RESUMEN
BACKGROUND: This study reviews the demographic, clinical and radiographic features of adenomatoid odontogenic tumor(AOT) diagnosed in an Indian population over 50 years and also evaluate and compare follicular AOT(F-AOT) and extra-follicular AOT(EF-AOT). MATERIAL AND METHODS: 55 diagnosed cases of AOT from 1971-2020 were studied retrospectively. The data regarding the age, sex, location, variant of AOT, duration, clinical features, radiographic appearance, treatment and recurrence were collected and analysed. RESULTS: Of the 722 odontogenic tumors diagnosed, 7.6% were AOTs with higher prevalence of extra-follicular (67.3%) than follicular (32.7%) variant. All the tumors were intraosseous with a marked predilection for maxilla over mandible, ratio 2:1. The patients mean age was 19.8 years with slightly higher female predilection (male:female ratio - 1:1.5). The anterior region (76.4%) was more frequently affected and entire quadrant was involved in 21.8% cases. Clinically, asymptomatic, slow-growing swelling was seen in 81.8% cases with duration of 15 days to 10 years. Radiographically, AOT appeared as well-corticated radiolucent lesion. Canine was the most commonly impacted tooth. Recurrence was seen in 3 cases. CONCLUSIONS: Interestingly, in this series extra-follicular was twice more common than follicular AOT. Few cases involved the entire quadrant or crossed the midline of either jaws.
Asunto(s)
Ameloblastoma , Tumores Odontogénicos , Diente Impactado , Adolescente , Adulto , Niño , Femenino , Humanos , India , Masculino , Tumores Odontogénicos/diagnóstico por imagen , Tumores Odontogénicos/epidemiología , Estudios Retrospectivos , Adulto JovenRESUMEN
An 8 year old boy presented with fever of unknown origin in whom the diagnosis of liver abscess was made. He also had palmoplantar keratoderma and premature loss of teeth, consistent with the diagnosis of Papillon Lefevre syndrome.
Asunto(s)
Absceso Hepático/complicaciones , Enfermedad de Papillon-Lefevre/complicaciones , Amicacina/uso terapéutico , Antibacterianos/uso terapéutico , Cefotaxima/uso terapéutico , Niño , Fármacos Dermatológicos/uso terapéutico , Humanos , Isotretinoína/uso terapéutico , Masculino , Enfermedad de Papillon-Lefevre/tratamiento farmacológico , Periodontitis/complicaciones , Enfermedades de la Piel/complicaciones , Enfermedades de la Piel/tratamiento farmacológico , Sulbactam/uso terapéuticoRESUMEN
Transjugular balloon pulmonary valvuloplasty was safely and successfully performed in five patients, two of whom had severe right heart failure. Crossing the stenotic pulmonary valve from the right internal jugular vein was consistently easy and quick. This approach should be considered whenever difficulties are experienced or anticipated in the femoral approach.