Cases reported "Paresthesia"

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1/21. 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.
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ranking = 1
keywords = jaw
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2/21. Accessory branch of the mental nerve.

    This case report presents a surgical case in which an accessory branch of the mental nerve exited the mandible distal and slightly superior to the mental foramen. Careful manipulation of the surgical site allowed proper identification of the mental nerve, and the accessory branch and permanent nerve damage was avoided.
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ranking = 22.774081255968
keywords = mandible
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3/21. Surgical management of overfilling of the root canal: a case report.

    Overfilling of the root canal is one of the most common errors encountered in dental practice. A 40-year-old woman complained of paresthesia and swelling affecting the left side of the mandible. Panoramic radiographs revealed that the root canal was overfilled; endodontic restorative material extended as far as the mandibular angle. Several months after surgical removal of the tooth and excess filling material, the symptoms subsided.
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ranking = 22.774081255968
keywords = mandible
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4/21. Displaced calcium hydroxide paste causing inferior alveolar nerve paraesthesia: report of a case.

    A patient presented with an intraoral red, painful, and hard swelling in the lower right jaw. Radiographs showed a 2 x 1 cm area of radiopaque material surrounding the apex of the second premolar. The material, according to the patient's dentist, was calcium hydroxide paste used as a temporary dressing material in the root canal. The patient developed paraesthesia in her lower lip probably due to a neurotoxic effect caused by calcium hydroxide. The foreign material was surgically excavated from the spongious bone, directly adjacent to the nerve, and the patient later regained her sensation in the lip. A histopathological analysis revealed necrosis, deposits of foreign bodies, and inflammatory cells and foreign-body giant cells. This report illustrates the toxicity and adjacent clinical symptoms of calcium hydroxide paste when displaced into bone tissue close to the alveolar inferior nerve. It also demonstrates the benefits of removing such displaced material before symptoms progress.
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ranking = 1
keywords = jaw
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5/21. 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.
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ranking = 22.774081255968
keywords = mandible
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6/21. 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.
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ranking = 91.096325023872
keywords = mandible
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7/21. Extraosseous schwannoma of the mental nerve clinically simulating intraosseous.

    We report a case of a benign neurilemmoma arising from the right mental nerve. Schwannomas are rare neurogenic tumours that originate from schwann cells of the peripheral nervous system. Frequent locations are the head and neck region. Most of the tumours occur in the soft tissue whereas intraosseous schwannomas are rare. This case report deals with a young patient who was referred to our hospital with an unidentified fast-growing tumour located mainly in the premolar region of the right mandible. The tumour presented as an expansive, unilocular, well defined, radiolucent lesion on orthopantomography. No expansion of the mandibular canal could be seen. Computerized tomography scans of the mandible helped to identify the solid nature of the tumour. A biopsy was necessary to make the final diagnosis and the tumour was then excised surgically. Postoperative magnetic resonance imaging scans and a histological examination of the surgical specimen showed no signs of neurofibromatosis type 2.
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ranking = 45.548162511936
keywords = mandible
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8/21. Unremitting pain to the mandible secondary to metastatic breast cancer: a case report.

    The most common site of distant primary tumor metastasis to the jaw bones is the breast. The clinical signs and symptoms, and radiographic appearance of these lesions can be extremely variable. Histologic examination, however, will usually resemble the tissue from the primary tumor. In the case presented, the biopsy specimen was consistent with adenocarcinoma of the breast.
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ranking = 92.096325023872
keywords = mandible, jaw
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9/21. Central neurilemma of the mandible.

    A rare case of symptomless central neurilemmoma of the mandible is reported. Post-operative recovery was uneventful and, in particular, post-surgical paraesthesia was followed by a return to normal sensation.
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ranking = 113.87040627984
keywords = mandible
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10/21. Mandibular osteomyelitis in a patient with sickle cell anemia: report of case.

    A case is presented in which mandibular osteomyelitis and mental nerve paresthesia developed in a patient with sickle cell anemia. This infection appeared to precipitate a sickle cell crisis. The mechanisms for these patients' propensity to infection and the diagnosis and management of sickle cell osteomyelitis of the jaws are discussed.
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ranking = 1
keywords = jaw
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