551 results on '"Facial swelling"'
Search Results
2. The Use of Platelet-rich-fibrin in Lower Third Molar Surgery.
- Author
-
Amerigo Giudice, Professor
- Published
- 2023
3. Can concentrated growth factor prevent postoperative complications of impacted third molar surgery? A split-mouth randomized double-blind trial.
- Author
-
Huang, Cheng and Xu, Yuanzhi
- Abstract
Objectives: The purpose of the present study was to evaluate the effect of concentrated growth factor (CGF) on prevention of postoperative complications in the impacted third molar extraction. Materials and methods: A total of 25 healthy patients with symmetrical bilaterally impacted third molars (50 extraction sites) were enrolled in this split-mouth, randomized, double-blind clinical trial. Third molar extractions were performed in both sites of the mandible at the same appointment. Randomization was performed using a coin toss to choose the test and control sites. CGF was placed in the extraction socket and the socket was sutured (test group), while the contralateral socket was only sutured (control group). Each patient acted as their own control. The primary outcome were pain assessed by visual analog scale (VAS) and facial swelling on the1st, 3rd and 7th postoperative days. The secondary outcomes were bone healing in extraction sockets through alveolar bone height (ABH) and alveolar bone density (ABD) evaluated by cone beam computed tomography (CBCT) immediately after extraction and in the 3rd and 6th months. Results: Twenty-five patients (12 female, 13 male; mean age 29.17) with bilateral impacted third molars participated in the study. A statistically significant reduction in pain was determined on the 3rd and 7th postoperative days in the CGF sites compared to the control sites while no statistically significant difference was found between the groups on the 1st postoperative day (3rd day, p = 0.009; 7th day, p = 0.039). There were no statistically significant differences in facial swelling and bone healing between the test and control groups at different time intervals, although the data obtained were slightly favoring the CGF group (p > 0.05). There were no serious adverse effects such as infection, alveolitis, paraesthesia, fracture through the follow-up period in all of the cases. Conclusion: The study has demonstrated the effect of CGF on relieving the severity of pain after the third molar extraction. Clinical relevance: Placement of CGF in the extraction socket could relieve postoperative pain and reduce patient discomfort after the third molar extraction. CGF is recommended during the third molar extraction due to its good biological effects, low cost and simple preparation procedures. Trial Registration Number: ChiCTR2300077819. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. Effect of Pre-emptive Dose of Prednisone Versus Placebo in Impacted Third Molar Surgery
- Author
-
Amerigo Giudice, Professor
- Published
- 2023
5. Reduction of Post-Surgical Facial Edema Following Bromelain and Coumarin Intake in Traumatology: A Prospective Study with 100 Patients.
- Author
-
Consorti, Giuseppe, Monarchi, Gabriele, Paglianiti, Mariagrazia, Betti, Enrico, and Balercia, Paolo
- Subjects
- *
BROMELIN , *TRAUMATOLOGY , *ORTHOPEDIC shoes , *ORAL drug administration , *EDEMA , *PINEAPPLE , *LONGITUDINAL method , *MAXILLOFACIAL surgery - Abstract
Background: Bromelain and coumarins are recognized as safe and effective therapeutic agents, used by individuals to treat ailments such as postoperative edema, inflammation and other diseases. Bromelain has been proven to be well absorbed by the body after oral administration, and it has no major side effects even after prolonged use. The purpose of this study is to evaluate the effectiveness of bromelain and other nutraceuticals in reducing post-surgical swelling, pain and the need of anti-inflammatory drugs in maxillofacial post-traumatic surgery. Methods: This prospective open-label study was conducted on patients undergoing surgery for trauma of the maxillofacial area. One hundred patients were selected and divided into two groups: one group who underwent therapy with bromelain, Aesculus hippocastanum and Melilotus officinalis and a control group that was not given the drug in postoperative therapy. Results: Patients in the experimental group showed a reduction of edema in the first and second postoperative weeks, a faster complete reduction of facial edema and a lower reduction in maximum mouth opening and needed less anti-inflammatory therapy to control pain. Conclusions: These findings seem to provide evidence that Brovas® may be effective in improving postoperative edema outcomes in patients undergoing surgical treatment of facial fractures. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
6. Peculiar Presentation: Dirofilariasis Unveiled in the Temporalis Muscle of a Teenager
- Author
-
Moideen, Sanu P. and Jose, Tarun Babu
- Published
- 2024
- Full Text
- View/download PDF
7. Comparative Evaluation of Postoperative Facial Swelling and Occlusion in Orthognathic Treatment with Clear Aligners versus Fixed Orthodontic Appliances: A Systematic Review.
- Author
-
Rosenberg, Stacy Ann, Rossouw, P. Emile, Barmak, Basir A., Michelogiannakis, Dimitrios, and Javed, Fawad
- Subjects
ORTHODONTIC appliances ,ORTHOGNATHIC surgery ,EDEMA ,DATABASE searching - Abstract
The purpose of this systematic review was to assess the postoperative facial swelling (FS) and occlusion attained with clear aligner therapy (CAT) and fixed orthodontic therapy (OT) after orthognathic surgery (OS). The focused question was "Is there a difference in postoperative FS and occlusion attained with CAT and fixed OT after OS?" Indexed databases were searched up to and including October 2023 using different keywords. Original clinical studies that compared postoperative FS and occlusion attained with CAT and fixed OT after OS were included. Risk of bias (RoB) and quality of evidence were also assessed. Four retrospective studies were included. One study reported no difference in postoperative FS among patients that underwent CAT or fixed OT after OS. In one study, patients treated with CAT demonstrated less FS in the first post-surgical week than individuals that underwent fixed OT. In one study, postoperative occlusion was comparable among patients that underwent CAT or fixed OT, whereas in another, postoperative occlusion was better in patients that underwent fixed OT than CAT. All studies had a moderate RoB and none of the investigations were based on power-adjusted data. Based upon the sparsity and questionable quality of available evidence, there is a need to render a firm conclusion. However, it seems that CAT and fixed OT are comparable in relation to postoperative occlusion and FS after OS. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
8. Evaluation of the effectiveness of tube drain on postoperative discomfort in mandibular third molar surgery: prospective randomized split-mouth study.
