1/8. Burkitt's lymphoma presenting as lower lip paraesthesia in a 24 year old Nigerian. Case report.An unusual case of stage D Burkitt's lymphoma in a 24 year old Nigerian female undergraduate is reported. There was a four month history of left lower lip paraesthesia followed three months later by a slowly progressive 'pimple-sized' nodular mandibular swelling arising from the mental foramen region. A full-blown, rapidly developing abdominal mass manifested only three weeks after a biopsy of the mandibular swelling. Aspiration of the latter and a histologic report of the mandibular mass confirmed Burkitt's lymphoma. The patient responded very well to appropriate chemotherapy. Clinicians should not overlook insidious jaw swellings in any adult residing in the endemic zone of Burkitt's lymphoma, in view of the fact that successful therapy is dependent on early diagnosis. Mental nerve paraesthesia is very rarely seen in Burkitt's lymphoma.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
2/8. Anaesthesia of the right lower hemilip as a first manifestation of multiple myeloma. Presentation of a clinical case.multiple myeloma is a malignant proliferation of plasma cells. It may affect any of various bones, causing osteolytic lesions with a characteristic "punched out" radiographic appearance. The commonest symptom is bone pain. One of the most frequent locations is the mandible. Symptoms of multiple myeloma of the mandible include tumefaction, non-specific pain, tooth mobility and sometimes loss, and paraesthesia of the dental nerve. Here we report a case of multiple myeloma of the mandible which was unusual in that the presenting complaint was anaesthesia of the right lower hemilip.- - - - - - - - - - ranking = 42.788026256225keywords = mandible (Clic here for more details about this article) |
3/8. Neonatal permanent jaw constriction because of oral synechiae and Pierre Robin sequence in a child with van der Woude syndrome.OBJECTIVE: To report a newborn with van der Woude syndrome, Pierre Robin sequence, and oral synechiae. Pierre Robin sequence is a rare manifestation of van der Woude syndrome as are oral synechiae. We speculate that the oral synechiae may be causally related to the development of Pierre Robin sequence in this patient.- - - - - - - - - - ranking = 4keywords = jaw (Clic here for more details about this article) |
4/8. Burkitt's lymphoma: an unusual cause of lip numbness.A 38-year-old man was referred by his dental surgeon with a painful swelling in the right mandibular sulcus and an ipsilateral numb lip. Dental infection secondary to caries was initially diagnosed but biopsy revealed this to be a Burkitt's lymphoma. After intense chemotherapy, the patient is still in remission three years later. This case is a reminder that malignancy should always be high on a clinician's list of differential diagnoses of jaw swelling associated with neurological abnormalities and prompt referral is essential.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
5/8. Paraesthesia of the lip and chin area resolved by endodontic treatment: A case report and review of literature.Lower lip numbness is a symptom that may be due to entirely benign causes, or it may be the first sign of a more sinister problem. It has been reported as being the sole symptom of pathological lesions and metastatic tumours in the mandible.- - - - - - - - - - ranking = 14.262675418742keywords = mandible (Clic here for more details about this article) |
6/8. rhabdomyosarcoma of the mandible in a 6-year-old boy.INTRODUCTION: rhabdomyosarcoma is an aggressive malignant tumour composed of neoplastic mesenchymal cells that infiltrate surrounding tissue structures, making their precise site of origin unclear. Although rare, this is highly aggressive and the most common soft-tissue neoplasm of the head and neck in children. Regrettably by the time most cases are initially seen, the patients already have large tumours, due to rapid tumour growth and delayed medical consultation. CASE REPORT: This report describes a 6-year-old presenting with just such symptoms of facial swelling and pain but elicitation of further information and findings, including tooth mobility of 3 days duration, led to prompt referral and early treatment of an embryonal rhabdomyosarcoma. CONCLUSION: General dental practitioners are frequently presented with a child with a swollen face and pain. Experience would suggest a dental abscess to be the most likely cause with treatment as appropriate. However, all swellings in children, should be thoroughly investigated and reviewed as particularly in this age group, tumour growth is rapid while early diagnosis allows successful treatment with multimodality therapy.- - - - - - - - - - ranking = 57.050701674966keywords = mandible (Clic here for more details about this article) |
7/8. Sickle cell disease: a diagnostic dilemma.The case history is described of a patient with sickle cell anaemia who developed a unilateral infarct of the mandible following a sickle cell crisis. The interruption of the blood supply resulted in an anaesthesia of the inferior dental nerve and pulpal necrosis of otherwise sound premolar and molar teeth. The diagnostic and management difficulties of the case are discussed, and recommendations are made for treatment of such patients in light of the problems encountered.- - - - - - - - - - ranking = 14.262675418742keywords = mandible (Clic here for more details about this article) |
8/8. Facial sensory loss--a need for suspicion.Three patients with facial sensory loss were referred by their general dental practitioners. In the absence of local or systemic factors to account for such symptoms, the dental surgeon should be alert to the possibility of sinister underlying pathology, possibly remote from the jaws. Even in the face of negative special tests, patients should be thoroughly investigated and referred accordingly. Following referral, an exhaustive search should be undertaken for possible causes, particularly for the possibility of metastatic disease.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |