Stephen A. Sachs

Central giant cell granuloma of the jaws: Experiences in the management of thirty-seven cases

This report reviews experiences in the management of 37 cases of central giant cell granuloma of the jaws. The statistical analysis includes location, age, sex, size on initial presentation, and other variables relating to incidence and distribution. The technique of curettage or curettage with peripheral ostectomy was used in all cases treated surgically, resulting in no evidence of disease in 21 out of 23 cases followed postoperatively for 2 or more years. Radiation therapy was curative in one instance. Preoperative endodontic therapy for teeth in the field of surgery has proved to be advantageous. The pathogenesis of the giant cell granuloma of the jaws is discussed.

Oral presentations in non-Hodgkin's lymphoma: A review of thirty-one cases

Thirty-one patients with oral manifestations of non-Hodgkins lymphoma have been studied with reference to age, sex, race, location of lesion in oral cavity, stage of disease on presentation, duration of disease at time of presentation, histologic type, modes of treatment, and survival. There were 6 children and 25 adults, ranging in age from 3 to 89 years. Only 2 of the 31 patients were black. Sex incidence was almost equal, with 17 females and 14 males. In 12 cases the oral findings alone represented the initial presentation of lymphoma. The maxilla, mandible, and palate accounted for 24 of the 31 cases. The preponderance of diffuse histologic patterns was striking (77.4 percent). Eighteen cases (58.0 percent) presented in Stage I or Stage II, indicating relatively limited extent of disease. More generalized involvement was found in the remaining thirteen cases (41.9 percent). Thus, although NHL may appear in the oral region as the first detected evidence of disease, in many patients a work-up will show that the process is widespread in distribution. In this brief series survival data coincide with the established principles that a poorer prognosis is associated with the diffuse histologic pattern, as well as certain identified histiocytic and poorly differentiated lymphocytic subtypes.

Oral presentations in non-Hodgkin's lymphoma: A review of thirty-one cases: Part II. Fourteen cases arising in bone

In a series of 31 patients with NHL presenting in the oral region, nine lesions were in the maxilla and 5 were in the mandible, for a total of 14 (45%) lesions that arose in bone. The most common locations were the posterior regions of the maxilla (7 cases) and mandible (4 cases). Diffuse subtypes clearly predominated, 13 out of 14 cases demonstrating this pattern. Six of the cases were in children, and 4 of these qualified as Burkitts lymphoma. In general, it was found that the statistics relating to survival of patients with jawbone lymphoma correspond closely to the findings reported for skeletal lymphomas. Despite the high incidence of diffuse patterns, 6 of these 14 patients with NHL in bone were alive with no evidence of disease 3 years or longer.

Heterotopic oral gastrointestinal cystReport of 2 cases and review of the literature

Oral heterotopic gastrointestinal cyst is a rare entity occurring in infants and children and showing a predilection for males. The cyst usually appears as an asymptomatic swelling in the floor of the mouth. Difficulty in feeding, swallowing, respiration, and speech have been reported in approximately 30% of those affected. The tongue-in particular, its anterior aspectis involved in up to 60% of reported cases. The clinical, radiographic, and histopathologic features of cases of heterotopic gastrointestinal cyst involving the anterior tongue in a 2-year-old girl and the anterior floor of the mouth in a 2-month-old boy are presented, and theories of pathogenesis are discussed.

Tuberculous osteomyelitis of the mandible

An unusual case of tuberculous involvement of the mandible in a 22-month-old African girl is presented. Other tissues involved included the small bones of the hands and feet and pulmonary, cervical, and submental lymph nodes. A short discussion of the pathogen involved is offered.An unusual case of tuberculous involvement of the mandible in a 22-month-old African girl is presented. Other tissues involved included the small bones of the hands and feet and pulmonary, cervical, and submental lymph nodes. A short discussion of the pathogen involved is offered.

Mediastinal emphysema following Le Fort I osteotomy: Report of a case

Mediastinal emphysema is a rare but known complication of deep-space infection or maxillofacial trauma. In this case report, a healthy 17-year-old girl experienced chest pain on the third day after a Le Fort I maxillary osteotomy. An film x-ray of the chest showed air in the mediastinum. A discussion of the potential causes and management of this complication are presented.

Oral presentations in non-Hodgkin's lymphoma: a review of thirty-one cases. Part III. Six cases in children.

This is the third in a series of articles dealing with oral presentations in non-Hodgkins lymphoma. In this section the authors discuss the clinical and microscopic features of six cases occurring in children, four of which qualified as Burkitts lymphoma.

Treatment of a persistent oro-antral fistula with a posteriorly based lateral tongue flap

Occasionally an oro-antral communication persists after vigorous standard therapy. This case report demonstrates the successful use of a posteriorly based lateral tongue flap in such a situation.

Surgical management of a facial deformity secondary to craniofacial fibrous dysplasia.

4. Renard A, Morgn BL: Nasolabial cyst, case report. Plast Reconstr Surg . 5. Campbell RL, Burkes EJ: Nasolabial cyst: report of case. J Am Dent Assoc 91:1210, 1975 6. Brandao GS, Ebling H, Souza J: Bilateral nasolabial cyst. Oral Surg 37:480, 1974 7. Dobaczewski Z: Przypadek Obustronnej Torbieli NasowoZebodolowej Czas. Stomatology 27:600, 1974 8. Karmondy CS, Gallagher JC: Nasoalveolar cyst. Ann Otolaryngol 81:278, 1972

The surgical management of the anophthalmic syndrome with the concomitant malunion of the zygomatico-maxillary complex: Review of the literature and report of a case

A case of anophthalmic syndrome complicated by a depressed malunited fracture of the zygomatico-maxillary complex is presented. The components of the syndrome and the approaches to treatment are also discussed. A Teflon sled, Proplast malar implant and ptosis correction acheived the desired results.