- Author
-
Mariani, Pierluigi, Menditti, Dardo, Russo, Diana, and Laino, Luigi
- Subjects
- *
THIRD molars , *DENTAL extraction , *SURGICAL flaps , *IMPACTION of teeth , *PAIN measurement , *TUBES - Abstract
The present randomized split-mouth study aimed to investigate the clinical effectiveness of postoperative discomfort of the use of a surgical drain after lower third molar extraction. It was conducted a prospective randomized split-mouth study involving 30 patients with bilateral symmetric lower third molar. Each patient underwent two operations for the extraction of impacted teeth: test site (tube drain) and control site (conventional total closure of surgical flap), resulting in 30 cases in the test group, and 30 cases in the control group. Pain, swelling, and mouth opening were evaluated immediately before the surgeries, after 1, 3 and 7 days postoperatively in both groups. Data were analyzed with non-parametric test (Kruskal-Wallis test and the post hoc Dun test, and Wilcoxon matched-pairs signed rank test). Facial swelling (p <.001) was significantly less in test group compared with the control group on all examined days. Trismus is significantly reduced only on the third day (p <.001); Pain measurements did not differ statistically significantly between the two groups on all post-operative days (p >.05). The use of the tube drain reduced facial swelling and trismus, but had no influence on the subjective perception of postoperative pain. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
9. The effects of Kinesio tapes on facial swelling following bimaxillary orthognathic surgery in the supraclavicular region
- Author
-
Mohsen Golkar, Anita Taheri, Mostafa Alam, Yasin Asadi, and Seied Omid Keyhan
- Subjects
Kinesio tapes ,Facial swelling ,Orthognathic surgery ,Supraclavicular region ,Dentistry ,RK1-715 ,Surgery ,RD1-811 - Abstract
Abstract Background Several osteotomies are required for orthognathic surgery to reposition the jaws correctly. This study aimed to evaluate whether Kinesiotaping can reduce swelling, pain, and trismus following orthognathic surgery of the facial skull. Materials and methods The present study consists of two phases. In the split-mouth phase, 16 skeletal class III patients underwent Bimax Orthognathic surgery, and Kinesiological tape (KT) was applied on one half of the face. In the prospective case–control phase, 30 patients were divided into two groups. Kinesio tape was applied on both sides of the face of the Kinesio group, and pressure dressing and ice therapy were used for the second group. The tape was parallel to the lower border of the mandible along its entire length, tangent to the labial commissure area on the studied side. The tape was placed in place for 5 days. Edema was evaluated by measuring the distance from the menton to the lower edge of the tragus. The maximum mouth-opening trismus was evaluated, and the VAS index was used to evaluate pain. Results There was evidence of swelling reduction after KT; within the same study, differences between the left and right sides as well as for the same side were statistically significant (p
- Published
- 2023
- Full Text
- View/download PDF
10. The effect of hyaluronic acid addition to collagen in reducing the trismus and swelling after surgical extraction of impacted lower third molars: a split-mouth, randomized controlled study.
- Author
-
Kokash, Moemeneh, Darwich, Khaldoun, and Ataya, Jawdat
- Subjects
- *
THIRD molars , *HYALURONIC acid , *TRISMUS , *MOLARS , *COLLAGEN , *DENTAL extraction - Abstract
Background: Removal of impacted third molars is associated with postoperative complications such as pain, swelling, ecchymosis, trismus, infection, and hematoma. Thus, contemporary surgery aims to reduce complications by applying collagen or hyaluronic acid in the socket after extracting the impacted mandibular third molars. This study aimed to study the efficacy of hyaluronic acid (HA) addition to collagen, compared to collagen application alone, on the magnitude of swelling and trismus following impacted mandibular third molar surgery. Methods and materials: A total of 40 impacted molars of 20 participants who had completely bilateral impacted lower third molars were enrolled in this split-mouth, randomized, clinical trial. Randomization was carried out by two opaque envelops; two materials were applied topically in the socket collagen alone or with hyaluronic. The postoperative mouth-opening limitation and swelling rate were assessed on the third and seventh days after the extraction. Results: The mean age was 22.7 ± 3.079 years (75% female and 25% male). Regarding the rate of trismus, the test sides had less values than the control sides on 3rd days (44.03 ± 12.8 vs. 52.14 ± 13.7) and 7th days (19.22 ± 12.8 vs. 32.45 ± 15.3) postoperatively but the difference is only significant on the seventh day (P = 0.005). The swelling scores of the hyaluronic acid addition group were significantly lesser than those of the collagen alone group on the third and the seventh day (P < 0.05) except for the lateral canthus to the angulus mandibulae on the third day (P = 0.133). Conclusion: Adding hyaluronic acid to collagen could effectively reduce the severity of facial swelling and trismus following surgical extraction of impacted lower third molars. Statement of clinical relevance : Swelling and trismus are the most sequela following impacted third molar surgical extraction. This study showed that applying hyaluronic acid with collagen can reduce the severity of facial swelling and trismus which could be useful in surgeons' daily practice. We should mention that this original article has a preprint edition (44). [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
11. EVALUATION OF ANTI-INFLAMMATORY EFFICACY OF ASCORBIC ACID AFTER THIRD MOLAR SURGERY.
- Author
-
Fatima, Maryam, Farhat, Kulsoom, Ali, Shabana, Noor, Mudassar, Usman, Chaudhary Muhammad, and Gilani, Fauzia Fatima
- Subjects
ANTI-inflammatory agents ,THIRD molar surgery ,THERAPEUTIC use of vitamin C ,AMOXICILLIN ,CLAVULANIC acid - Abstract
Background: Abstraction of wisdom teeth or impacted third molar under local anaesthesia is one of the most frequent interventions by an oral and maxillofacial surgeon. The abstraction of the third molar is usually followed by the release of liberation and consequent trismus, pain, and swelling due to the area of the third molar being highly vascularized and rich in loose connective tissue. Objective of the study was to evaluate the anti-inflammatory effect of ascorbic acid following surgical extraction of the third molar. Methods: The current study was carried out Armed Forces Institute of Dentistry, Rawalpindi, from October to December 2022. This was a cross-sectional observational study. Fifty participants who required surgical extraction of the impacted third molar were included in the study via non-probability purposive sampling and were segregated equally into two groups, i.e., Group A and Group B, comprising twenty-five participants in each group. Group A received amoxicillin with clavulanic acid (625 mg) thrice a day and metronidazole (400 mg) twice daily. In comparison, Group B received amoxicillin with clavulanic acid (625 mg) thrice daily, ascorbic acid (500 mg) twice daily, and metronidazole (400 mg) twice daily. Both groups received naproxen sodium as per requirement (550 mg). Pain, facial swelling, and C reactive protein concentration were evaluated until the 7
th postoperative day. Results: There was a reduction in pain and facial swelling in both groups, but in the ascorbic acid group, there was more reduction in pain and facial swelling compared to the control group. However, the difference between the two groups in reducing pain and facial swelling was statistically significant (p<0.01). There was a reduction in CRP in both groups, but in the ascorbic acid group, there was more reduction in CRP 2.35 (1.60-5.30) compared to the control group 2.6 (0.86-5.03). However, the difference between the two groups in reducing C reactive protein concentration was statistically insignificant (p>0.05). Conclusion: Our study concluded that ascorbic acid significantly reduced inflammation and C reactive protein, so ascorbic acid should be used as an adjuvant supplement with other conventional drugs. [ABSTRACT FROM AUTHOR]- Published
- 2023
- Full Text
- View/download PDF
12. Reduction of Post-Surgical Facial Edema Following Bromelain and Coumarin Intake in Traumatology: A Prospective Study with 100 Patients
- Author
-
Giuseppe Consorti, Gabriele Monarchi, Mariagrazia Paglianiti, Enrico Betti, and Paolo Balercia
- Subjects
facial swelling ,bromelain ,post-surgical edema ,pain ,traumatology ,facial trauma ,Medicine - Abstract
Background: Bromelain and coumarins are recognized as safe and effective therapeutic agents, used by individuals to treat ailments such as postoperative edema, inflammation and other diseases. Bromelain has been proven to be well absorbed by the body after oral administration, and it has no major side effects even after prolonged use. The purpose of this study is to evaluate the effectiveness of bromelain and other nutraceuticals in reducing post-surgical swelling, pain and the need of anti-inflammatory drugs in maxillofacial post-traumatic surgery. Methods: This prospective open-label study was conducted on patients undergoing surgery for trauma of the maxillofacial area. One hundred patients were selected and divided into two groups: one group who underwent therapy with bromelain, Aesculus hippocastanum and Melilotus officinalis and a control group that was not given the drug in postoperative therapy. Results: Patients in the experimental group showed a reduction of edema in the first and second postoperative weeks, a faster complete reduction of facial edema and a lower reduction in maximum mouth opening and needed less anti-inflammatory therapy to control pain. Conclusions: These findings seem to provide evidence that Brovas® may be effective in improving postoperative edema outcomes in patients undergoing surgical treatment of facial fractures.
