1/7. Non-Hodgkin's lymphoma and periodontitis. A case report.BACKGROUND: We describe an unusual case of extra-nodal non-Hodgkin's lymphoma that developed in the maxillae associated with localized severe periodontitis in a 64-year-old Caucasian male. The lymphoma was diagnosed less than 2 years following routine periodontal surgery and 8 weeks after the extraction of hopeless teeth in the associated area. methods: Two months following the extractions, the patient experienced pain and swelling in the maxillary right edentulous area mimicking an abscess, and reported for emergency care. An expansile lesion measuring 2.0 x 2.5 cm in diameter was noted on radiographic examination to extend into the right maxillary sinus. A definitive biopsy diagnosis of high-grade, small, non-cleaved, diffuse non-Hodgkin's lymphoma of the right posterior maxillae was established. The patient was subsequently treated by a combination of radiation, chemotherapy, and bone marrow transplantation. RESULTS: The maxillary tissues healed uneventfully, and the patient has been closely observed for approximately 5 years without symptoms or recurrence of the lymphoma. CONCLUSIONS: This case highlights the need for careful debridement of extraction sockets associated with severe periodontitis and argues for the routine submission of extracted teeth with adjacent soft tissue for microscopic analysis, to assist in the early diagnosis of potentially life-threatening malignancies.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/7. Malignant lymphoma of the maxillary sinus manifesting as a persistent toothache.Many teeth have been mistakenly extracted or endodontically treated because of an incorrect diagnosis of orofacial pain, including toothache. A case of persistent toothache originating from a malignant lymphoma of the left maxillary sinus is presented. root canal therapy and extraction of the upper left quadrant teeth from the canine to the second molar did not resolve the chief complaint. The patient was referred to a neurologist and received a diagnosis of a malignant lymphoma, a rare lesion of the maxillary sinus. This case stresses the importance of considering malignant neoplasm of the maxillary sinus as a potential etiologic factor in the differential diagnosis of orofacial pain.- - - - - - - - - - ranking = 0.33333333333333keywords = extraction (Clic here for more details about this article) |
3/7. Myeloid sarcoma of the maxillary bone.Myeloid sarcoma (MS) is a malignant tumour of myeloblasts rarely occurring in the maxillary bone. The tumour may precede or be concurrent with leukaemic infiltration of the bone marrow or herald blastic transformation of a myelodysplastic syndrome or a chronic myeloproliferative disorder. Myeloid sarcoma is uncommon in the oral cavity, but it can involve the palate, gingiva, extraction socket, and cheek. Recognition and diagnosis of myeloid sarcoma involving the soft tissues of the oral cavity in an otherwise asymptomatic patient is important and mandates an appropriate haematological diagnostic workup. We herein report on a new case without any evidence of haematological disorders. We discuss the pathological diagnosis and the therapeutical approaches.- - - - - - - - - - ranking = 0.33333333333333keywords = extraction (Clic here for more details about this article) |
4/7. Herniation of the antral membrane through an extraction site. Report of a case.A case of herniation of the antral membrane through a recent extraction site is presented. The lesion was initially diagnosed as a tumor by the referring dentist. Oroantral fistulas are not an uncommon finding after dental extractions. It is rare, however, to see herniation of the antral membrane with large polyps extending through the fistula into the oral cavity. A search of the literature revealed only two other such cases. Surgical removal of the polyps and closure of the oroantral fistula by means of a buccal sliding flap technique is discussed.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
5/7. osteochondroma of the maxillary sinus: report of a case.An unusual case is presented of an osteochondroma arising in the maxillary sinus in association with a previously endodontically treated maxillary molar. The use of conventional radiography as well as CT scanning as aids in diagnosis and localization of the tumor is described. The surgical management of the lesion is discussed, with emphasis placed on removing the mass in sections and sparing the critical tooth from extraction.- - - - - - - - - - ranking = 0.33333333333333keywords = extraction (Clic here for more details about this article) |
6/7. Inverted papilloma of the maxillary sinus: an unusual cause of a non-healing extraction socket. Case report.Although the healing of extraction sites is generally a rapid and uncomplicated process, delayed healing or overt infection of recent extraction sockets may involve a variety of causes and the clinician must be aware pre-operatively of both local and systemic influences. Retarded or non-healing extraction sites always require investigation. This paper looks broadly at the subject of non-healing extraction sites and reports an unusual case involving an inverted papilloma of the maxillary antrum. To the authors' knowledge this is the first reported case of an antral papilloma causing delayed extraction wound healing.- - - - - - - - - - ranking = 3keywords = extraction (Clic here for more details about this article) |
7/7. Haemangioma of the maxilla.Haemangioma involving the paranasal air sinuses is rare. It presents with severe epistaxis or bleeding due to dental extraction and may mimic malignancy. A case of haemangioma of the maxilla is presented and the diagnostic and operative difficulties together with a review of literature are discussed. Bucy and Capp (1930) described primary haemangioma of bone with special reference to X-ray diagnosis. Wyke (1949) was of the opinion that haemangiomas accounted for only 10 per cent of primary benign neoplasms of skull bones. Batsakis (1979) commented that haemangioma of bone accounted for seven per cent of all osseous neoplasms and that from a review of literature he had found no more than 40 such cases. Dahlin (1967) in a review of 3,947 cases of bone tumours, found 47 cases of osseous haemangioma out of which only three involved the upper jaw. Smith (1959) reported that only 10 cases of haemangioma of the maxilla had been published by 1959 and further isolated cases have been described by Sawhney et al. (1973), Pandhi et al. (1977) and Ahad and Chisti (1977).- - - - - - - - - - ranking = 0.33333333333333keywords = extraction (Clic here for more details about this article) |