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Int. J. Oral Maxillofac. Surg. 2010; 39: 839–840 available online at http://www.sciencedirect.com
Abstracts from international literature French Pilomatricoma or calcifying epithelioma of malherbe. A pediatric review of 89 cases B. Pulvermacker, D. Seroussi, R.Haddad, M. Mitrofanoff Annales de Chirurgie Plastique Esthétique 2007: 52: 39–42 This article points out the high frequency of benign tumours in the pediatric population. Eighty nine pilomatricomas were reviewed consisting of sixty-eight females, average age 7 ranging from 7 months to 15 years. The average size of the tumors was 1 cm. (ranging from 5 mm to 3.5 cm) and located mainly in the head and neck region (71%). In some cases, multiple pilomatricomas were observed in the same patient. The diagnoses are essentially clinical and it is more difficult in ulcerating cases. The authors found that Ultrasound can be of benefit for the parotid area. The authors have not observed any correlation of pilomatricomas with Steinert or Gardner syndrome as found in previous literature. The treatment of choice is surgery. The authors mentioned the possibility of malignant pilomatricoma. It is a rare entity and the diagnosis is made by the histologocal findings. It has the potential of recurrence and distant metastases. The authors should have explained that these malignancies were observed in elderly patients, and must be differentiated from the aggressive pilomatricoma described by Marrogi (Am J Dermatopathol 1992) and observed also in children and young adults. The important thing in my opinion is that every pîlomatricoma should be removed. We must also take into account the risk of infection and the risk of increasing volume and cuteanous involvement which then requires a large cutaneous excision leading to a bigger scar and in 0901-5027/080839+02 $36.00/0
addition, every pilomatricoma must be sent to the pathologists for examination. The excision must be total including a thin envelope because recurrence is frequent in cases of insufficient removal. PATRICK DINER doi:10.1016/j.ijom.2009.07.024
that residual bone height of marginal mandibulectomy should be more than 1.0 cm to prevent future pathologic fractures. The chance of pathological fractures should be taken into consideration when curettage is planned for the giant cystic lesions. Reconstruction plate was the internal fixation of choice for mandibular pathologic fractures. PENG XIN
Chinese
doi:10.1016/j.ijom.2009.07.025
Clinical analysis of postoperative pathologic mandibular fractures L. Zhang, Y. Zhang, C.B. Guo, et al. Journal of Modern Stomatology 2008: 22(5): 449–452 The objective of this study was to summarize the characteristics and key points of treatment on postoperative pathological mandibular fractures. Thirteen consecutive patients with postoperative pathological fractures of the mandible were reviewed. There were 10 males and 3 females with a median age of 54 years. The pathological causes, fracture time and site, the quality of residual bone, as well as treatment methods were analyzed. The most frequent pathogenesis causing postoperative pathological fractures were marginal mandibulectomy, curettage for the giant cystic lesions and osetoradionecrosis. The average residual bone height left following marginal mandibulectomy was 0.78 cm. The pathological fractures of ten patients occurred in less than 6 months postoperatively. The fracture sites were more often found at the back-end of marginal resection and mandible angle. Reduction and internal fixation were performed for 12 patients: miniplates for 5 cases, and reconstruction plates for 7 cases. Three patients with miniplates were re-operated with reconstruction plate for nonunion and osteomyelitis. The results suggested
Turkish Clinical and laboratory evaluation of cases with periodic fever aphthous stomatitis, pharyngitis and adenopathy syndrome M. Hizarcioglua, S. Asilsoya, G. D. Özeka, H. Agina, E. Kayserili, P. Güleza, H. Apa Turkiye Klinikleri Tıp Bilimleri Dergisi 2008: 28: 648–652 Periodic Fever Aphthous Stomatitis, Pharyngitis and Adenopathy (PFAPA) syndrome is characterized by fever, aphthous stomatitis, tonsillitis, pharyngitis and cervical adenopathy. This syndrome is sporadic and has no specific laboratory findings. The aim of this study was to evaluate the clinical and laboratory findings of the patients with PFAPA syndrome and to determine the response to treatment. A retrospective analysis was conducted on the patients, who presented with periodic fever and were diagnosed as PFAPA syndrome between January 2005 and January 2008. 12 children (9 males, 3 females) with PFAPA syndrome between age 2 to 5 years were evaluated. Clinical findings were diagnosed at a mean age of 19.83 ± 11.51 months. Febrile attacks lasted for 3-6