- Published
- 2024
- Full Text
- View/download PDF
13. Three-dimensional facial swelling evaluation of piezo-electric vs conventional drilling bur surgery of impacted lower third molar: a randomized clinical trial.
- Author
-
Caputo, A., Rubino, E., Marcianò, A., Peditto, M., Bellocchio, A. M., Nucera, R., and Oteri, G.
- Subjects
STRUCTURAL models ,OSTEOTOMY ,PIEZOSURGERY ,THIRD molars ,SURGICAL complications ,SMARTPHONES ,FACE ,TREATMENT effectiveness ,RANDOMIZED controlled trials ,EDEMA - Abstract
Background: Among the post-surgical complications of lower wisdom teeth surgery, swelling is considered by patients one of the most impairing, with both social and biological influences and impacting patients' quality of life. Aim of the study was to evaluate the swelling following the osteotomy when performed with drilling burs versus piezo-electric instruments in the mandibular impacted third molar extraction, using a facial reconstruction software. Materials and methods: A randomized, split-mouth, single-blind study was conducted on patients, ranging between 18 and 40 years of age, requiring lower third molars extraction and referred at the Oral Surgery Unit of the School of Dentistry of the University of Messina. Twenty-two patients were recruited during an 8 months period according to the following criteria: good general health conditions; bilateral, symmetrical, impacted third molars; no use of medication that would influence or alter wound healing; no temporomandibular joint disorder history; no smoking. All patients underwent bilateral surgical removal. For each patient, a facial scan was obtained prior to the surgical procedures. The two extractions were conducted performing, in a randomized way, osteotomy with rotatory burs or use of piezo surgical instruments. Facial scans were repeated at 3 and 7 days after the surgical procedures. Volumetric differences were calculated via superimposition using a dedicated software. The data obtained were processed using paired t-test. Results: The results obtained from our study showed no significant differences between two groups regarding post-operative swelling. To the best of our knowledge, this study represents the first experience of using an objective method that can be reproducible on the collection of patients' clinical parameters. Conclusions: The 3D digital analysis, in the evaluation of facial swelling, is a technique of simple application, objective, reproducible, reliable, decreasing the variables of error. Based on these data, it is possible to conclude that piezo surgery is a safe way for performing the osteotomies during third molar surgery. However, regarding the post-operative swelling, it does not show an advantage over classical rotary instruments. Trial registration: Registered on ClinicalTrials.gov (ID: NCT05488028, on 04/08/2022). Approved by Ethical Committee of Messina: (ID 01–2020, on 27/04/2020). [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
14. Multisystemic Enterococcosis in Brown Anoles (Anolis sagrei) from Florida, USA.
- Author
-
Caudill, Megan, Logan, Tracey D., Childress, April, Guzman-Vargas, Veronica, Enge, Kevin M., Shender, Lisa A., and Ossiboff, Robert J.
- Abstract
Beginning in July 2019, numerous free-ranging brown anoles (Anolis sagrei), an invasive lizard species in Florida, USA, were reported with large, soft, subcutaneous masses and disfiguring facial swellings. Postmortem evaluations of six affected animals, including cytology, histology, and electron microscopy, identified the presence of myriad chain-forming coccoid bacteria surrounded by a prominent clear capsule and abundant lightly basophilic matrix material with minimal associated granulomatous inflammation and effacement of normal tissue. Standard PCR and sequencing of the lesions revealed 100% nucleotide identity to Enterococcus lacertideformus. This bacterium was first observed in 2014 as the cause of a severe, multisystemic infection in several species of lizards (geckos and skinks) on Christmas Island, an Australian external territory in the Indian Ocean. Previously, analysis of E. lacertideformus had been hindered by an inability to grow the bacterium in standard culture conditions. We successfully cultured the organism on primary anole kidney cells. Given the growing recognition of host species diversity and geographic distribution noted for this organism, there is potential concern for spread to native North American lizards, especially the green anole (Anolis carolinensis), whose population numbers have apparently decreased due to introduced brown anoles. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
15. Facial Swelling After Dental Work Done: A Case of Ludwig's Angina.
- Author
-
Gonzalez, Juan Manuel, McGhee, Stephen, Nadeau, Catherine, and Ortega, Johis
- Subjects
- *
ORAL disease diagnosis , *CLINICAL pathology , *DISEASE progression , *PAIN , *ORAL diseases , *DENTAL care , *DIFFERENTIAL diagnosis , *FACE , *NECK , *DECISION making in clinical medicine , *EDEMA , *JAWS , *ANTIBIOTICS - Abstract
Ludwig's angina is a fast-spreading cellulitis located on the floor of the oropharynx and neck (Tami, Othman, Sudhakar, & McKinnon, 2020). Patients may present with a wide range of symptoms depending on the severity of the condition (Reynolds & Chow, 2007). Emergency nurse practitioners need to promptly identify, diagnose, and treat patients with this problem, with close attention to the patient's airway. A compromised airway is the leading cause of mortality from this condition (McDonnough et al., 2019). The diagnosis is generally made with a comprehensive history and physical examination, laboratory values, and imaging studies such as computer tomography (Bridwell, Gottlieb, Koyfman, & Long, 2021). Management includes admission to the hospital, broad-spectrum antibiotics, and specialist surgical consultation (Bridwell et al., 2021). [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
16. Comparative Evaluation of Postoperative Facial Swelling and Occlusion in Orthognathic Treatment with Clear Aligners versus Fixed Orthodontic Appliances: A Systematic Review
- Author
-
Stacy Ann Rosenberg, P. Emile Rossouw, Basir A. Barmak, Dimitrios Michelogiannakis, and Fawad Javed
- Subjects
clear aligner therapy ,clear aligners ,complications ,edema ,facial swelling ,fixed orthodontic therapy ,Technology ,Engineering (General). Civil engineering (General) ,TA1-2040 ,Biology (General) ,QH301-705.5 ,Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
The purpose of this systematic review was to assess the postoperative facial swelling (FS) and occlusion attained with clear aligner therapy (CAT) and fixed orthodontic therapy (OT) after orthognathic surgery (OS). The focused question was “Is there a difference in postoperative FS and occlusion attained with CAT and fixed OT after OS?” Indexed databases were searched up to and including October 2023 using different keywords. Original clinical studies that compared postoperative FS and occlusion attained with CAT and fixed OT after OS were included. Risk of bias (RoB) and quality of evidence were also assessed. Four retrospective studies were included. One study reported no difference in postoperative FS among patients that underwent CAT or fixed OT after OS. In one study, patients treated with CAT demonstrated less FS in the first post-surgical week than individuals that underwent fixed OT. In one study, postoperative occlusion was comparable among patients that underwent CAT or fixed OT, whereas in another, postoperative occlusion was better in patients that underwent fixed OT than CAT. All studies had a moderate RoB and none of the investigations were based on power-adjusted data. Based upon the sparsity and questionable quality of available evidence, there is a need to render a firm conclusion. However, it seems that CAT and fixed OT are comparable in relation to postoperative occlusion and FS after OS.
