RESUMEN
Orthognathic surgeries are considered successful on the basis of postoperative stability, vascularity, and relapse rates. One among them is the multisegment Le Fort I osteotomy, which has often been disregarded due to vascular compromise. The complications associated with such an osteotomy are also primarily due to vascular ischemia. In the past, it was hypothesized that segmentation of the maxilla disrupted vascular supply to the osteotomized segments. However, the case series attempts to analyze the complications associated with a multisegment Le Fort I osteotomy and its incidence. This article documents four such cases that involve a Le Fort I osteotomy along with anterior segmentation. The patients experienced minimal or no postoperative complications. Thus, the case series exhibits that multisegment Le Fort I osteotomies can be successfully carried out without much complications and hence prove to be a safe treatment option in cases of increased advancement, setback, or combination.
RESUMEN
Adenoid cystic carcinoma is a malignant neoplasm primarily of the salivary gland, which can also involve lacrimal glands and other exocrine glands. Adenoid cystic carcinoma rarely presents in the buccal mucosa and young children, and among the major salivary glands, it rarely occurs in the sublingual gland. We are presenting two cases of Grade 1- adenoid cystic carcinoma. One in the buccal mucosa of an eight-year-old boy and another in the sublingual gland of a 50-year-old female patient. The site and age of occurrence can make a huge difference in diagnosis and treatment planning due to the unpredictability of the lesion. Proper diagnosis, treatment planning, and appropriate treatment help improve the lesion's prognosis. Even though such lesions rarely occur, awareness among the Oral and maxillofacial fraternity is very important in providing proper patient care.
RESUMEN
Pilar cysts/trichilemmal cysts are benign lesions that arise from the hair follicle epithelium. The commonest area of occurrence is the scalp but it can also occur in the head and neck region. The pilar cyst grows at a prolonged rate. They are relatively rare and occur in about 10% of the population. They appear in the region of high concentrations of hair follicles. A 75-year-old male patient came to the Department of Oral and Maxillofacial Surgery with a chief complaint of swelling on the left side of the face for the past one year. Cytological examination revealed an infected cystic lesion. Computed tomography (CT) showed a well-defined lesion in the left temporal region. After surgical excision of the lesion, it was sent for histopathological examination. Excisional biopsy revealed a pilar cyst. We report a rare case of pilar cyst in the left temporal region in a patient who was previously operated on for osteomyelitis of the left side of the mandible up to the coronoid process. These cysts may mimic temporal space infection and lead to an incorrect treatment plan.
RESUMEN
Pleomorphic adenoma (PA) is one of the most common benign lesions of the salivary glands, with a majority of them occurring in the parotid gland. PA has origin from the epithelial and mesenchymal elements and can arise from both major and minor salivary glands. Among minor salivary glands, the palate is the most commonly affected site, followed by lips, cheeks, gingiva, the floor of the mouth, and tongue. PA of the upper lip without intraoral mucosal involvement is a rare entity. In this article, we report a case of PA of the upper lip in a middle-aged female patient and its surgical management with a novel technique. During six months' postoperative review, the patient showed excellent wound healing with very minimal scar formation.