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Retropharyngeal and parapharyngeal abscesses in children - a 9.5-year retrospective single-center analysis followed by literature review.

Introduction: Deep neck infections are severe complications of the inflammatory processes in the upper respiratory tract. They can be divide … restricted neck mobility (60.86%, n = 42), and neck pain (40.57%, n = 28). Other symptoms, such as trismus, dysphagia, sore throat, headache, or earache, were observed less frequently. As for the laboratory tests, 47 patients (68.11%) had elevated CRP level and 53 (76.81%) presented with elevated WBC count. PCT was measured in only 30 cases (43.47%), of …

Concomitant infusion cisplatin and hyperfractionated radiotherapy for locally advanced nasopharyngeal and paranasal sinus tumors.

PURPOSE: This is a prospective study to improve the therapeutic ratio in the treatment of patients with locally advanced nasopharyngeal and … rmed in three patients and all were within normal ranges. There was no evidence of neck fibrosis or trismus. One patient with gross recurrent disease of the orbit developed blindness of the involved eye due to corneal opacification. The orbital area had been reirradiated in this patient. CONCLUSIONS: Concomitant infusion cisplatinum with hyperfractionate …

Definitive radiotherapy for early (T1-T2) glottic squamous cell carcinoma: a 20 year Cleveland Clinic experience.

PURPOSE: To report our 20 yr experience of definitive radiotherapy for early glottic squamous cell carcinoma (SCC). METHODS AND MATERIALS: Radiation records of 141 patients were retrospectively evaluated for patient, tumor, and treatment characteristics. Cox proportional hazard models were used to perform univariate (UVA) and multivariate analyses (MVA). Cause specific survival (CSS) and overall survival (OS) were plotted using cumulative incidence and Kaplan-Meir curves, respectively. RESULTS: Of the 91% patients that presented with impaired voice, 73% noted significant improvement. Chronic

How successful is high-dose (> or = 60 Gy) reirradiation using mainly external beams in salvaging local failures of nasopharyngeal carcinoma?

PURPOSE: To evaluate the efficacy of high-dose (> or = 60 Gy) reirradiation using mainly external beams in salvaging local failures of nasop … orbidity was also associated with the other frequent radiation complications, including xerostomia, trismus, and deafness. Uni- and multivariate analyses indicated that brief initial disease-free interval between completion of primary radiotherapy and diagnosis of local failures and advanced recurrent T-stage and recurrent N-stage were significant prognos …

Prognostic factors affecting the duration of disability after third molar removal.

PURPOSE: The purposes of this investigation were 1) to estimate the duration of disability after third molar removal and 2) to identify factors associated with prolonged recovery. MATERIALS AND METHODS: This was a prospective cohort study composed of subjects enrolled in the American Association of Oral and Maxillofacial Surgeons Age-Related Third Molar Study. The predictor variables were grouped as follows: demographic, health status, anatomic, pathologic, medications, and complications. The outcome variable was the duration of postoperative disability measured as the number of days the subj

Can dentists detect multiple myeloma through oral manifestations?

ObjectiveTo review published data on oral manifestations of multiple myeloma.MethodsAn electronic database search was performed of articles published from 1971 to November 2016 in order to identify studies that reported oral manifestations of patients with multiple myeloma. Case reports and case series with oral manifestations of multiple myeloma in English were included in the study. An additional search was performed of the references of the selected articles.ResultsThirty-seven articles that reported 81 patients with oral manifestations of multiple myeloma were selected: 30 case reports (82

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… lip | Multiple diffuse lytic | Skull radiograph | No Flick et al. 40 | Case report | 1/1 | None | Amyloidosis in the tongue | – | – | Yes Salisbury et al. 44 | Case report | 1/1 | Pain Bleeding on the buccal mucosa | Amyloidosis in the tongue | – | – | No Epstein et al. 11 | Case report | 1/1 | Pain Trismus … | Multiple lytic (1 case) Single (4 cases) | Panoramic, CBCT, periapical radiographs and MRI | No Troeltzsch et al. 27 | Case report | 1/1 | None | Tooth mobility in the mandible | Single lytic Root resorption | Non specified | No Zhao et al. 6 | Case report | 1/1 | Pain | Ulcerated lesion Swelling Trismus …

American Cancer Society Head and Neck Cancer Survivorship Care Guideline.