- Published
- 2023
- Full Text
- View/download PDF
17. Effects of Low-level Laser Therapy After Surgical Removal of Impacted Lower Third Molar
- Author
-
Le Thanh Thai Ha, Faculty of Odonto-Stomatology
- Published
- 2020
18. Haematoma of the buccal space in an edentulous patient – a case report.
- Author
-
Maciver, Rory, Ali, Sarah, Mackenzie, Fiona R., and Henderson, Neil
- Subjects
HEMATOMA ,DENTAL pathology ,DENTAL students ,BLOOD testing ,ORAL surgery ,EDENTULOUS mouth - Abstract
Background: Oral swellings can be attributed to various causes, both odontogenic and non‐odontogenic in nature. This paper will discuss a buccal swelling caused by a haematoma. Case presentation: A 76‐year‐old edentulous male patient presented to a dental student outreach clinic with a three‐day history of a right‐sided facial swelling. No dental cause could be confirmed and so the patient was referred to the local secondary oral surgery department. The patient was examined, and an ultrasound of the swelling was arranged on the same day. The swelling was aspirated, and a haematoma was deemed the likely cause. After aspiration and a course of antibiotics, the swelling reduced rapidly. Blood tests were undertaken, and no underlying cause could be identified. Conclusions: Although uncommon, haematoma should be considered within differential diagnoses when dental pathology has been ruled out. A course of antibiotics is indicated where symptoms appear consistent with a systemic infection and timely referral to local dental hospital services is recommended. Blood tests should be requested to identify any undiagnosed coagulopathies or platelet abnormalities and liaison with local haematology services if resolution is not achieved would be appropriate. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
19. Unilateral Facial Swelling in a Sickle Cell Patient.
- Author
-
Akhouri R, Fowler A, Schwarz CT, and Patel L
- Abstract
Acute soft head syndrome (ASHS) is a rare complication of sickle cell disease that often requires a high index of suspicion and is often a diagnosis of exclusion. We present the case of an 18-year-old male with sickle cell disease in the United States who developed acute soft head syndrome without known traumatic injury. The goal of this case presentation is to provide awareness and education regarding a rare complication of sickle cell disease and recommended management for the associated symptoms., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Akhouri et al.)
- Published
- 2024
- Full Text
- View/download PDF
20. The effects of Kinesio tapes on facial swelling following bimaxillary orthognathic surgery in the supraclavicular region
- Author
-
Golkar, Mohsen, Taheri, Anita, Alam, Mostafa, Asadi, Yasin, and Keyhan, Seied Omid
- Published
- 2023
- Full Text
- View/download PDF
21. Mandibular and sublingual sialoadenectomy to treat cervical sialocele in dogs
- Author
-
Kumar, Ashwani, Sangwan, Vandana, Devi, N. Umeshwori, and Deshmukh, Siddharath
- Published
- 2021
- Full Text
- View/download PDF
22. Facial chondroid syringoma: A rare and important differential diagnosis
- Author
-
Saleh S Elbalka, Amany Hassan, Mohamed Hamdy, and Islam H Metwally
- Subjects
adnexal tumors ,chondroid syringoma ,facial swelling ,mixed skin tumor ,Surgery ,RD1-811 - Abstract
Chondroid syringomas (CSs) are benign adnexal skin tumors usually affecting adolescent females in the periorbital region, and may have calcifications. Malignant transformation is very rarely encountered. There is a tendency to either medical treatment or intralesional injection of these lesions when confirmed benign especially if multiple. We herein describe a female with a periorbital benign CS. The presurgery cytology failed to predict the diagnosis, but surgical excision was attempted with good result. Both pathologists and surgeons are encouraged to add this differential in their diagnostic package of facial subcutaneous swellings.
- Published
- 2022
- Full Text
- View/download PDF
23. Development of a Method for Quantitative Evaluation of Facial Swelling in a Rat Model of Cerebral Ischemia by Facial Image Processing
- Author
-
Yanfei Liu, Hui Huang, Yiwen Li, Jing Cui, Tiejun Tong, Hongjun Yang, and Yue Liu
- Subjects
ischemic stroke ,occlusion of the middle cerebral artery ,artificial intelligence ,facial swelling ,rat models ,Medicine (General) ,R5-920 - Abstract
A quantitative method for the evaluation of facial swelling in rats with middle cerebral artery occlusion (MCAO) was established using a mathematical method for the first time. The rat model of MCAO was established via bilateral common carotid artery ligation. Three groups of rats with the same baseline were selected (model group, positive drug group, and control group) according to their behavioral score and body weight 24 h after surgery. Drug administration was initiated on post-MCAO day 8 and was continued for 28 days. Mobile phones were used to collect facial images at different time points after surgery. In facial image analysis, the outer canthi of both eyes were used as the facial dividing line, and the outer edge of the rat's face was framed using the marking method, and the framed part was regarded as the facial area (S) of the rats. The histogram created with Photoshop CS5 was used to measure the face area in pixels. The distance between the outer canthi of both eyes (Le) and vertical line from the tip of the nose to the line joining the eyes was recorded as H1, and the line from the tip of the nose to the midpoint of the line joining the eyes was recorded as H2. The facial area was calibrated based on the relationship between H1 and H2. The distance between the eyes was inversely proportional to the distance between the rats and mobile phone such that the face area was calibrated by unifying Le. The size of Le between the eyes was inversely proportional to the distance between the rats and mobile phone. This was used to calibrate the face area. When compared with the control group, the facial area of the model group gradually increased from postoperative day 1 to day 7, and there was a significant difference in the facial area of the model group on postoperative day 7. Hence, positive drugs exhibited the effect of improving facial swelling. H1 and H2 can reflect the state of turning the head and raising the head of the rats, respectively. Facial area was calibrated according to the relationship between H1 and H2, which had no obvious effect on the overall conclusion. Furthermore, mobile phone lens was used to capture the picture of rat face, and the distance between the eyes and H1 and H2 was used to calibrate the facial area. Hence, this method is convenient and can be used to evaluate subjective judgment of the human eyes via a quantitative method.
