The Gorlin-Goltz syndrome, nevoid basal cell carcinoma syndrome, or basal cell nevus syndrome is an autosomal dominant condition disorder with high variability expression. It presents a series of relevant clinical manifestations that suggest its diagnosis in cutaneous, bone, dental, soft tissue, nervous, and ocular system disorders. This condition requires a great interaction of several specialists to improve the patient’s life. In this case, we presented a 9-year-old male patient referred to the Department of Oral and Maxillofacial Surgery reporting failure in the normal chronology of dental eruption. After evaluation, it was observed that the patient had 13 typical characteristics of the syndrome, including keratocysts, bifid ribs, palmoplantar pits, and 10 other minor characteristics. In conclusion, the expression of so many features of Gorlin-Goltz syndrome is rare in infants, and early diagnosis is important to decrease morbidity and mortality associated with basal cell carcinomas.
Monkeypox is an endemic infectious disease commonly observed only in Central Africa; however in the last month, WHO considered it an international outbreak, with several cases described in a short span. Oral surgeons are exposed to patients at risk for monkeypox and some of the most prevalent lesions could be observed first in the maxillofacial region. The knowledge of the common signs and symptoms of the monkeypox and associated diseases is fundamental to the report and referral to infectious diseases centers for definitive treatment and public health control. This letter to the editor summarizes the associated diseases and common maxillofacial lesions observed in monkeypox infection.
This study aims to investigate the clinical, immunological complications and their relations to each one of the treatment approaches for the traumatic dislocation of the mandibular condyle to the medial cranial fossa. Methods: An electronic literature search was undertaken in June/2021. Eligibility criteria included publications having enough clinical, radiological, treatment protocols, and postoperative outcomes information. Results: 46 publications (50 patients) were included. Most of the patients were women (70%), the most common age range in the pediatric population from 0 to 15 years old (34%). The mean age is 25,66 years old (+-15,19). The most common causes are automotive accidents (60%), Falls (8%), and Assaults (8%), followed by one case of an industrial accident. Otorrhagia was present in 10% of the patients, loss of conciseness in 10% of the patients, followed by 6% presenting intracranial hematoma. Open treatment was preferred by 44%, followed by closed treatment (26%), condylectomy (16%), and conservative treatment (14%). No complications were observed in 60% of the patients. However, complications related to the TMJ were observed in 38% of the cases, followed by 2% of complications related to the medial cranial fossa. Comparative statistical analyzes did not show differences between the treatment modalities as the complications, except when compared with closed treatment with complications related to the medial cranial fossa (p = 0,035). Conclusions: The traumatic dislocation of the mandibular condyle to the medial cranial fossa is a rare complication related to facial trauma, with only fifty cases described in the literature. The treatment modalities did not influence the development of complications, except when the chosen treatment is the closed one when the odds for complications related to the medial cranial fossa are slightly higher.
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