Abstracts from international literature French Pilomatricoma or calcifying epithelioma of malherbe. A pediatric review of 89 cases B. Pulvermacker, D. Seroussi, R.Haddad, M. Mitrofanoff Annales de Chirurgie Plastique Esthétique 2007: 52: 39–42 This article points out the high frequency of benign tumours in the pediatric population. Eighty nine pilomatricomas were reviewed consisting of sixty-eight females, average age 7 ranging from 7 months to 15 years. The average size of the tumors was 1 cm. (ranging from 5 mm to 3.5 cm) and located mainly in the head and neck region (71%). In some cases, multiple pilomatricomas were observed in the same patient. The diagnoses are essentially clinical and it is more difficult in ulcerating cases. The authors found that Ultrasound can be of benefit for the parotid area. The authors have not observed any correlation of pilomatricomas with Steinert or Gardner syndrome as found in previous literature. The treatment of choice is surgery. The authors mentioned the possibility of malignant pilomatricoma. It is a rare entity and the diagnosis is made by the histologocal findings. It has the potential of recurrence and distant metastases. The authors should have explained that these malignancies were observed in elderly patients, and must be differentiated from the aggressive pilomatricoma described by Marrogi (Am J Dermatopathol 1992) and observed also in children and young adults. The important thing in my opinion is that every pîlomatricoma should be removed. We must also take into account the risk of infection and the risk of increasing volume and cuteanous involvement which then requires a large cutaneous excision leading to a bigger scar and in 0901-5027/080839+02 $36.00/0
addition, every pilomatricoma must be sent to the pathologists for examination. The excision must be total including a thin envelope because recurrence is frequent in cases of insufficient removal. PATRICK DINER doi:10.1016/j.ijom.2009.07.024
that residual bone height of marginal mandibulectomy should be more than 1.0 cm to prevent future pathologic fractures. The chance of pathological fractures should be taken into consideration when curettage is planned for the giant cystic lesions. Reconstruction plate was the internal fixation of choice for mandibular pathologic fractures. PENG XIN
Chinese
doi:10.1016/j.ijom.2009.07.025
Clinical analysis of postoperative pathologic mandibular fractures L. Zhang, Y. Zhang, C.B. Guo, et al. Journal of Modern Stomatology 2008: 22(5): 449–452 The objective of this study was to summarize the characteristics and key points of treatment on postoperative pathological mandibular fractures. Thirteen consecutive patients with postoperative pathological fractures of the mandible were reviewed. There were 10 males and 3 females with a median age of 54 years. The pathological causes, fracture time and site, the quality of residual bone, as well as treatment methods were analyzed. The most frequent pathogenesis causing postoperative pathological fractures were marginal mandibulectomy, curettage for the giant cystic lesions and osetoradionecrosis. The average residual bone height left following marginal mandibulectomy was 0.78 cm. The pathological fractures of ten patients occurred in less than 6 months postoperatively. The fracture sites were more often found at the back-end of marginal resection and mandible angle. Reduction and internal fixation were performed for 12 patients: miniplates for 5 cases, and reconstruction plates for 7 cases. Three patients with miniplates were re-operated with reconstruction plate for nonunion and osteomyelitis. The results suggested
Turkish Clinical and laboratory evaluation of cases with periodic fever aphthous stomatitis, pharyngitis and adenopathy syndrome M. Hizarcioglua, S. Asilsoya, G. D. Özeka, H. Agina, E. Kayserili, P. Güleza, H. Apa Turkiye Klinikleri Tıp Bilimleri Dergisi 2008: 28: 648–652 Periodic Fever Aphthous Stomatitis, Pharyngitis and Adenopathy (PFAPA) syndrome is characterized by fever, aphthous stomatitis, tonsillitis, pharyngitis and cervical adenopathy. This syndrome is sporadic and has no specific laboratory findings. The aim of this study was to evaluate the clinical and laboratory findings of the patients with PFAPA syndrome and to determine the response to treatment. A retrospective analysis was conducted on the patients, who presented with periodic fever and were diagnosed as PFAPA syndrome between January 2005 and January 2008. 12 children (9 males, 3 females) with PFAPA syndrome between age 2 to 5 years were evaluated. Clinical findings were diagnosed at a mean age of 19.83 ± 11.51 months. Febrile attacks lasted for 3-6