Answer questions and earn CME/CNE The American Cancer Society Head and Neck Cancer Survivorship Care Guideline was developed to assist primary care clinicians and other health practitioners with the care of head and neck cancer survivors, including monitoring for recurrence, screening for second primary cancers, assessment and management of long-term and late effects, health promotion, and care coordination. A systematic review of the literature was conducted using PubMed through April 2015, and a multidisciplinary expert workgroup with expertise in primary care, dentistry, surgical oncology,

Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess.

BACKGROUND: Peritonsillar abscess is a common infection presenting as a collection of pus in the peritonsillar area. The condition is characterised by a severe sore throat, difficulty in swallowing and pain on swallowing, fever and malaise, and trismus. Needle aspiration and incision and drainage are the two main treatment modalities currently used in the treatment of this condition. The effectiveness of one versus the other has not been clearly demonstrated and remains an area of debate. OBJECTIVES: To assess the effectiveness and risks of needle aspiration versus incision and drainage for t…

Radiolucent lesions of the mandible: a pattern-based approach to diagnosis.

ObjectivesRadiolucent mandibular lesions seen on panoramic radiographs develop from both odontogenic and non-odontogenic structures. They represent a broad spectrum of lesions with a varying degree of malignant potential. The purpose of this review is to illustrate the characteristic imaging findings-as well as the clinical and histological features-of common and uncommon radiolucent lesions of the mandible.MethodsThis review article is based on the retrospective evaluation of 11,725 panoramic radiographs seen in our institution during the past 6 years. It provides a comprehensive, practical a

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… In advanced stages, trismus, fistulas and pathological fractures have also been reported. CT usually reveals a patchy radiopaque-radiolucent ill-defined lesion with cortical bone destruction, usually without periosteal reaction (Fig. 11 ). … Clinical features include swelling and pain, as well as trismus. Imaging features are unilocular or multilocular, well-defined lesions with sclerotic borders, mimicking a benign cyst, a keratocyst or an ameloblastoma on OPT, CT and CBCT [ 37 ]. …

Recurrent Mandibular Ewing sarcoma in an 11-year-old boy: a rare pediatric case and review of the literature.

RATIONALE: Mandibular Ewing sarcoma is exceptionally rare in children and frequently mimics common odontogenic infections. This overlap leads to delayed diagnosis and potentially rapid tumor progression. Early recognition and appropriate multimodal management are critical for improving outcomes. PATIENT CONCERNS: An 11.5-year-old Iranian boy of Middle Eastern ethnicity presented with progressive left mandibular swelling and pain for 1 month, unresponsive to antibiotic therapy previously prescribed for presumed dental abscess. DIAGNOSIS: Imaging (CT, MRI) revealed an aggressive destructive ma

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… Disease progression leads to cortical bone destruction and soft-tissue invasion, manifesting as swelling, pain, loose teeth, toothache, mucosal ulceration, trismus, and paresthesia in the jaw and facial region [ 5 ]. … There was no trismus or airway compromise. Regional lymph nodes were not enlarged, and the patient denied fever, weight loss, or systemic symptoms. Laboratory investigations showed normal complete blood count, erythrocyte sedimentation rate, and C-reactive protein levels. …

Cancer and orofacial pain.

