Dystrophic Calcification in the Oral Cavity Resulting in Mechanical Dysphagia: A Case Report and Review of Calcification in the Head and Neck Region.

Soft tissue calcifications in the oral cavity and maxillofacial region are most often detected as incidental findings on routine radiographic examination. But sometimes these soft tissue calcifications can be serious and may need treatment or follow-up of the underlying cause. Deposition of calcium salt as a result of chronic inflammation, necrosis or scarring in injured tissues despite normal phosphorous and calcium metabolism is called dystrophic calcification. A variety of systemic disorders can be associated with this type of calcification but, still, the pathophysiology is not clear. Here we present a case of dystrophic calcification in the floor of the mouth of an 18-year-old female patient associated with dysphagia which was excised by intraoral route.

Gingival rhabdomyosarcoma in an adult: a unique entity.

Rhabdomyosarcoma is a disease that predominantly affects children. Approximately 40 per cent are located in the head and neck region but it is rare in the oral cavity. This article describes an interesting case of an embryonal rhabdomyosarcoma in a 36-year-old male, involving the mandibular gingiva. The lesion showed radiolucency with ill-defined margins that was crossing the midline. The history revealed a similar lesion six months back at the same site and the lesion had been completely excised. The biopsy reports confirmed the diagnosis of embryonal rhabdomyosarcoma after which en-bloc resection of the tumor was performed with administration of chemotherapy and radiotherapy. Due to high recurrence rate of rhabdomyosarcomas in adults, multimodal therapy should be planned for proper care of the patient. Clinical, radiological, histopathological and management aspects are discussed here.

Osteochondroma of condyle: case discussion and review of treatment modalities.

Temporomandibular joint (TMJ) forms a synovial articulation between the condyle and the cranium. It is a complex joint and shows hinge and gliding movements. Unlike other articulating heads, condyle grows with intramembranous ossification. TMJ is subjected to excessive loads throughout life as it supports essential functions such as mastication, deglutition, speech and respiration. Traumatic, neoplastic or non-neoplastic pathologies sometimes necessitate joint replacement therapy. Osteochondroma is one such benign tumour originating from condyle which requires surgical replacement of condyle with prosthesis. Various replacement methods have been designed in the past. Alloplastic grafts have been successfully used in joint replacement surgeries like hip joint, knee joint, etc. This case discussion supports the use of titanium-made condylar prosthesis for long-term functional stability of TMJ.

Bilateral pedicled nasolabial flaps for the anterior alveolus mandibular defect: a review.

With the increasingly wide spread application of microvascular free tissue transfer technique for oral cavity reconstruction, the routine need for variety of local and regional flap has decreased. However, a number of such flaps remains quite useful and should be included in modern armamentarium of reconstructive surgeon. Nasolabial flap is versatile, simple, easy to harvest local flap that can cover a variety of defect in face. We present the success and utility of bilateral pedicled flap for reconstruction of mandibular anterior alveolus after the wide excision of squamous cell carcinoma of mandibular anterior alveolus. And the restoration of esthetics and functional dental health with the artificial prosthesis. Patient had been followed for two years and six month with no signs of recurrence as yet.

Angioleiomyoma of cheek: report of two cases.

Leiomyomas are benign tumors derived from smooth muscle that most commonly arise in the uterus, followed by the gastrointestinal tract and subcutaneous tissues. Deep presentations are typically asymptomatic unless they achieve substantial size, whereas subcutaneous presentations may be associated with considerable local tenderness and pain, in addition to alteration of the overlying skin color. The highest incidence occurs between 40 and 49 years of age in the orofacial region, the angiomyoma is the predominant subtype, representing nearly 75% of all reported cases [1]. Oral leiomyomas are considered uncommon neoplasms, accounting for about 0.065% [2]. Despite the rather characteristic histopathologic features of the leiomyoma, a definitive diagnosis often depends on the confirmation of smooth muscle origin by immunohistochemical studies. We report two cases of angioleiomyoma of cheek with their clinical presentation histopathological features and surgical techniques employed. No recurrence has been seen as of yet in both of our cases.