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Osteogenic sarcoma of the mandible
REVIEWS .
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OF THE LITERATURE .
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BOOK REVIEW
Partial
Dentures. Merrill G. Swenson and Louis G. Terkla. Second edition, St. Louis, 1959, The C. V. Mosby Company. 387 pages; 403 illustrations, fi in color; references, glossary, and index. Price, $10.50.
Partial Dentures, an exceptionally well-prepared, profusely illustrated text, will bring the practitioner and student up to date in the science of partial dentures. The text is presented in two parts; the first deals with the fundamentals and principles of the procedures and the second is concerned with technique. This is a complete reversal of the first edition, and a decided improvement. Many excellent ideas are advanced on the bases of the authors broad experience in the field of prosthetic dentistry. Part I contains a new, logical, and scientific approach to the classification of partially edentulous cases. It is hoped that the Academy of Prosthetic Dentistry will see fit to establish a new classification similar to the one advanced in this text. There is a chapter devoted entirely to the import.ance of centric relation and centric occlusion as determined by the terminal hinge position. Unfortunately, variances in terminology appear in Chapter 8. The authors refer to the once standard Kennedy bar and closed Kennedy bar as the continuous bar and the apron bar. The terms “apron bar, ” “Kennedy bar” and “closed Kennedy bar” do not appear in the glossary. In Chapter 8 it is noted t.he advantages are given for the continuous bar and the apron bar, but nothing is said about disadvantages or when the continuous bar should be used instead of the apron bar. The glossary at the end of the text is an excellent contribution. Another new and useful idea appearing here is a list of references at the end of the text rather than after each chapter; however, the reference list would be easier to use if the subjects had been arranged alphabetically. In the words of the authors, “without a common language, the advancement of knowledge . . . is slow. ” This text does a service to the student, the teacher, and the proIt may bc used fossion in helping to establish a common language in prosthetic dentistry. to great advantage by the practitioner and student alike. 33. H. Bwrkart.
ABSTRACTS
OF CURRENT
LITERATURE
Osteogenic Sarcoma of the Mandible. A. C. Gomez, R. D. Youmans, and R. G. Chambers. Am. J. Surg. 100: 613, October, 1960. Osteogenic sarcoma of the mandible is usually grouped along with tumors of other osseous structures in surveys of bone tumors presented by orthopedic surgeons and pathologists. 511
ABSTRACTS
5’12
OF CURREKT
LI’NRATURE
O.S., O.M. & O.P. April. 1961
Clinically, it is frequently confused with benign tun~ora. Two cases reportcll. The first involved a 32-year-old n-hitc woman whose chief con1plnint WRS recr~rrent tentlnrness and swelling of the left munclil,ular cuspitl nren of two months’ duration. Excision:ll biopsy was reported on mirroscopic examinntiou ns ossifying librous tlysplasitr or 2~ ljos. sible osteogenic sarcoma. The lesion rccurrell in six wf*eks, and the diagnosis of ostc!llgcnic carcinoma was made on a sceond biopsy. Trcatturnt following the diagnosis of osteogenic sarcoma include11 irracl i:rt,ion followecl by s11rgery, which inclujled R left httmimandibulectomy. There was no cvillencc of n&\-e tlisease thirteen months after surgery. The second ease was that of an IS-year-old white girl who hag1 had n pninful swelling in t.he right mandibular region for four weeks. Following r~~~nov:~l of Iho rrcot111 ~prcmol:~~.. the swelling increascll. An exririaunl llinpxy was ~lorlc! flour wc~ck< afttbr the 01l~l of symptoms, and the diagnosis of osteogenic sarcon~n W:LB mn(lr. ‘I’rc:atitwtit inclu~lrll irradiation followed by surgery. Nine months after trt*atment no ovi(lellco of active disease was found. The authors feel that early diagnosis and an aggrcssivc approach in therapy l.:~kc!s this disease out of the hopeless category. T. J. c:. iLrL?
Lymphangioma
of the Tongue.
H. Mnson
Morlit.
A. M. A. Arch.
Rurg. 81: 761, Novcm-
ber, 1960. Lymphangiomaa are tumors composed of true lymph channels and cyst.ic dilatations. This article reports efforts to treat eight patients with lymphangioma of the tongue, t,hroc of whom were followed for ten to fifteen years. In Jl tight patients, the tumors wcr(? not.4 at or shortly after birth. They were grapelike cxc.~csccnccs on the surface. The tongue protruded from the mouth as it increased in size, and the teeth wcrc forced out of occlusion. Surgery is the treatment of choiecb. The author cites the importanr.e of marking ihc lines of excision on the tongue prior to making the incisiorr. The procedure is descrihccl in d&nil and Ule article is recommended to the oral surgcor~. T. J. C.
Cadnoma
of the Palate.
E:. I?. Sherokov.
Am. J. Burg. 100: 530, October,
l!NO.
Thirteen Panamanian women with epidermoid carcinoma of the pnlatc were seen. All of these women had, for years, smoked rolled tobacco leaves of small cigars with thr! lit end within the mouth and against the mueosa of the hard palate. TAocal pain WYB.S A foul discharge was seen when the mucosal surface was the most common symptom. broken and infection occurred. The check is reflected by cutting Surgical extirpation is the method of choice. The through the lower lip in the midline and extending the incision below the mandible. The diseased part is mandibular attachments are freed, which gives excellent exposure. on the surface. The neck dissection precedes t.hc intraoral work. Although surgical excision of these tumors is considered relatively simple, reconstruction of the defect is recognized as a problem. T. J. C.