- Published
- 2022
- Full Text
- View/download PDF
24. Paramassetric Subcutaneous Dirofilariasis: A Rare Entity.
- Author
-
Das, Ajay T., Soman, Sooraj, Thomas, Tom, Aslam, Sachin A., Kalathil, Leslie Sara Mathew, and Vijayakumar, Depesh
- Subjects
- *
MOSQUITO vectors , *PERITONEUM , *PARASITIC diseases , *PULMONARY nodules , *MAXILLOFACIAL surgery , *ALPHAVIRUSES , *NEUROCYSTICERCOSIS - Abstract
Dirofilariasis is an uncommon zoonotic parasitic infection affecting humans due to the bite of a mosquito vector. It is an endemic caused by Dirofilaria which is characterized in humans as nodules in lungs, subcutaneous tissue, peritoneal cavity, eyes. We present a case of Dirofilariasis with subcutaneous presentation in paramassetric region. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
25. Massive Pneumomediastinum and Subcutaneous Emphysema Secondary to Foreign Body Aspiration.
- Author
-
Gatt, Dvir, Golan-Tripto, Inbal, Goldbart, Aviv, and Aviram, Micha
- Subjects
- *
SUBCUTANEOUS emphysema , *FOREIGN bodies , *MEDICAL personnel , *PNEUMOMEDIASTINUM , *CHILD patients , *OPERATIVE surgery - Abstract
Background: Spontaneous pneumomediastinum (SPM) occurs in cases of mediastinal leaks that are not caused by trauma, mechanical ventilation, or other surgical procedures. In most cases, in the pediatric population a trigger can be identified, most commonly asthma. SPM caused by foreign body aspiration is not a common entity. It is usually a benign condition that generally resolves without severe sequela, but in some cases, severe morbidity and mortality have been documented. Treatment is usually conservative and includes rest, analgesics, and treatment of any underlying pathologies.Case Report: We report a case of a 19-month-old boy who presented to the emergency department with acute facial swelling and wheezing with no history of foreign body aspiration. This misleading presentation led the medical staff in the emergency department to initially treat the patient for anaphylaxis. The diagnosis was made only after imaging modalities demonstrated SPM with a suspected foreign body in the right main stem bronchus. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Providers should consider SPM from an aspirated foreign body in young children with respiratory distress and acute facial swelling, especially when crepitus is present. © 2021 Elsevier Inc. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF
26. Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery
- Author
-
Jung-Soo Lee, Moon-Key Kim, and Sang-Hoon Kang
- Subjects
Suction drainage ,Orthognathic surgery ,Maxillary sinus haziness ,Facial swelling ,Dentistry ,RK1-715 ,Surgery ,RD1-811 - Abstract
Abstract Background We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm3) than the maxillary-insertion group (7250 mm3; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.
- Published
- 2020
- Full Text
- View/download PDF
27. A Rare Case of Fibrous Dysplasia Presenting With Facial Swelling and Craniofacial Deformity in a 13-Year-Old Girl.
- Author
-
Dhabalia R, Kashikar SV, Parihar P, and Naseri S
- Abstract
Fibrous dysplasia (FD) is a rare benign skeletal disorder that replaces normal bone with fibrous tissue and immature woven bone. We present a case of a 13-year-old girl with right-sided facial swelling and craniofacial deformity since birth, accompanied by nasal obstruction and difficulty in breathing and swallowing. Computed tomography (CT) imaging revealed an expansile bony lesion with a ground-glass matrix involving multiple craniofacial bones. Histopathological examination confirmed the diagnosis of FD. Management involved regular monitoring and conservative measures, with surgical intervention reserved for symptomatic progression or cosmetic concerns. This case underscores the importance of considering FD in the differential diagnosis of craniofacial asymmetry and highlights the collaborative approach to patient care. Further research is needed to optimize management strategies and outcomes for pediatric patients with FD., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Dhabalia et al.)
- Published
- 2024
- Full Text
- View/download PDF
28. Facial chondroid syringoma: A rare and important differential diagnosis.
- Author
-
Elbalka, Saleh, Hassan, Amany, Hamdy, Mohamed, and Metwally, Islam
- Abstract
Chondroid syringomas (CSs) are benign adnexal skin tumors usually affecting adolescent females in the periorbital region, and may have calcifications. Malignant transformation is very rarely encountered. There is a tendency to either medical treatment or intralesional injection of these lesions when confirmed benign especially if multiple. We herein describe a female with a periorbital benign CS. The presurgery cytology failed to predict the diagnosis, but surgical excision was attempted with good result. Both pathologists and surgeons are encouraged to add this differential in their diagnostic package of facial subcutaneous swellings. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
29. Low Level Laser Therapy on Postoperative Trismus and Swelling after Surgical Removal of impacted Lower Third Molar
- Author
-
Ali, Marwah Safaa and Al-Adili, Sahar Shakir
- Published
- 2019
- Full Text
- View/download PDF
30. Pneumoparotitis
- Author
-
Laura Kathryn House and Andrea Furr Lewis
- Subjects
pneumoparotitis ,mediastinal emphysema ,facial swelling ,malingering ,Medical emergencies. Critical care. Intensive care. First aid ,RC86-88.9 - Abstract
The objective is to review a case of pneumoparotitis and to discuss how knowledge of this unique presentation is important when making differential diagnoses in emergency medicine. A patient with recurrent subcutaneous emphysema of the head and neck is reviewed. Stenson’s duct demonstrated purulent discharge. Physical examination revealed palpable crepitance of the head and neck. Fiberoptic laryngoscopy and barium esophagram were normal. Computed tomography demonstrated left pneumoparotitis and subcutaneous emphysema from the scalp to the clavicles. This is an unusual presentation of pneumoparotitis and malingering. Emergency physicians should be aware of pneumoparotitis and its presentation when creating a differential diagnosis for pneumomediastinum, which includes more life-threatening diagnoses such as airway or esophageal injuries.
- Published
- 2018
- Full Text
- View/download PDF
31. A 15-year-old boy with huge facial swelling, recurrent severe epistaxis, progressive proptosis, nasal obstruction and impaired hearing on right side
- Author
-
Md. Asaduzzaman, Shamsul Alam, Md. Wares Uddin, K. M. Tarikul Islam, and Mahmudul Hasan
- Subjects
Angiofibroma ,Epistaxis ,Facial swelling ,Impaired hearing ,Nasal obstruction ,Nasopharyngeal ,Medicine - Abstract
A 15-year-old male hailing from Khagrachhari was admitted into the department with the complaints of swelling on the right side of face for 10 months with recurrent severe epistaxis, progressive proptosis, unilateral nasal obstruction and impairment of hearing for two months. On extraoral examination, there was a firm non-tender, nonmobile, fixed swelling on the right side of cheek causing facial asymmetry measuring about 10 × 12 cm in size extending from upper eyelid to middle of the right cheek supero-inferiorly and pre-auricular area to the medial wall of nose postero-anteriorly
