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K Rajkumar, P Mukhopadhyay, Ramen Sinha
PURPOSE: The study assessed the efficacy of orthopedic suture anchor as a modified suture anchor for disc repositioning in case of a closed lock of TMJ. PATIENT AND METHODS: Disc repositioning was undertaken via a mini preauricular approach. The disc was repositioned on the surface of the condyle and stabilized using an orthopedic suture anchor. Postoperatively functional outcomes were assessed in terms of reduction in pain, joint movement and absence of joint noise and clicking sounds...
September 2016: Journal of Maxillofacial and Oral Surgery
Mohammad Waheed El-Anwar, Ahmed Shaker ElAassar
Introduction Several surgical techniques and modifications have been described to reduce the high recurrence rate after excision of preauricular sinus. Objectives The aim of this study is to review the literature regarding surgical approaches for preauricular sinus. Data Synthesis We performed searches in the LILACS, MEDLINE, SciELO, PubMed databases and Cochrane Library in September, 2015, and the key words used in the search were "preauricular sinus," "sinusectomy," "supra-auricular approach," "methylene blue," and/or "recurrence...
October 2016: International Archives of Otorhinolaryngology
Mayur Sharma, Vernon Velho, Hrushikesh Kharosekar
Aneurysmal bone cyst (ABC) arising in the petrous portion of the temporal bone is a rare entity with only five such reported cases in the literature. We report the case of a 28-year-old man who presented with a tender swelling in the right preauricular region with right ear discharge and conductive hearing loss of 4 years' duration. Computed tomography and Magnetic Resonance imaging showed a destructive lesion in the right petrous bone with cavitation consistent with the diagnosis of ABC. Gross total resection of the lesion was achieved and diagnosis was confirmed histologically...
October 2016: Asian Journal of Neurosurgery
Kohei Okuyama, Yuki Sakamoto, Tomofumi Naruse, Akiko Kawakita, Souichi Yanamoto, Kohei Furukawa, Masahiro Umeda
PURPOSE: To present a case report on the presence of an ectopic mandibular third molar (EMTM), the surgical treatment, and outcome. CASE REPORT: A 63-year-old woman presented with right preauricular facial swelling, limited jaw function, and pain. Radiographic assessment demonstrated an EMTM positioned in the superoposterior aspect of the ramus. Radiographically, there was a bony tunnel extending from the third molar to distal of the second molar. The patient was treated by an intraoral approach on the medial aspect of the ramus for removal of the ectopic third molar, as well as the tissue in the bony tunnel...
October 3, 2016: Cranio: the Journal of Craniomandibular Practice
Silvia Potenziani, Danielle Applebaum, Bhuvaneswari Krishnan, Carolina Gutiérrez, A Hafeez Diwan
Cowden Syndrome (CS) is an uncommon autosomal dominant multiorgan/system genodermatosis. It is characterized by the development of multiple hamartomas of endodermal, mesodermal and ectodermal origin, an increased lifetime risk of breast, thyroid, endometrial, and other cancers and an identifiable germline mutation. Mucocutaneous hamartomas are the most common lesions seen and mainly include facial trichilemmomas, oral mucosal papillomas, and benign acral keratoses. Herein, we report a case of a 63-year-old Caucasian male with a long-established diagnosis of CS and history of thyroid cancer, colonic polyps, and innumerable trichilemmomas, seborrheic keratoses, squamous papillomas, and non-melanoma skin cancers excised in the past...
September 28, 2016: Journal of Cutaneous Pathology
Michael Coulter, Jingxuan Liu, Mark Marzouk
There is only one previously reported incident in the English literature of sarcoma ex pleomorphic adenoma of the parotid and there are only 8 cases of primary parotid leiomyosarcoma. In our case, a 79-year-old female patient presented to our care with left preauricular pain, swelling, and facial weakness. After CT imaging, she underwent left total parotidectomy. A spindle cell lesion was identified intraoperatively and the facial nerve was sacrificed. Subsequent analysis of the lesion yielded a diagnosis of leiomyosarcoma ex pleomorphic adenoma...
