Eagle's syndrome: lesser cornu amputation: an alternative surgical solution?

A case is reported of a 42-year-old female patient, who presented with clinical symptoms of Eagle's syndrome, radiographic evidence of marginally elongated styloid processes as well as markedly elongated lesser cornua of the hyoid. The symptoms were successfully treated by amputating the lesser cornua of the hyoid. The patient has now been asymptomatic for more than 6 years.

Randomized double-blind comparison of tiaprofenic acid and diclophenac sodium after third molar surgery.

OBJECTIVE: This study compares the effectiveness of tiaprofenic acid with diclophenac sodium over a 7-day period with respect to pain, facial swelling, and trismus. STUDY DESIGN: Sixty patients who required general anesthesia for removal of bilateral impacted third molar teeth were included. Intraoperatively, they received intramuscular injections of either tiaprofenic acid or diclophenac sodium followed respectively by tiaprofenic acid tablets for 5 days and placebo for an additional 2 days or diclophenac sodium tablets for the full 7 days. Surgical and anesthetic techniques were standardized. Pain levels were compared hourly for 4 hours postoperatively and thereafter twice daily for 7 days. Changes in facial swelling and trismus were compared on days 2 and 7 postoperatively. RESULTS: No statistically significant difference was found between the two treatment groups with respect to pain or facial swelling. Only with respect to recovery in mouth-opening ability (trismus) from day 2 to day 7 did diclophenac sodium reveal a statistically significant advantage (p = 0.0452).

Treatment of large oro-nasal fistulae using a triple-layer technique: 38 cases.

A one stage, triple-layer technique for the closure of large oro-nasal defects is described. This technique has been used successfully in 37 out of 38 cases.

Ewing's tumor of the jaw.

Previous reports have focused on the fact that laminar periosteal new bone is a common radiologic sign of Ewing's sarcoma of the jaws. Critical analysis of the literature does not lead to this conclusion. A case is reported and radiologic appearances described. A review of the literature shows striking clinical and radiologic similarities to osteogenic sarcoma of the jaws. A differential radiologic interpretation of Ewing's sarcoma of the jaws is offered.

A rapidly fatal palatal ulcer: rhinocerebral mucormycosis.

A case of a patient with a palatal ulcer who was in a diabetic ketoacidotic coma is described. This ulcer proved to be the presenting sign of rhinocerebral mucormycosis. The patient had hemifacial swelling, ocular signs, and gross tissue destruction and died less than 4 weeks after she was first seen.

Periostitis ossificans versus Garrè's osteomyelitis. Part II: Radiologic analysis of 93 cases in the jaws.

Ninety-three clinically and radiologically diagnosed cases of periostitis ossificans were gathered over a 13-year period. Histologic specimens were available in 19 cases. The predominant age, race, and gender were determined. The position of the periosteal reaction, its average length and width, and radiographs required to best demonstrate it were also established. Sequestra were present in two thirds of the cases. Radiographic features and associated clinical findings are described.

Radicular cysts of primary teeth mimicking premolar dentigerous cysts: report of three cases.

In three cases, the clinical diagnosis of dentigerous cyst was disproved by surgical exploration. In all other cases reviewed from a thirteen-year period, the clinical diagnosis of radicular cyst from an infected primary tooth was verified by surgery and histological examination.

Periostitis ossificans versus Garrè's osteomyelitis. Part I. What did Garrè really say?

In 1893, C. Garrè published an article dealing with the manifestations of acute osteomyelitis. Since then, his name has been associated with diseases such as Garrè's osteomyelitis, chronic sclerosing osteomyelitis, and periostitis ossificans, among others. Scrutiny of a translated version of the original article reveals that Garrè was not responsible for the description of the disease that now bears his name.

Rathke's cleft cyst: incidental finding in an orthognathic surgery patient.

A case of this rare parasellar cyst is reported in a patient presenting for orthognathic surgery. The pathogenesis, clinical, histologic and radiologic features of this cyst are reviewed. This case underscores the necessity of careful evaluation of cephalometric radiographs.

Ameloblastic odontosarcoma with epithelial atypia: a case report.

A case report of an ameloblastic odontosarcoma in which the epithelial component showed a dysplastic change is presented. The epithelium contained pleomorphic cells and numerous mitotic figures.

Deliberately inflicted, penetrating injuries of the maxillofacial region (Jael's syndrome). Report of 4 cases.

Four cases of intentional knife wounds of the maxillofacial region are presented. In all instances the patients were conscious at the time of admission, with a knife blade in situ. Treatment consisted of simple removal of the knife. Post surgical recovery was rapid and uneventful. No fatalities resulted and no permanent vascular or neurological damage occurred.

Repair of a palatal defect associated with late congenital syphilis using a tongue flap.

A case is presented outlining the surgical correction of a palatal defect resulting from a gumma using a tongue flap. The defect was successfully closed, and the patient responded well. Speech and deglutition were restored to normal. The manifestations of congenital syphilis are reviewed.

A comparison of labetalol, acebutolol, and lidocaine for controlling the cardiovascular responses to endotracheal intubation for oral surgical procedures.

Arterial blood pressure and pulse rate changes following tracheal intubation were studied in 80 patients undergoing oral surgical procedures who received an etomidate/suxamethonium anesthetic induction sequence. Three treatment groups and a control group were used. Intravenous labetalol (1 mg/kg), acebutolol (0.25 mg/kg), lidocaine (2 mg/kg), and saline (1 ml), injected prior to anesthesia, were compared with respect to their effect on the hemodynamic consequences of direct laryngoscopy followed by the passage of an endotracheal tube. A pre-induction dose of labetalol was found to be more effective than acebutolol and lidocaine in attenuating the pressor response to instrumentation and intubation. Labetalol should prove most useful for those patients at risk from the transient hypertension and tachycardia following instrumentation and intubation.