Recurrent Deeply Invasive Basal Cell Carcinoma.

INTRODUCTION: Basal cell carcinoma (BCC) is the most frequent skin malignancy worldwide. The majority of BCCs grow slowly and have a low metastatic potential. However, they can be destructive to surrounding tissues since they are locally invasive. METHODS: This case report was conducted on a 78-year-old woman complaining of a solid lump on the left side of the neck and nonhealing lesion. Three years earlier, she had BCC on the same site. Clinical and radiographic examinations were made. The biopsy specimens revealed that it is a recurrent BCC. In operating room, during blunt tissue dissection, the arterial wall was damaged. Tumor was overgrown left internal carotid artery near the bifurcation. Infiltrated part of arteria wall was resected, and a synthetic arterial prosthesis was placed. RESULTS: Follow-up after 4 months showed that the wound was healing well. No complications regarding cardiovascular and other organ systems were seen.

Effect of orthognathic surgery on temporomandibular joint pain. A systematic review.

OBJECTIVE: Dentofacial deformities affect patients' social relations, self-esteem and oral health-related quality of life. Studies show that patients treated for malocclusions with orthodontics/orthognathic surgery have significantly more temporomandibular disorders (TMDs) than others. The aim of the work was to evaluate the effect of orthognathic surgery on temporomandibular joint pain. MATERIAL AND METHODS: The literature review was performed according to PRISMA guidelines. Publications were searched in databases: PubMed, The Cochrane Library, Science Direct. A combination of keywords was used and the selection criteria were applied. Articles written in English and studies conducted on people who underwent bilateral sagittal split osteotomy and/or Le Fort I osteotomy and arthralgia were evaluated before and after surgery were included in this study. RESULTS: 10 publications were selected, including a total of 1143 patients. When evaluating arthralgia, statistically significant positive results were seen at 6 months after surgery, at later postoperative periods results remained beneficial. CONCLUSION: Included studies showed that patients with dentofacial deformities, who underwent orthodontic-orthognathic treatment, less often complains about arthralgia.