- Published
- 2019
- Full Text
- View/download PDF
32. Osteomyelitis of the mandible following third molar surgery: A regrettable consequence in a healthy patient.
- Author
-
Schoen, Ralf, Suarez-Cunqueiro, Maria M., Metzger, Marc C., and Schmelzeisen, Rainer
- Subjects
THIRD molar surgery ,MOLARS ,OSTEOMYELITIS ,BONE diseases ,OSTEITIS ,SURGICAL complications ,SURGERY ,THERAPEUTICS - Abstract
This clinical case describes mandibular osteomyelitis in a healthy 31-year-old man as a severe complication following third molar removal. Recurrent abscess formations were treated with intensive therapy involving antibiotics, surgical debridement of the affected region, and hyperbaric oxygen. In the follow-up, despite microbiologic study to determine the indicated treatment approach, a severe osteomyelitis was present, clinically and radiographically. Finally, a partial resection of the mandible, including exarticulation, was indicated to manage this severe complication. [ABSTRACT FROM AUTHOR]
- Published
- 2009
33. Role of mycology in accurate diagnosis of various fungal aetiologies in rhino/orbital diseases: 'needle in a haystack'
- Author
-
Surya Ravichandran, Sivaraman Ganesan, Saranya Thangavel, and Rakesh Singh
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Facial swelling ,genetic structures ,Images In… ,business.industry ,Otolaryngology/ENT ,General Medicine ,Mycology ,030105 genetics & heredity ,Nose ,Surgery ,Causality ,03 medical and health sciences ,Left eye ,Endoscopic sinus surgery ,0302 clinical medicine ,Orbital Diseases ,Medicine ,Humans ,Pharynx ,business ,030217 neurology & neurosurgery ,Nasal surgery - Abstract
A 37-year-old man with no known comorbidities presented to our department with complaints of left eye proptosis and diminution of vision for 1 month and left facial swelling for the past 2 years. He underwent left-sided nasal surgery thrice—functional endoscopic sinus surgery (FESS) in 2018
- Published
- 2023
34. Melkersson–Rosenthal Syndrome: A Case Report
- Author
-
Sedat Aydın, Seva Öztürk, Abdussamet Faraşoğlu, Tolga Çakıl, and Sedef Çoruk
- Subjects
facial swelling ,fissured tongue ,melkersson- rosenthal syndrome ,recurring facial paralysis. ,Medicine - Abstract
Melkersson-Rosenthal Syndrome (MRS) is a rare disease characterized by the triad of recurring facial paralysis, a fissured tongue, and recurring swelling of the lips and/or face. The etiology is unknown; it may be caused by hereditary factors or conditions occurring later in life. Observation of all 3 of the classic manifestations is rare; most often the symptoms are seen alone or in a pair, and they may appear at any stage of life. This report is the description of the case of a 51-year-old woman who was diagnosed with MRS based on her history and clinical features.
- Published
- 2018
- Full Text
- View/download PDF
35. Reduced Facial Swelling and Incision Numbness After Q-Modified Eversion Carotid Endarterectomy in Patients with Severe Carotid Stenosis.
- Author
-
Jiang, Qingjun, Zou, Sili, Wu, Jianjin, Bai, Jun, Jin, Jie, and Qu, Lefeng
- Subjects
- *
CAROTID endarterectomy , *EDEMA , *TRANSIENT ischemic attack , *CAROTID artery , *MYOCARDIAL infarction , *STENOSIS , *THERAPEUTICS , *NUMBNESS - Abstract
Carotid endarterectomy, especially eversion carotid endarterectomy (ECEA), is a standard treatment of carotid artery stenosis but continues to have deficiencies. We have described a modified ECEA technique that focuses on the quality of life (QoL), called Q-modified eversion carotid endarterectomy (QCEA). The modifications mainly include the skin incision, surgical approach, and arterial anastomosis. The purpose of the present study was to evaluate the clinical efficacy of QCEA and the QoL of patients after QCEA. We performed a retrospective study of 109 patients were had undergone ECEA or QCEA from October 2016 to December 2017. The data from all interventions were prospectively collected in a dedicated database. The primary efficacy outcome was the composite of any stroke, myocardial infarction, or death through the 1-year follow-up period. The secondary endpoint was the QoL of patients after ECEA or QCEA on the seventh postoperative day, including incision hematoma, incision numbness, facial swelling, and scar length. QCEA was performed in 41 patients and ECEA in 45 patients. No statistically significant differences were found in operating or clamping time between the 2 groups. The incidence of facial swelling (4.9% vs. 28.9%; P = 0.040) and incision numbness (4.9% vs. 24.4%; P = 0.011) in the QCEA group was significantly lower than that in the ECEA group. The average scar length of the QCEA group was significantly shorter than that of the ECEA group (5.1 ± 1.4 cm vs. 7.6 ± 2.1 cm; P < 0.001). No transient ischemic attack, stroke, myocardial infarction, or mortality occurred in either group during the 1-year follow-up. Our results suggest that QCEA can reduce incision numbness, facial edema, and scar length, thereby improving the QoL of patients. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
36. Clinical, radiographic and histologic findings, therapy and outcome in 15 horses with suture periostitis: a case series.
- Author
-
Klein, Linda, Fürst, Anton E., Del Chicca, Francesca, Theiss, Felix, and Jackson, Michelle A.
- Subjects
- *
SHIN splints , *SUTURES , *HORSES , *SYMPTOMS , *COMPUTED tomography - Abstract
There are few reports describing suture periostitis (SP) in horses. This case series outlines the clinical, radiographic and histologic features of SP and compares various types of treatment in 15 horses presented to the Equine Clinic, Vetsuisse-Faculty, University of Zurich. Overall, the incidence of horses with SP presented to our clinic was low, and clinical signs were similar to those previously reported. Radiography was used to diagnose SP, but computed tomography was the imaging modality of choice for determining the extent of the bony changes and the suture lines affected. Horses that underwent surgical stabilization had more rapid resolution of signs than those treated conservatively or not treated at all. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
37. Paranasal sinus cysts in the horse: Complications related to their presence and surgical treatment in 37 cases.
- Author
-
Fenner, M. F., Verwilghen, D., Townsend, N., Simhofer, H., Schwarzer, J., Zani, D. D., and Bienert‐Zeit, A.
- Abstract
Summary: Background: Paranasal sinus cysts (PSC) are a common cause of equine secondary sinusitis. The outcome and associated complications have not been frequently reported. Objectives: To review the associated clinical signs, associated morbidities and outcomes of horses treated for PSC. Study design: Retrospective multicentre case series. Methods: Retrospective analysis of case records and telephone follow up survey. Results: Subjects were 37 horses 1–24 years old that were presented with nasal discharge (n = 31), facial swelling (n = 25) and epiphora (n = 19). Radiography and computed tomography allowed identification of the cyst‐induced changes including concomitant tissue destruction (n = 31), leading among other things to local nerve damage causing headshaking (n = 6) and unilateral blindness (n = 1). Radiographic changes to adjacent dental apices were present in 10 horses. Horses over 10 years old showed more of the named associated problems. Post‐operative complications included surgical site infection (SSI) (n = 11), nasofrontal suture periostitis (n = 6) and sequestration (n = 1) following removal of the PSC via osteotomy. The long‐term response to treatment was available for 28 cases with 22 horses (78.6%) fully cured, 4 (14.3%) partially cured and 2 (7.1%) not responding to treatment. In 7 horses (18.9%) there was recurrence of the cyst post‐operatively. Main limitations: Due to the study being a multicentre retrospective case series with collection of data over an extended period, there may be inconsistency in data recording and absence of reporting of some findings. Conclusions: Overall, the diagnosis and treatment of sinus cysts is relatively straightforward and carries a good prognosis. In long‐standing cases complications secondary to the expansive growth of cysts will dramatically affect the prognosis for full recovery due to pressure‐induced changes to facial bones, cheek teeth and nerves. These secondary complications mainly occurring in older horses may be due to a combination of a relatively longer period of affection and the inflexibility of older horses' bones. Cyst recurrence following treatment can occur in up to 19% of cases. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
