Toshihiko Fujiwara

A case of cystic lymphangioma extending from the neck to the tongue. Management of the lesion remaining after surgery.

A case of cystic lymphangioma in a child is reported. The lesion extended bilaterally from the neck to the tongue. Complete removal of the tumour in the floor of the mouth and the tongue was impossible. Later, swelling in these regions caused dyspnoea. The residual lesion was treated by external irradiation (60 Co total dose of 30 Gy). During a three-year follow-up period, no recurrence of the swelling, respiratory distress, or side-effects of radiation were observed.

A case of acromegaly - Evaluation of dentofacial abnormalities.

The authors report the case of a 39-year-old woman with acromegaly due to putuitary adenoma, who had been treated at our hospitals Department of Neurosurgery. The patient was referred to our clinic for evaluation of dentofacial abnormalities. She was 167cm tall and weighed 72kg, the soft tissue of the extremities was thick and the skin was rough surfaced. Extraoral examination revealed remarkable mandibular prognathism and protrusion of the superciliary arch specific to this disease. Intraorally, there was macroglossia and no occlusion was seen except for the right molar region. Over-jet was-3mm. Cephalometric analysis revealed the following findings: decrease of SNA due to the protrusion of the point N, almost normal mandibular plane angle due to overclosure, and a relatively small gonial angle in comparison with other types of skeletal mandibular prognathism. As the abnormalities were beyond surgical correction, occlusion was corrected prosthetically by an over-lay full denture of the maxilla and a partial denture of the mandible.