.
.
.
OF THE LITERATURE .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
BOOK REVIEW
Partial
Dentures. Merrill G. Swenson and Louis G. Terkla. Second edition, St. Louis, 1959, The C. V. Mosby Company. 387 pages; 403 illustrations, fi in color; references, glossary, and index. Price, $10.50.
Partial Dentures, an exceptionally well-prepared, profusely illustrated text, will bring the practitioner and student up to date in the science of partial dentures. The text is presented in two parts; the first deals with the fundamentals and principles of the procedures and the second is concerned with technique. This is a complete reversal of the first edition, and a decided improvement. Many excellent ideas are advanced on the bases of the authors broad experience in the field of prosthetic dentistry. Part I contains a new, logical, and scientific approach to the classification of partially edentulous cases. It is hoped that the Academy of Prosthetic Dentistry will see fit to establish a new classification similar to the one advanced in this text. There is a chapter devoted entirely to the import.ance of centric relation and centric occlusion as determined by the terminal hinge position. Unfortunately, variances in terminology appear in Chapter 8. The authors refer to the once standard Kennedy bar and closed Kennedy bar as the continuous bar and the apron bar. The terms “apron bar, ” “Kennedy bar” and “closed Kennedy bar” do not appear in the glossary. In Chapter 8 it is noted t.he advantages are given for the continuous bar and the apron bar, but nothing is said about disadvantages or when the continuous bar should be used instead of the apron bar. The glossary at the end of the text is an excellent contribution. Another new and useful idea appearing here is a list of references at the end of the text rather than after each chapter; however, the reference list would be easier to use if the subjects had been arranged alphabetically. In the words of the authors, “without a common language, the advancement of knowledge . . . is slow. ” This text does a service to the student, the teacher, and the proIt may bc used fossion in helping to establish a common language in prosthetic dentistry. to great advantage by the practitioner and student alike. 33. H. Bwrkart.
ABSTRACTS
OF CURRENT
LITERATURE
Osteogenic Sarcoma of the Mandible. A. C. Gomez, R. D. Youmans, and R. G. Chambers. Am. J. Surg. 100: 613, October, 1960. Osteogenic sarcoma of the mandible is usually grouped along with tumors of other osseous structures in surveys of bone tumors presented by orthopedic surgeons and pathologists. 511
ABSTRACTS
5’12
OF CURREKT
LI’NRATURE
O.S., O.M. & O.P. April. 1961
Clinically, it is frequently confused with benign tun~ora. Two cases reportcll. The first involved a 32-year-old n-hitc woman whose chief con1plnint WRS recr~rrent tentlnrness and swelling of the left munclil,ular cuspitl nren of two months’ duration. Excision:ll biopsy was reported on mirroscopic examinntiou ns ossifying librous tlysplasitr or 2~ ljos. sible osteogenic sarcoma. The lesion rccurrell in six wf*eks, and the diagnosis of ostc!llgcnic carcinoma was made on a sceond biopsy. Trcatturnt following the diagnosis of osteogenic sarcoma include11 irracl i:rt,ion followecl by s11rgery, which inclujled R left httmimandibulectomy. There was no cvillencc of n&\-e tlisease thirteen months after surgery. The second ease was that of an IS-year-old white girl who hag1 had n pninful swelling in t.he right mandibular region for four weeks. Following r~~~nov:~l of Iho rrcot111 ~prcmol:~~.. the swelling increascll. An exririaunl llinpxy was ~lorlc! flour wc~ck< afttbr the 01l~l of symptoms, and the diagnosis of osteogenic sarcon~n W:LB mn(lr. ‘I’rc:atitwtit inclu~lrll irradiation followed by surgery. Nine months after trt*atment no ovi(lellco of active disease was found. The authors feel that early diagnosis and an aggrcssivc approach in therapy l.:~kc!s this disease out of the hopeless category. T. J. c:. iLrL?
Lymphangioma
of the Tongue.
H. Mnson
Morlit.
A. M. A. Arch.
Rurg. 81: 761, Novcm-
ber, 1960. Lymphangiomaa are tumors composed of true lymph channels and cyst.ic dilatations. This article reports efforts to treat eight patients with lymphangioma of the tongue, t,hroc of whom were followed for ten to fifteen years. In Jl tight patients, the tumors wcr(? not.4 at or shortly after birth. They were grapelike cxc.~csccnccs on the surface. The tongue protruded from the mouth as it increased in size, and the teeth wcrc forced out of occlusion. Surgery is the treatment of choiecb. The author cites the importanr.e of marking ihc lines of excision on the tongue prior to making the incisiorr. The procedure is descrihccl in d&nil and Ule article is recommended to the oral surgcor~. T. J. C.
Cadnoma
of the Palate.
E:. I?. Sherokov.
Am. J. Burg. 100: 530, October,
l!NO.
Thirteen Panamanian women with epidermoid carcinoma of the pnlatc were seen. All of these women had, for years, smoked rolled tobacco leaves of small cigars with thr! lit end within the mouth and against the mueosa of the hard palate. TAocal pain WYB.S A foul discharge was seen when the mucosal surface was the most common symptom. broken and infection occurred. The check is reflected by cutting Surgical extirpation is the method of choice. The through the lower lip in the midline and extending the incision below the mandible. The diseased part is mandibular attachments are freed, which gives excellent exposure. on the surface. The neck dissection precedes t.hc intraoral work. Although surgical excision of these tumors is considered relatively simple, reconstruction of the defect is recognized as a problem. T. J. C.