Oral surgery, oral medicine, and oral pathology
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Oral Surg. Oral Med. Oral Pathol. · Apr 1985
Case ReportsThe presentation and complications of odontogenic septic shock. Report of a case.
Although most odontogenic infections spread locally to adjacent fascial spaces, usually contiguous with the offending odontogenic pathosis, occasionally such an infection can spread rapidly across the midline and appear on the opposite side of the face and neck. Debilitated chronic alcohol abusers who are nutritionally deficient are more likely to develop serious life-threatening infections, either through serious airway involvement as seen in Ludwig's angina or manifest as a gram-negative septicemia with life-threatening shock and even cardiac arrest, than the usual dental patient with cellulitis. Early recognition through a high index of suspicion and vigorous monitoring will pick up the initial manifestation of toxic shock, as noted in this case report.
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Oral Surg. Oral Med. Oral Pathol. · May 1984
Case ReportsPneumomediastinum, pneumothorax, and cervical emphysema following mandibular fractures.
Subcutaneous emphysema of the neck and pneumomediastinum following facial trauma in the absence of neck, chest, or abdominal injuries is a rare entity. A case report of bilateral cervical subcutaneous emphysema, pneumothorax, and pneumomediastinum secondary to mandibular fractures is presented. The anatomic mechanism of injury, diagnosis, and treatment modalities are discussed.
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A review of nine cases of plunging ranula reveals a prominent vascular stroma that can, in recurrent lesions, lead to the misdiagnosis of "hemangioma". In addition, this study adds to the world's literature further evidence in support of initial excision of the sublingual gland as a cause of the plunging ranula.
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Oral Surg. Oral Med. Oral Pathol. · Apr 1984
Case ReportsSublingual gland salivary fistula and sialocele.
A case of cutaneous salivary fistula and sialocele in the submental area, arising from the sublingual gland, is reported and its etiology, development, and management are discussed. The entity of plunging ranula is compared to the lesion the case presented, and the literature regarding this lesion is reviewed. The successful surgical treatment of this case supports the theory that the sublingual gland is the source of the disorder. The effect of the altered salivary function on the adjacent submandibular gland and duct presented an operative complication.
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Oral Surg. Oral Med. Oral Pathol. · Feb 1984
Alcohol blockade of the inferior dental nerve under radiographic control in the management of trigeminal neuralgia.
A classification of the various treatments available for controlling the pain of trigeminal neuralgia is given. The cause of this disorder remains unknown. ⋯ Radiographic localization of the position of the needle tip prior to the injection of alcohol is described. It is suggested that this technique gives more reliable results, with fewer side effects, and reduces the volume of the alcohol injection required.