Cascino F

LEOPARD syndrome: maxillofacial care.

This article reports a case of a boy with LEOPARD syndrome with unusual mandibular osteolytic osteoclastic-like lesions and eruption disorder. The patient was referred to our department for bilateral facial swelling: systemic examinations, diagnosis, and dental and maxillofacial care are reported.

Giant palatal schwannoma.

Schwannoma is a benign tumor that arises from nerves that contain Schwann cells. We report a case of giant schwannoma of the hard palate, which originated from the greater palatine nerve and is interesting for its large dimensions.

Comparative study in orthognathic surgery between Dolphin Imaging software and manual prediction.

1. Stout AP, Murray MR. Hemangiopericytoma: a vascular tumor featuring Zimmermann’s pericytes. Ann Surg 1942;116:26–33 2. Anand R, Gupta S. Hemangiopericytoma of maxilla in a pediatric patient: a case report. J Dent Child 2010;77:180–182 3. Ribeiro SF, Chahud F, Cruz AAV. Orbital hemangiopericytoma: solitary fibrous tumor in childhood. Ophthal Plast Reconstr Surg 2012;28:58–60 4. Kakizaki H, Maden A, Ture M, et al. Hemangiopericytoma: solitary fibrous tumor of the eyelid. Ophthal Plast Reconstr Surg 2010;26:46–48 5. Lanuza A, Lazaro R, Salvador M, et al. Solitary fibrous tumour of the orbit: report of a new case. Int Ophthalmol 1998;22:265–268 6. Valentini V, Nicolai G, Fabiani F, et al. Surgical treatment of recurrent orbital hemangiopericytoma. J Craniofac Surg 2004;15:106–113 7. Bernardini FP, Conciliis C, Schneider S, et al. Solitary fibrous tumor of the orbit: is it rare? Report of a case series and review of the literature. Ophthalmology 2003;110:1442–1448 8. Westra WH, Gerald W, Rosai J. Solitary fibrous tumor: consistent CD34 immunoreactivity and occurrence in the orbit. Am J Surg Pathol 1994;18:992–998 9. Lee SY, Rho JH. A case of primary orbital hemangiopericytoma. J Korean Ophthalmol Soc 1998;39:1598–1604 10. Jung YJ, Lee SH. A case of primary orbital malignant hemangiopericytoma. J Korean Ophthalmol Soc 1983;24:571–574 11. Forntoulakis EN, Papadaki E, Panagiotaki E, et al. Primary haemangiopericytoma of the parapharyngeal space: an unusual tumour and review of the literature. Acta Otorhinolaryngol Ital 2011;21:194–198 12. Tsirevelou P, Chlopsidis P, Zourou I, et al. Hemangiopericytoma of the neck. Head Face Med 2010;6:8–12 13. Hong YJ, Kim HK, Kim H, et al. A case of primary orbital hemangiopericytoma. J Korean Ophthalmol Soc 1983;24:235–237

Relationship Between the Quantity of Nerve Exposure During Bilateral Sagittal Split Osteotomy Surgery and Sensitive Recovery

Aim and Objectives: The purpose of this study was to evaluate how different exposures of the V3 nerves during orthognathic surgery impact neurosensory disturbances. Methods: The study included 127 patients who underwent either bilateral sagittal split osteotomy (BSSO) or BSSO with maxillary le Fort 1. They were divided into 6 groups, identified by the quantity of V3 nerve exposure. All patients were examined in a pre-op period and again after 1, 3, 6 months post-op. The standardized tests used were to clarify the objective and subjective neurosensory status of the exposed nerve. Neurosensory evaluation included; a pin prick test, the 2 points discriminator, light touch, warm and cold tests, and blunt discrimination. They were all done bilaterally on the lower lip area. Results: In only 2 patients the nerve was damaged during surgery and thus they were not included in this study. In 10.2% of patients there was no nerve exposure, 25.2% had longitudinal vestibular segment nerve exposed, 22.8% had the longitudinal upper-vestibular segment exposed, 20.5% had the longitudinal lower-vestibular segment exposed, 14.2% had the longitudinal upper-lower-vestibular segment exposed, and in 7.1% of patients the nerve was totally exposed. Given the estimated time of 1 month there was 100% recovery in patients whose nerve was unexposed. Considering the other patients, the authors had a variable number of patients who did not recover completely. Conclusion: The authors estimate a correlation between the recovery time and the quantity of the exposed nerve. There is a high incidence of neurosensory disturbance in the lower lip and chin after BSSO and intraoperative quantity of nerve exposure.

Implant surgery triggered bisphosphonate-related osteonecrosis of the jaws (BRONJ).

condylectomy for management of osteochondroma of the mandibular condyle. J Craniofac Surg 2013;24:e209Ye211 3. De Melo WM, Pereira-Santos D, Brêda MA Jr, et al. Using the condylar prosthesis after resection of a large odontogenic myxoma tumor in the mandible. J Craniofac Surg 2012;23:e398Ye400 4. Ruı́z CA, Guerrero JS. A new modified endaural approach for access to the temporomandibular joint. Br J Oral Maxillofac Surg 2001;39:371Y373 5. Dolwick MF, Kretzschmar DP. Morbidity associated with the preauricular and perimeatal approaches to the temporomandibular joint. J Oral Maxillofac Surg 1982;40:699Y700 6. Ál-Kayat A, Bramley P. A modified pre-auricular approach to the temporomandibular joint and malar arch. Br J Oral Surg 1979;17:91Y103

Management of a bulky capillary hemangioma in the parapharyngeal space with minimally invasive surgery.

In this article, the authors report their management with minimally invasive surgery of a bulky capillary hemangioma in the parapharyngeal space. Parapharyngeal space capillary hemangioma is a rare tumor in adults. Because of its rarity and difficulty to treat, we suggest a multidisciplinary approach in choosing the best treatment, with an accurate follow-up.