Ameloblastoma represents the most common epithelial odontogenic tumor. Because of the proximity of the maxillary tumors to the orbit and skull base, it should be managed as radically as possible. Maxillectomy, mainly via the transfacial or transoral approach, represents the most common type of surgical procedure. Drawback of these approaches is limited control of the superiomedial extent of the tumour in the paranasal area. We report the use of a combined endoscopic endonasal and transoral approach to manage maxillary plexiform ameloblastoma in a 48-year-old male patient. A combined endoscopic endonasal and transoral approach enabled the radical removal of tumour with a 1.5cm margin of radiographically intact bone with good control from both intrasinusal and intraoral aspects. Adequate visualization of the extent of the lesion (e.g. orbit, infratemporal fossa, anterior cranial base) had been achieved. Non-complicated healing was achieved. This technique of partial maxillectomy led to very good aesthetic and functional results. No recurrence had been noted during review appointments. The combination of endoscopic endonasal and transoral approach for a partial maxillectomy allows sufficient reduction of the defect, thus eliminating the necessity for reconstruction and reducing the morbidity associated with it.
Septic arthritis of the temporomandibular joint (TMJ) is an unusual disease in adults. Inoculation of the pathogen may occur through traumatic or iatrogenic injuries, or more often by haematogenous spread from a distant focus. The cause of infection is unknown in most cases. A case of ostensibly mild septic arthritis of the TMJ with a good response to antibiotic therapy and lavage, but that finally led to fatal destruction of the joint structures in a 38-year-old female patient, is reported herein. The infection was caused by Raoultella ornithinolytica - a rare bacterial species in humans, which has not been reported previously in any patients with joint problems. The arthritis manifested 5 weeks after an arthroscopy procedure, so the cause was not clear.
- MeSH
- antibakteriální látky terapeutické užití MeSH
- artroplastiky kloubů MeSH
- diferenciální diagnóza MeSH
- dospělí MeSH
- Enterobacteriaceae izolace a purifikace MeSH
- enterobakteriální infekce diagnostické zobrazování farmakoterapie mikrobiologie MeSH
- infekční artritida diagnostické zobrazování farmakoterapie mikrobiologie MeSH
- léčebná irigace MeSH
- lidé MeSH
- magnetická rezonanční tomografie MeSH
- nemoci temporomandibulárního kloubu farmakoterapie mikrobiologie chirurgie MeSH
- rentgendiagnostika panoramatická MeSH
- temporomandibulární kloub diagnostické zobrazování mikrobiologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- MeSH
- feochromocytom * diagnóza genetika MeSH
- klinická studie jako téma MeSH
- lidé MeSH
- mutace MeSH
- paragangliom * diagnóza genetika MeSH
- polymerázová řetězová reakce MeSH
- protoonkogenní proteiny B-raf genetika MeSH
- sekvenční analýza DNA MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