38. Central venous stenosis in a transplant patient due to thyroid pathology: A teachable moment.
- Author
-
Navaratnarajah, Arunraj and Ashby, Damien R
- Subjects
- *
THYROID gland , *CENTRAL venous catheters , *ENDOVASCULAR surgery , *STENOSIS , *PATHOLOGY , *ARTERIOVENOUS fistula - Abstract
Central venous stenosis is a well‐recognized complication of central venous catheter use in hemodialysis patients, which may present with significant swelling of the upper limbs, neck, and face. Here, we describe a renal transplant recipient previously on hemodialysis, who underwent endovascular intervention for central venous stenosis after presenting with facial swelling and exertional dyspnoea. His symptoms continued to progress, however, until the underlying thyroid pathology was recognized. Ruling out the possible mimics of central venous stenosis is important in preventing unnecessary intervention. This case highlights the role of specialty bias in the process of diagnosis. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
39. Facial Swelling and Pancytopenia: First Features and Clues to the Etiology of Acute Kidney Injury
- Author
-
Shannon L. Walker, Caroline F. Plott, Michael R. Goetsch, Allan C. Gelber, Charles F. S. Locke, Derek M. Fine, Lois J. Arend, and John A. Woller
- Subjects
Pathology ,medicine.medical_specialty ,Facial swelling ,Pancytopenia ,business.industry ,Acute kidney injury ,General Medicine ,Middle Aged ,Urinalysis ,Kidney Function Tests ,medicine.disease ,Lupus Nephritis ,Diagnosis, Differential ,Face ,Weight Loss ,medicine ,Etiology ,Edema ,Humans ,Drug Therapy, Combination ,Female ,business ,Oral Ulcer ,Fatigue - Published
- 2021
40. Reliability of the Linear Measurement (Contact) Method Compared with Stereophotogrammetry (Optical Scanning) for the Evaluation of Edema after Surgically Assisted Rapid Maxillary Expansion
- Author
-
Gülperi Koçer, Samed Sönmez, Yavuz Findik, and Tayfun Yazici
- Subjects
facial swelling ,linear contact method ,stereophotogrammetry ,sarme. ,Medicine - Abstract
Many techniques have been developed to evaluate facial swelling after maxillofacial surgeries. Patients who undergo surgically assisted rapid maxillary expansion (SARME) develop facial edema more often than those who undergo minor oral surgeries. Reliable systems to assess soft tissue dimensions offer many advantages for documentation and treatment planning across surgical fields. (1) Background: The objective assessment of facial swelling is advantageous as it allows the evaluation of the effect of anti-inflammatory drugs. Therefore, this study aimed to compare the reliabilities of linear measurement method and optical scanning for the objective assessment of facial swelling after SARME. (2) Methods: Sixteen (12 women and 4 men) patients were enrolled. Linear measurements between guide points and facial scans were obtained for the left and right sides preoperatively and 1, 2, and 5 days after SARME. Preoperative values were subtracted from each post-operative value and the differences were compared between the two measurement methods. (3) Results: There were no statistically significant differences between the right and left sides at any time point in the measurements with either method. (4) Conclusions: Recently, stereophotogrammetry has been considered the first choice method for evaluating facial swelling. Furthermore, we found a strong correlation between volumetric analysis and linear measurement at all time points and for both sides.
- Published
- 2020
- Full Text
- View/download PDF
41. Angioedema, an unusual reaction to hair dye
- Author
-
Reginald Mzudumile Ngwanya, Zandile Spengane, and Nonhlanhla Khumalo
- Subjects
angioedema ,henna ,facial swelling ,paraphenyldiamine ,patch test ,Medicine - Abstract
Angioedema is a type-1 hypersensitivity reaction that can be life threatening. It affects the skin airways and the gastrointestinal tract. Henna is a green powder used to dye skin and nails. We report a 29 year old patient who presented with angioedema Her patch test was positive to paraphenynlenediamine. She was discharged after successful treatment with intravenous steroids and later topical steroids.
- Published
- 2018
- Full Text
- View/download PDF
42. Bilateral facial swelling and Facial nerve palsy
- Author
-
Rahul Pankhania and David Walker
- Subjects
Inflammation ,Male ,Vasculitis ,medicine.medical_specialty ,Facial swelling ,Palsy ,business.industry ,General Medicine ,Emergency department ,Middle Aged ,Critical Care and Intensive Care Medicine ,medicine.disease ,Surgery ,stomatognathic diseases ,Face ,Emergency Medicine ,medicine ,Humans ,Facial nerve palsy ,Facial Nerve Diseases ,Presentation (obstetrics) ,business ,Stroke ,Sudden onset - Abstract
A 53-year-old man presented to the accident and emergency department with sudden onset left-sided facial nerve palsy and a 4-day history of progressive bilateral facial swelling. There is no history of any previous medical conditions, trauma or recent travel. What is the most likely Diagnosis seen in figures 1 and 2? 1. Bell’s Palsy. 2. Stroke. 3. Vasculitis. 4. Parotid abscess. For question see page 02 Figure 1 Patient presentation with bilateral facial swellings and facial nerve palsy. Figure 2 Clinical findings when …
- Published
- 2021
43. Patient with Chronic Liver Disease Was Referred for Evaluation of Oral Infection and Facial Swelling and Needs Multiple Dental Extractions.
- Author
-
AlMuzaini AA
- Subjects
- Humans, Tooth Extraction, Mouth Diseases, Liver Diseases complications
- Abstract
When a patient with chronic liver disease due to a hepatitis C virus infection presents with a dental emergency, it is important to identify whether the patient is under good medical management, if severe liver dysfunction exists, or if the patient is with active hepatitis. If records are not available, contacting the patient's physician to obtain the necessary information is prudent. If the source of infection is odontogenic, extraction should not be delayed. Patients with stable chronic liver disease can safely undergo dental extractions with some modifications to the dental treatment plan., (Copyright © 2023 Elsevier Inc. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
44. Haematoma of the buccal space in an edentulous patient - a case report
- Author
-
Fiona R. Mackenzie, Rory Maciver, Neil Henderson, and Sarah Ali
- Subjects
Facial swelling ,medicine.medical_specialty ,Referral ,business.industry ,General surgery ,030206 dentistry ,Buccal administration ,Case presentation ,Oral surgery department ,Odontogenic ,03 medical and health sciences ,stomatognathic diseases ,0302 clinical medicine ,Medicine ,Surgery ,Oral Surgery ,Buccal space ,business ,Edentulous patient ,030217 neurology & neurosurgery - Abstract
Background:\ud \ud Oral swellings can be attributed to various causes, both odontogenic and non‐odontogenic in nature. This paper will discuss a buccal swelling caused by a haematoma.\ud \ud Case presentation:\ud \ud A 76‐year‐old edentulous male patient presented to a dental student outreach clinic with a three‐day history of a right‐sided facial swelling. No dental cause could be confirmed and so the patient was referred to the local secondary oral surgery department. The patient was examined, and an ultrasound of the swelling was arranged on the same day. The swelling was aspirated, and a haematoma was deemed the likely cause. After aspiration and a course of antibiotics, the swelling reduced rapidly. Blood tests were undertaken, and no underlying cause could be identified.\ud \ud Conclusions:\ud \ud Although uncommon, haematoma should be considered within differential diagnoses when dental pathology has been ruled out. A course of antibiotics is indicated where symptoms appear consistent with a systemic infection and timely referral to local dental hospital services is recommended. Blood tests should be requested to identify any undiagnosed coagulopathies or platelet abnormalities and liaison with local haematology services if resolution is not achieved would be appropriate.
