The British journal of oral & maxillofacial surgery
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Br J Oral Maxillofac Surg · Jul 2009
Case ReportsPlacement of mandibular nerve block using computed tomography to locate the foramen ovale in a patient with severe dislocation after segmental mandiblectomy.
Operations to the face and skull can obscure the landmarks that are required to locate the position of the foramen ovale. We describe the use of three-dimensional computed tomography (3D-CT) to guide the approach to the foramen ovale to block the mandibular nerve in a patient with a mandibular deformity that had been caused by segmental mandiblectomy. Successful blockage of the mandibular nerve controlled the pain, contributed to the relief of physical and mental stress, and avoided the side effects of analgesics and pain from inserting the blocking needle.
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We retrospectively reviewed 137 cases of histologically confirmed pyogenic granuloma of the oral cavity from the records of the Department of Oral Surgery, Bharat Heavy Electricals Hospital, Trichy, India between 1996 and 2006. The most commonly affected site was the gingiva (n=114, 83%). Mean age of patients was 31 years (range 6-85, male to female ratio 1:2.6). Simple excision is enough to prevent recurrence, but the aetiology and pathogenesis of the lesion must be known to understand its nature.
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Br J Oral Maxillofac Surg · Jun 2009
Comment Letter Case ReportsChronic temporal abscess resulting from a periapical abscess of the upper right first molar.