RESUMEN
Osteoradionecrosis of the mandible in conjunction with mastoiditis is an extremely rare occurrence following irradiation of salivary gland malignancy in the orofacial region. We report one such case of a patient who presented to us with trismus, jaw pain, and ear discharge. Imaging of the jaws revealed classical features of osteoradionecrosis and mastoiditis. This case is important because presenting features like trismus and dental infection led us to investigative procedures that revealed extensive bone involvement including mastoiditis. Trismus progressively increased over a period of 8 years. In this case, we would like to emphasize the importance of good oral hygiene in the postradiotherapy stage for head and neck cancer.
Asunto(s)
Carcinoma Mucoepidermoide/radioterapia , Enfermedades Mandibulares/etiología , Mastoiditis/etiología , Osteorradionecrosis/etiología , Neoplasias de la Parótida/radioterapia , Adulto , Femenino , Humanos , Enfermedades Mandibulares/diagnóstico por imagen , Enfermedades Mandibulares/cirugía , Mastoiditis/diagnóstico por imagen , Mastoiditis/cirugía , Osteorradionecrosis/diagnóstico por imagen , Osteorradionecrosis/cirugía , Traumatismos por Radiación , Radiografía Panorámica , Tomografía Computarizada por Rayos X , TrismoRESUMEN
BACKGROUND: The purpose of this report is to present a rare case of co-occurrence of florid cemento-osseous dysplasia with simple bone cyst in a middle aged Asian woman. Most of the reported cases are isolated cases of simple bone cyst or florid cemento-osseous dysplasia, but co-occurrence of these two entities is extremely rare. METHODS: The authors report a 41 year old female patient with co-occurrence of mandibular florid cemento-osseous dysplasia with simple bone cyst. A thorough clinical and radiological examination was carried out. RESULTS: It was diagnosed mandibular cyst with possible co-occurrence of florid cemento-osseous dysplasia. Surgical exploration of the multilocular lesion was applied. Since, the patient was symptomatic at the time of presentation utmost caution was taken during the surgical procedure as florid cemento-osseous dysplasia is associated with hypo-vascularity of the affected bone. Based on histopathological, as well as supporting clinico-radiological findings a confirmative diagnosis of florid cemento-osseous dysplasia co-occurring with simple bone cyst was made. Patient was followed-up for a period of six months and was reported to be asymptomatic. CONCLUSIONS: Timely diagnosis and well planned treatment is important to obtain a good prognosis when a rare co-occurrence of two or more bone lesions affects the jaws.