BackgroundCancer pain is a devastating condition. Pain in the orofacial region, may be present as the single symptom of cancer or as a symptom of cancer in its later stages. This manuscript revises in a comprehensive manner the content of the conference entitled "Orofacial Pain and Cancer" (Dolor Orofacial y Cancer) given at the VI Simposio International "Advances in Oral Cancer" on the 22 July, 2016 in San Sebastioan-Donostia, Spain.Material and methodsWe have reviewed (pubmed-medline) from the most relevant literature including reviews, systematic reviews and clinical cases, the significant

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… Myofascial pain can be present as trismus, contracture, fibrosis and scarring of the muscles of mastication and TMJ ligaments ( 61 , 65 - 67 ) compromising daily life activities such as eating because they can cause severe limitations of mouth opening. … Mouth opening and trismus in patients undergoing curative treatment for head and neck cancer. International journal of oral and maxillofacial surgery. 2015;44:292–6. doi: 10.1016/j.ijom.2014.12.009. 66. Jawad H, Hodson NA, Nixon PJ. …

Platelet-rich plasma (PRP) in dental and oral surgery: from the wound healing to bone regeneration.

Platelet-rich plasma (PRP) is a new approach to tissue regeneration and it is becoming a valuable adjunct to promote healing in many procedures in dental and oral surgery, especially in aging patients. PRP derives from the centrifugation of the patient's own blood and it contains growth factors that influence wound healing, thereby playing an important role in tissue repairing mechanisms. The use of PRP in surgical practice could have beneficial outcomes, reducing bleeding and enhancing soft tissue healing and bone regeneration. Studies conducted on humans have yielded promising results regard

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… No improvement in pain, swelling, trismus and infection. | weak Gurbuzer et al. | 2008 | 12 | 1-4 | No increased osteoblastic activity in PRP treated sites | weak Table 2 Summary of the RCTs using PRP in periodontal surgery Authors | Year of publication | Number of patients | Treatment | Follow-up ( … The Authors observed no further acceleration in bone formation at 6 months nor did they observe statistically significant differences between the groups regarding pain, swelling, trismus and infection throughout the post-operative period. [ 38 ]. …

Symptom burden and quality of life in advanced head and neck cancer patients: AIIMS study of 100 patients

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… However, the common grade 3/4 symptoms were dysphagia ( n = 73) followed by pain (including PALMP) ( n = 64), oral secretions ( n = 32), and trismus ( n = 21). Discussion and review of literature According to GLOBOCAN 2012, HNCa is the most common malignancy among males in India. …

Primary Aggressive Oral Lymphomas (PAOL): A Narrative Review of Diagnosis, Molecular Features, Therapeutic Approaches, and the Integrated Role of Dentists and Hematologists.

Primary aggressive oral lymphomas (PAOL) are a rare subset of extranodal non-Hodgkin lymphomas arising in the oral cavity without evidence of other systemic involvement at diagnosis. PAOL accounts for only about 2-3% of all lymphomas. They most commonly belong to aggressive B-cell subtypes such as Diffuse large B-cell lymphoma (DLBCL) and plasmablastic lymphoma (PBL), with occasional cases of Burkitt lymphoma and T-cell/NK-cell lymphomas. Clinically, these malignancies often present with non-specific symptoms (e.g., swelling, pain, ulceration, tooth mobility) that mimic benign dental condition

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… Radiation-Related Sequelae Radiation-related late effects include trismus (jaw stiffness) and osteoradionecrosis (ORN) of the jaw [ 96 ]. … Trismus results from fibrosis of masticatory muscles or TMJ ligaments in the radiation field; the dental team provides jaw stretching exercises and devices to maintain opening range. …

Is photobiomodulation an effective preventive strategy for oral mucositis in patients with hematologic diseases undergoing chemotherapy?: A systematic review of randomized controlled trials.

Purpose to conduct a systematic review to assess whether photobiomodulation is effective in preventing oral mucositis in patients with hematologic diseases undergoing chemotherapy. Methods: A systematic search was conducted in the Embase, Medline/PubMed, Cochrane, Scopus, Web of Science and LILACS databases. The strategy included selected randomized clinical trials that evaluated the prevention of oral mucositis, directly comparing the use of photobiomodulation for chemotherapy-induced oral mucositis in patients with hematologic diseases with alternative non-laser therapies. The risk of bias i

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… Fungal infections and oral mucositis (OM) are the most common oral manifestations observed in these patients [ 8 ], in addition to xerostomia, vascular disorders, trismus and dentoalveolar abscess [ 9 , 10 ]. … depending on the number of lesions and the method of application. | 30 | Preventive: 5.16; Therapeutic: 5.16–21.24, varied according to the number of injured areas and the number of applications accumulated in the treatment sessions. | 670 | Intraoral, in continuous mode, however, in cases of severe trismus …

Impact of Oral Side Effects from Conditioning Therapy Before Hematopoietic Stem Cell Transplantation: Protocol for a Multicenter Study.