2016: Case Reports in Otolaryngology
Alexander G Claxton, Ashley S Hammond, Julia Romano, Ekaterina Oleinik, Jeremy M DeSilva
Characterizing australopith pelvic morphology has been difficult in part because of limited fossilized pelvic material. Here, we reassess the morphology of an under-studied adult right ilium and pubis (Sts 65) from Member 4 of Sterkfontein, South Africa, and provide a hypothetical digital reconstruction of its overall pelvic morphology. The small size of the pelvis, presence of a preauricular sulcus, and shape of the sciatic notch allow us to agree with past interpretations that Sts 65 likely belonged to a female...
October 2016: Journal of Human Evolution
D Atanassova, E Pavlova, I Markova, P Markov, V Stoykova, D Markov, S Patishanov, G Radinski
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Faiz Hussain, Nina Yedavalli, David Loeffler, Andre Kajdacsy-Balla
Renal cell carcinoma is a common cancer, known for its aggressive behavior and ability to metastasize nearly every organ system in the body. While the cancer commonly spreads to a select few organs and metastasis usually develops within 5 years of diagnosis, there have been numerous case reports of atypical sites of metastasis and cases of relapse up to decades after treatment. We present a case a 65-year-old male who presented with right preauricular swelling 8 years after the initial diagnosis and right nephrectomy for clear cell renal cell cancer...
2016: Journal of Community Hospital Internal Medicine Perspectives
Qian-Qian Gao, Yuan-Yong Feng, Ling-Xue Bu, Kai Song, Xin Dai, Wei Shang
Pigmented villonodular synovitis (PVNS) is a benign, proliferative disorder of synovium. It often affects the knee, and rarely occurs in the temporomandibular joint (TMJ). This paper reported a 45-year-old male patient with PVNS of the TMJ, who was referred with a chief complaint of slowly growing and painless preauricular mass that was noticed about 1 year. Radical excision and follow-up were conducted, no recurrence and metastasis were noted.
June 2016: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
Ruchi Bhuyan, Abhishek Ranjan Pati, Sanat Kumar Bhuyan, Bikash Bishwadarshee Nayak
Goldenhar Syndrome or oculoauriculovertebral spectrum is a complex syndrome characterized by an association of maxillomandibular hypoplasia, deformity of the ear, ocular dermoid and vertebral anomalies and the most severe form of hemifacial microsomia. Here, we describe a 26-year-old male patient with unilateral hemifacial microsomia, preauricular ear tags, macrosomia on the right side of the face.
May 2016: Journal of Oral and Maxillofacial Pathology: JOMFP
Céline Terrada, Said Azza, Bahram Bodaghi, Phuc Le Hoang, Michel Drancourt
BACKGROUND: Literature reports on ophthalmological manifestations related to tularemia, a zoonose caused by the bacterium Francisella tularensis, largely refer to Parinaud's oculoglandular syndrome, which consists of the association of conjunctivitis with preauricular lymphadenitis. In this paper, we report a case of intraocular inflammation during tularemia infection. CASE PRESENTATION: A 52-year-old Caucasian man was diagnosed with unilateral uveitis. The uveitis was posterior, with a 2+ vitritis and a large yellowish lesion involving the macula with an overlying sub-retinal detachment, extending inferiorly, and subretinal hemorrhages...
2016: BMC Ophthalmology
Dong Sik Chang, Ho Yun Lee, Myoung Su Choi, Kudamo Song, Ah-Young Kim, Chin Saeng Cho
OBJECTIVES: The aim of this study is to confirm the effect of adjuvant intralesional triamcinolone acetonide injections (TRIAM) for the treatment of an infected preauricular sinus (PAS). METHODS: The medical charts of 103 patients diagnosed with PAS from March 2013 to December 2015 were reviewed and documented. The mean duration of treatment and postoperative follow-up period were compared between patients who received TRIAM and patients who received conventional treatment...
