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Central Giant Cell Granuloma of the Posterior Maxilla: A Case Report
ORAL AND MAXILLOFACIAL PATHOLOGY e218 Abstracts Department Maxillo-Facial and Aesthetic Surgery Unit. Department of Surgery, Nabeul, Tunisia Introduction: Orbital roof fractures are typically associated with trauma of the frontal bone in violent trauma. It may disrupt the oculomotricity and allow a frontal asymmetry. The patients usually apply correction. Case Reports: A 27 years-old male and a 47 years old male are referred to treat an asymmetric and impacted frontal bone with no evident orbital roof. The surgery consisted for grafting iliac bones with a coronal approch. The result is acceptable with any complications. Discussion: Isolated roof fracture in adult are uncommun and most associated with other cranio-facial fractures in significant trauma. The CT scan is recommended. The approch of theses fractures is via coronal flap. The iliac bone grafting even taked by piezosurgery is a good indication with less complication. Conclusion: Isolated comminuted roof fracture are rarely observed. The prognosis depends on the associated lesions that can require a team work associating maxillo-facial surgeon, neurosurgeon. Keywords: orbital roof, fracture, coronal approch, bone graft
ORBITAL COMMINUTID ROOF FRACTURE: REPORT OF TWO CASES Imen Mehri Turki, Maxillo-Facial and Aesthetic Surgery Unit, General Surgery Department, Nabeul, Tunisia Introduction: Orbital roof fractures are typically associated with trauma of the frontal bone in violent trauma. It may disrupt the oculomotricity and allow a frontal asymmetry. The patients usually apply correction. Case Reports: A 27-year-old male and a 47 years old male are referred to treat an asymmetric and impacted frontal bone with no evident orbital roof. The surgery consisted for grafting iliac bones with a coronal approch. The result is acceptable with any complications. Discussion: Isolated roof fracture in adult are uncommun and most associated with other cranio-facial fractures in significant trauma. The CT scan is recommended. The approch of theses fractures is via coronal flap. The iliac bone grafting even taked by piezosurgery is a good indication with less complication. Conclusion: Isolated comminuted roof fracture are rarely observed. The prognosis depends on the associated lesions that can require a team work associating maxillo-facial surgeon and neurosurgeon. Keywords: Orbital roof, fracture, coronal approch
PLEOMORPHIC ADENOMA OF HARD PALATE Narjiss Akerzoul1, Saliha Chbicheb2, Wafaa El Wady3, 1Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 2Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 3Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco Pleomorphic adenoma, also known as benign mixed tumour, is the common salivary gland tumour encountered. Most of these tumours occur in major salivary glands; parotid gland happens to be the commonly involved one, but also in minor salivary glands, especially in the palatal region. Clinically, pleomorphic adenoma appears as a painless slowly
OOOO March 2015 growing firm mass. The tumor can occur at any age but it is most common in young and middle aged adults. Treatment of choice is surgical excision. The prognosis is excellent, with a very high cure rate. Malignant degeneration is a potential complication, resulting in carcinoma ex pleomorphic adenoma. This case report discusses a case of an intraoral salivary gland tumour (in the hard palate) after complete excision, confirmed by a biopsy. Even though these tumours are painless and slow growing ones, it is important to identify these cases rather early and extirpate them totally. Keywords: Pleomorphic adenoma; Benign mixed tumour; Salivary gland, hard palate.
KAPOSI SARCOMA AND HHV8 Narjiss Akerzoul1, Saliha Chbicheb2, Wafaa El Wady3, 1Narjiss AKERZOUL, Resident in Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 2Saliha CHBICHEB, Professor in Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 3Wafaa EL WADY, Professor and chief Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco Kaposi sarcoma (KS) is a multifocal angioproliferative disorder of vascular endothelium, usually described in HIV positif patients, and primarily affecting mucocutaneous tissues with the potential to involve viscera. Four clinical variants of classic, endemic, iatrogenic, and epidemic KS are described for the disease, each with its own natural history, site of predilection, and prognosis. All forms of Kaposi sarcoma may manifest in the oral cavity and Kaposi sarcomaeassociated virus (KSHV), also known as Human Herpes Virus type 8, appears essential to development of all clinical variants. In the absence of therapy, the clinical course of KS varies from innocuous lesions seen in the classic variant to rapidly progressive and fatal lesions of epidemic KS. Our case report provides an overview of clinical aspects, pathogenesis and treatment about a non HIV positif patient presenting the classic form of KS related to HHV8. Keywords: Kaposi sarcoma, oral cavity, classic form of KS, HHV8