- Published
- 2022
45. Intraparotid facial varix
- Author
-
Regis Hila, Gregg S. Landis, Jeffrey Silpe, and Yana Etkin
- Subjects
medicine.medical_specialty ,Facial swelling ,RD1-811 ,Venous disease ,Palpation ,Case report ,Varicose veins ,medicine ,Diseases of the circulatory (Cardiovascular) system ,Facial mass ,Varix ,medicine.diagnostic_test ,business.industry ,Parotidectomy ,Normal limit ,Parotid gland ,stomatognathic diseases ,medicine.anatomical_structure ,RC666-701 ,Surgery ,Physical exam ,Radiology ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
A 72-year-old man had presented with a 4-day history of progressive left-sided facial swelling associated with pain. The physical examination revealed left facial fullness over the parotid gland without tenderness to palpation. His vital signs and laboratory test findings were within normal limits. A computed tomography scan demonstrated a left facial varix measuring 3.4 cm × 2.8 cm within an unremarkable-appearing parotid gland. Parotidectomy vs close observation were discussed, and the patient decided to pursue nonoperative management. Ultimately, his symptoms were self-limited, and the swelling had resolved within 6 months after the diagnosis. Interval computed tomography demonstrated a thrombosed left facial varix measuring 1.3 cm × 1.1 cm.
- Published
- 2022
46. Angioedema, an unusual reaction to hair dye.
- Author
-
Ngwanya, Reginald Mzudumile, Spengane, Zandile, and Khumalo, Nonhlanhla
- Subjects
- *
ANGIONEUROTIC edema , *HAIR dyeing & bleaching , *ALLERGIES - Abstract
Angioedema is a type-1 hypersensitivity reaction that can be life threatening. It affects the skin airways and the gastrointestinal tract. Henna is a green powder used to dye skin and nails. We report a 29 year old patient who presented with angioedema Her patch test was positive to paraphenynlenediamine. She was discharged after successful treatment with intravenous steroids and later topical steroids. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
47. Facial Swelling in the Presence of a COVID-19 Diagnosis: Case Report
- Author
-
Jenelle Fleagle and Margarita Lorch
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Facial swelling ,emergency department ,Coronavirus disease 2019 (COVID-19) ,business.industry ,pandemic ,dental ,COVID-19 ,RK1-715 ,Emergency department ,Dental care ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Universal precautions ,Dentistry ,Intravenous antibiotics ,Emergency medicine ,Pandemic ,Medicine ,030212 general & internal medicine ,business ,Moderate sedation - Abstract
COVID-19 became a pandemic with a worldwide impact leading to stay-at-home orders, death, economic difficulties, and a significant influence on daily lives. Dental services became limited at this time, causing increased concerns for patients requiring urgent dental care. We report the case of a 5-year-old previously healthy male who presented to our hospital’s emergency department (ED) with facial swelling secondary to infected maxillary left molars. Extractions were performed in the ED with moderate sedation. He was later found to be COVID-19 positive before admission for intravenous antibiotics. The use of universal precautions during the pandemic in treating patients with possible COVID-19 symptoms and in aerosol-generating procedures is recommended. Evaluating and providing treatment to our patients with urgent dental care should not be delayed to prevent further complications and decrease the burden placed on the ED, which may be limited in its ability to provide definitive care.
- Published
- 2021
48. Not all swellings are dental abscesses: A cautionary tale
- Author
-
Prateek Biyani, Robert Orr, Alexandra Thompson, and Rachael Lundgren
- Subjects
03 medical and health sciences ,Facial swelling ,0302 clinical medicine ,business.industry ,Dentistry ,Medicine ,030212 general & internal medicine ,030206 dentistry ,Maxillary antrum ,business ,General Dentistry - Abstract
Carcinomas of the maxillary antrum are rare and tend to present late, leading to poor survival rates. Two-thirds of cases will present with oral symptoms or facial swelling. Dentists should be aware of suspicious clinical and radiographic signs, which may help in early detection and treatment. We present the case of a 48-year-old female complaining of facial swelling. In preceding months, she had visited her GP and dentist numerous times, receiving antibiotics from each for suspected sinusitis and a dental abscess, respectively. Subsequent investigations confirmed an SCC of the right maxillary antrum, which unfortunately, could only be treated palliatively. CPD/Clinical Relevance: The reader should understand the classic findings for a maxillary antrum carcinoma. They should also increase their confidence and awareness in identifying red flag signs and symptoms.
- Published
- 2021
49. Neonatal Parotitis: A case report
- Author
-
Nawal Khan, Farhana Zafar, and Asad Abdullah
- Subjects
Pediatrics ,medicine.medical_specialty ,Facial swelling ,medicine.diagnostic_test ,business.industry ,Crying ,General Medicine ,medicine.disease ,Female baby ,medicine ,Gestation ,Blood culture ,Differential diagnosis ,medicine.symptom ,business ,Hospital stay ,Parotitis - Abstract
The following is a case report of a 17-day-old female baby, born at 35 weeks' gestation, weighing 2.6 kg. She was brought to us with reluctance to feed, swelling over the left side of her face and a fever documented at 102oF, along with an erythematous, tender, localised swelling over the left pre-auricular region that measured 2 x 1.5 cm in size. Diagnostic workup and ultrasound findings were consistent with parotitis; however, her blood culture was negative. The patient was managed on antibiotics but subsequently, developed a nosocomial infection while she was admitted in the hospital, which prolonged her hospital stay to a total of 16 days. Nevertheless, she had complete resolution of the signs and symptoms on her follow-up visit. Acute parotitis should be considered in the differential diagnosis of a neonate presenting with facial swelling, reluctance to feed or incessant crying. Timely and appropriate management can result in good recovery and minimising the potential for complications.
- Published
- 2021
50. Reported orofacial adverse effects of COVID‐19 vaccines: The knowns and the unknowns
- Author
-
Cirillo, Nicola
- Subjects
Cancer Research ,Facial swelling ,medicine.medical_specialty ,COVID-19 Vaccines ,Coronavirus disease 2019 (COVID-19) ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Vaccine administration ,Bell's palsy ,Humans ,Medicine ,media_common.cataloged_instance ,European union ,Intensive care medicine ,Adverse effect ,BNT162 Vaccine ,media_common ,Palsy ,SARS-CoV-2 ,business.industry ,COVID-19 ,030206 dentistry ,medicine.disease ,United Kingdom ,United States ,Europe ,Peripheral Facial Paralysis ,Otorhinolaryngology ,030220 oncology & carcinogenesis ,Periodontics ,Oral Surgery ,business - Abstract
INTRODUCTION: Adverse events associated with vaccine administration can manifest in the oral cavity and orofacial region. Hence, the aim of this study was to compare the orofacial adverse effects of two recently authorised COVID-19 vaccines, namely BNT162b2 and mRNA-1273. METHODS: Publicly available data on BNT162b2 and mRNA-1273 vaccines were accessed from the relevant regulatory authorities in the United States, Canada, European Union and United Kingdom. Both patient/recipient information and healthcare professional fact sheets for each of these drugs were manually searched to find their orofacial adverse effects. RESULTS: Adverse events affecting the orofacial region were reported for both vaccines. These were rare and included acute peripheral facial paralysis (Bell's palsy), facial swelling, and swelling of the lips, face or tongue associated with anaphylaxis. There was heterogeneity in the acknowledgement of vaccine-related adverse events in North America compared with Europe. CONCLUSION: Globally, there are inconsistencies in the description of adverse effects presenting in the orofacial region of the COVID-19 vaccines BNT162b2 and mRNA-1273. We believe that awareness of these orofacial manifestations will improve recognition, management and reporting of vaccine-related adverse effects.
- Published
- 2021
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.