August 5, 2016: American Journal of Otolaryngology
Serap Doğan, Afra Ekinci, Hayati Demiraslan, Ayşegül Ulu Kılıç, Ertuğrul Mavili, Mustafa Öztürk, Hakan İmamoğlu, Mehmet Doğanay
PURPOSE: We aimed to evaluate the ultrasonography (US) and contrast-enhanced computed tomography (CECT) findings of tularemia in the neck. METHODS: US and CECT findings of 58 patients with serologically proven tularemia were retrospectively evaluated. Forty-eight patients underwent US and 42 patients underwent CECT. Lymph node characteristics and parotid preauricular region involvement were analyzed using US and CECT. In addition, involvement of larynx, oropharynx, and retropharynx; presence of periorbital edema; and neck abscess formation were evaluated using CECT...
September 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
Akmam H Al-Mahdi
Surgical visibility of the joint is often compromised by the efforts to protect the facial nerve and its branches. Several approaches to the temporomandibular joint have been proposed over the years and perhaps the standard and most commonly used incision is the preauricular which is then extended with coronal incision to improve visibility and safety during surgery. The authors present a new modification based on the achievement of an aesthetically acceptable and inconspicuous scar in the temporal area. This is achieved by using a preauricular incision extended with a zigzag incision as a routine approach to the temporomandibular joint instead of the straight coronal incision...
October 2016: Journal of Craniofacial Surgery
João Goulão, João Alves
An 86-year-old woman was referred for treatment of a lentigo maligna melanoma on the left earlobe, confirmed by cutaneous biopsy. The resulting surgical defect involved the earlobe's full thickness. The authors outline a simple method for reconstructing the entire lobe in one stage, without grafts, whilst offering a pleasant appearance. Earlobe deformity may be congenital or, more often, acquired due to trauma, burns or surgery. Ear lobules are an important reference point for facial symmetry and they serve decorative purposes like wearing earrings...
May 2016: Anais Brasileiros de Dermatologia
Brian A Walker, Babette S Saltzman, Erin P Herlihy, Daniela V Luquetti
The purpose of this study was to characterize the phenotypic presentation, clinical course, and outcomes of epibulbar dermoids (EpDs) which are the most common congenital eye tumor in children. Sixty-eight dermoids were identified in 58 eyes of 48 patients of Seattle Children's Hospital between 1981 and 2014 via electronic medical record search. Patients were organized into: "EpD-Only" [patients without other congenital anomalies (n = 13)], "EpD-CFM" [patients with a craniofacial microsomia (CFM) diagnosis (n = 25)], and "EpD-Other" [patients with other congenital anomalies (n = 10)]...
July 12, 2016: International Ophthalmology
Zornitsa I Zlatarova, Binna N Nenkova, Ekaterina B Softova
BACKGROUND: Various techniques have been proposed for reconstruction of the eyelid anterior lamella after carcinoma excision: among these are the transposition of skin flaps, and full-thickness skin grafts or combination of these two. AIM: To present our experience in eyelid reconstruction with full-thickness skin grafts and to assess the aesthetic and functional outcomes. PATIENTS AND METHODS: The present retrospective study included 39 patients (20 males, 19 females, mean age 71 yrs) with surgically excised eyelid carcinoma, followed by reconstruction using full-thickness skin grafts...
March 1, 2016: Folia Medica
Hanneke Bruijnzeel, Maaike T van den Aardweg, Wilko Grolman, Inge Stegeman, Erwin L van der Veen
OBJECTIVES/HYPOTHESIS: Preauricular sinuses are benign congenital malformations of preauricular soft tissues. Complete excision using either sinectomy or supra-auricular approach is advised to prevent recurrence. Reported recurrence varies between 0 and 42%. We evaluated which surgical technique resulted in lowest complication and recurrence rates. STUDY DESIGN: PubMed, Embase, Scopus, Web of Science. METHODS: Two authors appraised studies on directness of evidence and risk of bias...
July 2016: Laryngoscope
Shayna C Rivard, Elizabeth Satter
A 31-year-old Filipino active duty marine presented with a 2-year history of a waxing and waning nodule on his left cheek that had been incised and drained on multiple occasions. The patient had no significant medical history other than a positive purified protein derivative test with negative chest x-ray finding treated with a 9-month course of isoniazid in 2010. He denied cough, fever, chills, night sweats, weight loss, joint/bone pain, or prior trauma to the area. On initial examination, there was a 1×1-cm erythematous indurated nodule associated with an overlying violaceous scar on his left preauricular cheek...
2016: Skinmed
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