prolene conventional suture in closure of extraoral surgical wounds in neck region in elective maxillofacial surgery. Materials and Methods: The study was conducted on a total of 60 patients, who were equally divided into three groups. In Group 1, wound closure was done using skin staples; in Group 2, wound closure was done using 4-0 prolene suture, and in Group 3, wound closure was done using both skin staples and 4-0 prolene suture. These groups were compared in terms of rate of wound closure; early postoperative pain; pain on the removal of staple and suture; rate of removal of staple and suture; scar evaluation by the clinician, patient, and two-blind observers on 15th day, 1 month, 3 months, and 6 months. Results: The rate of closure was significantly faster in staple group than in suture group. There was no significant difference in the postoperative pain, pain on removal and rate of removal between the two methods of closure. However, within the groups, more postoperative pain was observed in wound with incision length of >5 cm. Initially, on 10th postoperative day, the appearance of scar was significantly better in suture group but after 6 months, scar was better in staple group. Conclusion: The staple method of wound closure appears to be better than conventional suture in terms of rate of closure and scar appearance.

An institutional survey for knowledge-based and self-awareness assessment in temporomandibular joint disorders among dental students.

CONTEXT: Temporomandibular joint disorders (TMDs) have been recognized as one of the most common causes of nondental orofacial pain. Various studies have been reported in literature regarding the relationship between prevalence of signs and symptoms of TMDs and gender, suggestive of female predilection; however, none of the studies have yet been reported to suggest the relationship between knowledge about temporomandibular joint (TMJ) and TMDs and self-awareness of its signs and symptoms. AIM: To find a relationship between the level of knowledge about TMJ and TMDs and self-awareness of its signs and symptoms. SETTINGS AND DESIGN: This study was designed as an institutional survey. The study sample comprised 491 undergraduate and postgraduate (PG) students, consisting of 90 males and 401 females with age ranging between 18 and 32 years. SUBJECTS AND METHODS: Two sets of questionnaire were distributed among the students. STATISTICAL ANALYSIS USED: Statistical analysis was performed with the help of Epi Info (TM) 3.5.3, descriptive statistical analysis, test of proportion, Chi-square test, one-way analysis of variance, Tukey's test, and knowledge index. RESULTS: It was observed that there was a gradual increase in the level of knowledge about TMJ and TMDs and self-awareness of its signs and symptoms from the 1st year to PG students. CONCLUSIONS: A direct relationship exists between the level of knowledge about TMJ and TMDs and self-awareness of its signs and symptoms.