Yakir Anavi

Maxillary osteomyelitis and spontaneous tooth exfoliation after herpes zoster

Reports of spontaneous tooth exfoliation and osteonecrosis trigeminal herpes zoster are extremely rare and have been sporadic. This article reports a pertinent case of a 50-year-old man who exhibited prodromal odontalgia before the appearance of vesicular mucocutaneous lesions, together with severe destruction of the maxillary bone and exfoliation of multiple teeth. This patient was successfully treated using a unique closed nasal-vestibular drainage system for the ultimate control of maxillary bone viability. A review and analysis of the clinical aspects and the pathogenesis of herpes zoster and bone necrosis are discussed.

Salivary IgA and serum IgG and IgA in recurrent aphthous stomatitis

Salivary flow rate and sIgA were measured in twenty-one patients suffering from recurrent aphthous stomatitis (RAS). Out of this group ten volunteered for continuous study. In these patients salivary IgA and serum IgA and IgG were measured every 3 days for 3 weeks. All parameters were in the physiologic range of healthy people. No correlation with the clinical condition of the patients was found.

Malignant fibrous histiocytoma of the mandible

Malignant fibrous histiocytoma of the mandible has appeared frequently enough in the world literature in recent years to assume a legitimate place in the differential diagnosis of neoplastic masses of the lower jaw. This article reports a pertinent case and tabulates and correlates the findings of all cases reported thus far. The report also explores the contribution of immunohistochemistry to proper diagnosis and emphasizes the advantages of a cojoint effort between surgeon and pathologist at the time of initial patient evaluation. The case reported also demonstrates the poor prognostic characteristics of this lesion and the uncertainty as to proper mode of treatment.

Internal carotid artery thrombosis after blunt maxillofacial trauma

Two cases of internal carotid artery thrombosis associated with a maxillary Le Fort III and mandibular angle fractures after maxillofacial blunt injuries are described. Both patients had delayed neurologic deficit and hemiparesis. The diagnosis was made by carotid angiography after clinical evidence of thromboembolism. Clinical aspects and etiology, with special attention to mechanism of injury, are discussed.

Idiopathic familial gingival fibromatosis associated with mental retardation, epilepsy and hypertrichosis

Gingival fibromatosis, a rare but often familial condition, is described in two siblings, associated with mental retardation, epilepsy and hypertrichosis. In one child a maxillary giant‐cell tumour was found and excised. It is important to distinguish idiopathic gingival fibromatosis from phenytoin‐induced gingival hypertrophy.

Unusual Physiologic Melanin Pigmentation of the Tongue

A patient had extensive congenital oral hyperpigmentation of the tongue. The clinical and histologic features set this case apart from any well‐delineated disease. Clinically, the congenital onset, the appearance of large black‐brownish lesions, the lack of associated systemic abnormalities, and the histologic findings of prominent deposition of melanin In the basal layer support the diagnosis of physiologic melanosis. The macular lesions of the tongue represent discrete depositions of melanin and exemplify soft tissue pigmentation of developmental origin.

Synovial hemangioma of the temporomandibular joint: Report of a case and review of the literature

This is the first report of a localized intra-articular synovial hemangioma of the temporomandibular joint. Although, a rare finding, synovial hemangioma should be included in the differential diagnosis of soft tissue lesions in this region.

Benign lymphoepithelial lesion of the sublingual gland

Benign lymphoepithelial lesion (BLEL) was described by Godwin in 1952.’ Formerly, among other names, the lesion was called Mikulicz’s disease. BLEL of the salivary glands is a rare lesion that occurs predominantly bilaterally in the parotid glands, but occasionally may be seen unilaterally.2.3 The submandibular gland is the only other salivary gland in which such a lesion has been reported. No reported case of BLEL in the sublingual gland could be found. Report of Case

Nasal-vestibular drainage systems for infections of the maxilla

Two vertical incisions are made: one in the unattached mucosa in the canine fossa and the second at the zygomaticomaxillary buttress. The incisions are made down to the bone and a subperiosteal tunnel joining them is created with a periosteal elevator. The subperiosteal tunneling is extended anteromedially along the anterior maxillary wall and, using a hemostat, the nasal vestibule is penetrated. A 0.7 x