Cases reported "Jaw Cysts"

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1/29. So-called simple bone cyst of the jaw: a family of pseudocysts of diverse nature and etiology.

    The nature and etiology of so-called simple bone cyst (SBC) are still a subject of debate. Our comprehensive review of the literature suggests that SBC, which appears histologically to be a single entity, has different natures and etiologies, resulting in divergent clinical features. In addition, an interesting case of mandibular SBC in an 11-year-old girl is presented with details of radiographic changes over a 7-year period. Fully documented patient records revealed that this lesion originated in the apical area of the first molar and took about 4 years to develop into a clinically evident bony expansion.
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2/29. Traumatic bone cyst--a case report.

    Traumatic bone cyst is an asymptomatic, slow growing, non expansile lesion commonly diagnosed during routine radiographic examination of the jaw bones. It is more frequently seen in young age, with predilection for anterior region of the mandible leading to a dramatic healing of the lesion. A typical case of traumatic bone cyst in a 12 year old girl is reported. A routine radiologic assessment of the patient with panoramic radiograph revealed a fairly large lesion in the anterior region of the mandible. On surgical exploration, clinical diagnosis was confirmed. Post operative successive radiograph shows progressive osseous healing.
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3/29. Two male patients with nevoid basal cell carcinoma syndrome from turkey.

    Nevoid basal cell carcinoma syndrome, also known as Gorlin's syndrome, is a familial autosomal dominant syndrome characterized by multiple basal cell carcinomas, multiple odontogenic keratocysts of the jaws, and skeletal anomalies. Both tumors and malformations of the central nervous system occur with nevoid basal cell carcinoma. medulloblastoma is the primary brain tumor most frequently associated with this syndrome. The authors report in this article two male patients with nevoid basal cell carcinoma syndrome: a 22-year-old male patient with multiple odontogenic keratocysts, who had medulloblastoma at two years and multiple basal cell carcinoma at 10 years of age, and a 15-year-old male patient with skeletal abnormalities and multiple odontogenic keratocysts in the jaws.
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4/29. Multiple traumatic bone cysts of jaws. Report of a case.

    An unusual case of bilateral traumatic bone cyst occurring simultaneously in both jaws is being reported. The clinical features and treatment plan for these cysts have been discussed. It has been seen that exploration of such cystic cavity results in a rapid healing of the defect in a short span of time.
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5/29. Primary intraosseous squamous cell carcinoma arising in a mandibular keratocyst.

    Primary intraosseous carcinoma (P1OC) of the jaws is rare. They either arise de novo or as a consequence of malignant transformation of a benign cyst or tumor. A 56-year-old patient with a P1OC of the mandible arising from an odontogenic keratocyst is described.
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6/29. New regenerative surgical treatment of cystic diseases of the jaw by utilizing grafting of cancellous iliac bone and replanting of patient's teeth.

    The authors developed a new regenerative surgical technique for cystic diseases of the jaw. In this surgery, all teeth that are rooted in or located adjacent to the cyst are extracted for replanting, and attached soft tissues, including cystic wall as well as dental pulp, are completely removed. gingiva is cut open at the alveolar crest and abraded subperiosteally, the jaw on the cystic lesion is widely exposed, and cortical bone on the frontal wall of the cystic lesion is dissected. After the entire cyst is exposed, it is completely removed with scrapers and bars. The defect is reconstructed by the following procedures: the extracted and treated teeth are replanted; cancellous iliac bone (bone marrow) is grafted around the teeth and in the defect; and after thorough washing and making numerous small holes, the frontal wall of the cortical bone is returned to the original position and fixed. Three to 4 months later when the jaw has regenerated and the replanted teeth have taken, a prosthesis is set on the replanted teeth and biting is started. This technique was applied to a 16-year-old male patient who had odontogenic keratocysts on the lower right teeth (numbers 6, 5, 4, 3, 2, and 1), the lower left teeth (numbers 1, 2, 3, and 4), and the upper right teeth (numbers 5, 4, 3, and 2). The patient regained normal biting capability, and the esthetic outcome was also satisfactory. This technique would be a useful treatment method for cystic diseases of the jaw.
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7/29. Autogenous platelet-rich plasma in combination with bovine-derived hydroxyapatite xenograft for treatment of a cystic lesion of the jaw.

    In the last 5 years, many studies about autogenous platelet-rich plasma have been undertaken pointing out its regenerative and reparative properties on tissues. The features of this product are an attribute of platelet cells, which, after cellular interactions, release growth factors. These molecules promote tissue healing and also induce cellular regeneration. Bone is a dynamic tissue subject to balanced processes of bony formation and reabsorption; autologous platelet gel or concentrate (PRP) can be used alone or in association with bony graft for the treatment of bony defect, cystic lesions, alveolar bone defects, and periodontal pockets. Its application fields are oral and maxillofacial surgery, plastic surgery, and general surgery, and it can be applied particularly in patients with coagulation diseases. In our experience, a giant cystic lesion of the jaw was treated with PRP and granules of bovine-derived hydroxyapatite xenograft to enhance bony regeneration and promote tissue healing.
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8/29. Nevoid basal cell carcinoma syndrome (Gorlin's syndrome): a case report.

    A case of nevoid basal cell carcinoma syndrome is presented and its varied clinical manifestations and multi-system involvement are emphasised. Our case presented with an early onset of symptoms but sought medical help later on for progressively increasing jaw swelling and pain. On further evaluation, multiple pigmented skin papules, palmar pits, multiple jaw cysts, skull bone osteoporosis, bifid ribs and kyphosis were present. Systemic involvement was minimal. There was no significant family history.
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9/29. Multiple sclerotic masses of jaws.

    Multiple sclerotic masses of jaws commonly occur in middle aged black females. There exists a plethora of terminologies to describe these entities. The phenomenon has been speculated to be due to low grade infection or the result of dysplastic changes of osseous tissue. Familial history has been noticed in some cases. Radiographically the masses appear multiple, dense and globular radiopacities with a radiolucent rim. This criterion may be used to distinguish the masses from chronic diffuse sclerosing osteomyelitis. Secondary infection leading to sequestration is a common complication.
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10/29. Orofacial features of Scheie (Hurler-Scheie) syndrome (alpha-L-iduronidase deficiency).

    Scheie syndrome is a rare inborn error of metabolism, a mucopolysaccharidosis in which deficiency of the lysosomal enzyme alpha-L-iduronidase leads to tissue accumulation of mucopolysaccharides. Scheie syndrome is a forme fruste of Hurler syndrome (gargoylism), and some patients have the phenotype of Hurler-Scheie compound syndrome. The craniofacial abnormalities include coarse facies, mandibular condylar hypoplasia, retarded tooth eruption, and cystic jaw radiolucencies--particularly about the molars. Corneal clouding may lead to blindness but, in contrast to some other mucopolysaccharidoses, mental handicap is rare in Scheie syndrome. Cardiac valve incompetence is common, as are recurrent respiratory infections. Two brothers with Hurler-Scheie syndrome are presented and the oral and systemic complications each patient had described. The syndrome is discussed with particular reference to the orofacial features.
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