BackgroundThe oral cavity is a common site of complications related to the cytotoxic effect of high-dose chemotherapy and radiation therapy. Considering our limited understanding of the burden of illness in the oral cavity from various cytotoxic therapies, it is difficult to produce evidence-based, preventive and management protocols. A prospective multicenter study is necessary to collect data on the burden of illness from various cytotoxic regimens.ObjectiveThe objectives of this prospective international observational multicenter study in hematopoietic stem cell transplant (HSCT) patients a

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… Other reported complications are bleeding, dysphagia (difficulty swallowing), dysgeusia (altered sensation of taste), infection (bacterial, viral, and fungal), pain, trismus, medication-related osteonecrosis of the jaw, osteoradionecrosis, xerostomia/salivary gland dysfunction, caries, periodontal disease …

Indian Society of Periodontology Good Clinical Practice Recommendations for dental pain management and use of analgesics.

Pain is one of the most frequent reasons for seeking dental care and significantly influences patient comfort, treatment acceptance, and clinical outcomes. Effective management of dental pain requires accurate diagnosis, timely intervention, and the rational use of analgesics supported by evidence-based clinical decision-making. Recognizing the need for structured guidance for everyday dental practice, the Indian Society of Periodontology has developed Good Clinical Practice Recommendations on Pain Management and the Use of Analgesics in Dental Clinics. These recommendations were formulated by

[Operative neurosurgery: personal view and historical backgrounds (3). Anterior circulation--pterional approach].

Under the title of anterior circulation aneurysms and the pterional approach, followings are presented and emphasized along with mentioning … parallel to the skin incision towards the tragus up to several cm above it to prevent postoperative trismus. Bone flap is sawed out usually using three burr holes, at the key hole just at the proximal part of the linea temporalis, frontomedially on the squama frontalis and on the sutura squamosa, so that the Sylvian fissure and the superior temporal gyrus …

Management of Gaucher Disease Type 1 in a Resource-Limited Setting: A Pediatric Case Study.

This case report depicts the management of an 8-year-old male with Gaucher Disease Type 1, manifesting as massive splenomegaly, anemia, and skeletal involvement in a resource-constrained environment. Treated with splenectomy due to the absence of enzyme replacement therapy, it underscores the necessity for enhanced therapeutic access and comprehensive care.

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… Conversely, pediatric GD type 2 is predominantly associated with opisthotonus, bulbar palsy, trismus, psychomotor retardation, and hypertonia, reflecting its distinct and severe neurological profile [ 6 ]. …

Conservative non-surgical management in medication related osteonecrosis of the jaw: A retrospective study.

OBJECTIVES: To date, the best treatment for Medication Related Osteonecrosis of the jaw (MRONJ) is controversial. Recent studies suggest different therapies, considering the stage of MRONJ; however, sometimes patients, although with remarkable extension of disease, cannot undergo surgery. The purpose of present preliminary study was to evaluate the efficacy of conservative non-surgical treatment of MRONJ lesions in a cohort of patients ineligible for surgery or refusing any surgical treatment for stage II and III of MRONJ. MATERIALS AND METHODS: Patients with MRONJ (staging II or III) ineligi

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… TABLE 2 SIPMO/SICMF staging system Stage I | Focal ONJ Clinical signs and symptoms: Bone exposure, sudden dental mobility, nonhealing postextraction socket, mucosal fistula, swelling, abscess formation, trismus and gross mandible deformity hypoesthesia/paraesthesia of the lips CT signs: Increased bone …