CENTRAL GIANT CELL GRANULOMA OF THE POSTERIOR MAXILLA: A CASE REPORT Narges Gholizadeh1, Masoumeh Mehdipour2, Ayla Bahramian3, Hossein Khoeini Poorfar4, Rana Attaran3, 1Department of Oral Medicine, Tehran Dental University, Tehran, Iran; 2 Department of Oral Medicine, Shahid Beheshti Dental University, Tehran, Iran; 3Department of Oral Medicine, Tabriz Dental University, Tabriz, Iran; 4Department of Pediatric oncology, Hamedan University of Medical Sciences, Hamedan, Iran Central giant cell granuloma (CGCG), formerly called gaint cell reparative granuloma, is a benign lesion of unknown etiology but there are indications that genetic abnormalities are implicated. It occurs most commonly in the mandible but can also occure in maxilla. The case reported here resembled a wide variety of condition that led to a misdiagnosis both on clinical and radiographic examinations but was histopathologically diagnosed as CGCG. Keywords: Central gaint cell granuloma, Intraoseous lesion, Radiolosency
ORBITAL COMMINUTID ROOF FRACTURE: REPORT OF TWO CASES Imen Mehri Turki, Maxillo-Facial and Aesthetic Surgery Unit, General Surgery Department, Nabeul, Tunisia Introduction: Orbital roof fractures are typically associated with trauma of the frontal bone in violent trauma. It may disrupt the oculomotricity and allow a frontal asymmetry. The patients usually apply correction. Case Reports: A 27-year-old male and a 47 years old male are referred to treat an asymmetric and impacted frontal bone with no evident orbital roof. The surgery consisted for grafting iliac bones with a coronal approch. The result is acceptable with any complications. Discussion: Isolated roof fracture in adult are uncommun and most associated with other cranio-facial fractures in significant trauma. The CT scan is recommended. The approch of theses fractures is via coronal flap. The iliac bone grafting even taked by piezosurgery is a good indication with less complication. Conclusion: Isolated comminuted roof fracture are rarely observed. The prognosis depends on the associated lesions that can require a team work associating maxillo-facial surgeon and neurosurgeon. Keywords: Orbital roof, fracture, coronal approch
PLEOMORPHIC ADENOMA OF HARD PALATE Narjiss Akerzoul1, Saliha Chbicheb2, Wafaa El Wady3, 1Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 2Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 3Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco Pleomorphic adenoma, also known as benign mixed tumour, is the common salivary gland tumour encountered. Most of these tumours occur in major salivary glands; parotid gland happens to be the commonly involved one, but also in minor salivary glands, especially in the palatal region. Clinically, pleomorphic adenoma appears as a painless slowly
OOOO March 2015 growing firm mass. The tumor can occur at any age but it is most common in young and middle aged adults. Treatment of choice is surgical excision. The prognosis is excellent, with a very high cure rate. Malignant degeneration is a potential complication, resulting in carcinoma ex pleomorphic adenoma. This case report discusses a case of an intraoral salivary gland tumour (in the hard palate) after complete excision, confirmed by a biopsy. Even though these tumours are painless and slow growing ones, it is important to identify these cases rather early and extirpate them totally. Keywords: Pleomorphic adenoma; Benign mixed tumour; Salivary gland, hard palate.
KAPOSI SARCOMA AND HHV8 Narjiss Akerzoul1, Saliha Chbicheb2, Wafaa El Wady3, 1Narjiss AKERZOUL, Resident in Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 2Saliha CHBICHEB, Professor in Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco; 3Wafaa EL WADY, Professor and chief Department of Oral Surgery, University of Mohammed V Suissi, Rabat, Morocco Kaposi sarcoma (KS) is a multifocal angioproliferative disorder of vascular endothelium, usually described in HIV positif patients, and primarily affecting mucocutaneous tissues with the potential to involve viscera. Four clinical variants of classic, endemic, iatrogenic, and epidemic KS are described for the disease, each with its own natural history, site of predilection, and prognosis. All forms of Kaposi sarcoma may manifest in the oral cavity and Kaposi sarcomaeassociated virus (KSHV), also known as Human Herpes Virus type 8, appears essential to development of all clinical variants. In the absence of therapy, the clinical course of KS varies from innocuous lesions seen in the classic variant to rapidly progressive and fatal lesions of epidemic KS. Our case report provides an overview of clinical aspects, pathogenesis and treatment about a non HIV positif patient presenting the classic form of KS related to HHV8. Keywords: Kaposi sarcoma, oral cavity, classic form of KS, HHV8
CENTRAL GIANT CELL GRANULOMA OF THE POSTERIOR MAXILLA: A CASE REPORT Narges Gholizadeh1, Masoumeh Mehdipour2, Ayla Bahramian3, Hossein Khoeini Poorfar4, Rana Attaran3, 1Department of Oral Medicine, Tehran Dental University, Tehran, Iran; 2 Department of Oral Medicine, Shahid Beheshti Dental University, Tehran, Iran; 3Department of Oral Medicine, Tabriz Dental University, Tabriz, Iran; 4Department of Pediatric oncology, Hamedan University of Medical Sciences, Hamedan, Iran Central giant cell granuloma (CGCG), formerly called gaint cell reparative granuloma, is a benign lesion of unknown etiology but there are indications that genetic abnormalities are implicated. It occurs most commonly in the mandible but can also occure in maxilla. The case reported here resembled a wide variety of condition that led to a misdiagnosis both on clinical and radiographic examinations but was histopathologically diagnosed as CGCG. Keywords: Central gaint cell granuloma, Intraoseous lesion, Radiolosency