Paranasal sinus cancers comprise about 0.3% of all cancers and 80% of these lesions arise in the maxillary sinus. A masquerading primary sinus tumour represents a therapeutic challenge as most patients with maxillary antrum cancer are diagnosed with advanced disease. However, distant metastases rarely occur. We examined the clinical outcome of patients with antrum neoplasms. Medical records were obtained for all patients diagnosed with a sinus malignancy between July 2009 and January 2014. During this period, 41 patients with maxillary tumours were treated, among which 9 patients received a maxillectomy. There were 21 male and 20 female patients. All patients underwent computed tomography or magnetic resonance imaging. The most common complications were postoperative epistaxis and swallowing difficulty. The treatment of maxillary antrum tumours is complicated and needs advancements to improve early presentation, timely diagnosis, and better management outcomes.

Objective Sialolithiasis, the most common disease of the salivary gland, is characterized by calculi in gland and its duct. While most salivary calculi are small in size, giant calculi with diameters spanning several centimeters are also reported occasionally. The surgical removal of recurrent submandibular sialoliths. Results This study presents of recurrent submandibular sialadenitis/sialadenosis and the characteristic signs and symptoms included pain, recurrent swelling, and discharge of pus, fibrotic and atrophic condition of the gland followed by cessation of secretary functions. Radiological examinations revealed large and irregular structures in the reported cases. Conclusion We have described the characteristic clinical and radiological features, diagnosis and treatment approach for submandibular salivary gland sialadenitis/sialadenosis. Keywords chronic sialadenitis/sialadenosis, CT scan, excision of gland, sialoliths of the submandibular salivary gland a b 58

Introduction: The progress in the field of biotechnology offers new materials for the reconstruction of orbital fractures. However, the choice of the best material for orbital floor repairs is still a controversial issue. In this paper the authors introduce the use of zirconium oxide implants for the first time in the reconstruction of orbital floor defects. Aim: Evaluate the clinical outcome of zirconium oxide implant material used for orbital floor repairs. Materials and Methods: From January 2008 to January 2015, six patients with orbital floor fractures referred to the Oral and Maxillofacial Surgery Department in Ramadi Teaching Hospital were surgically treated using zirconium oxide ceramic implants. The patients were examined after 7 days, 3 months and 2 years. Results: All cases achieved significant improvements in terms of diplopia and enophthalmos. No material related complications were reported in all treated cases. Post-operative radiograph and Computed Tomography Scans (CT) demonstrated that anatomical reduction of the orbital floor had been achieved.Conclusion: The study suggests that a zirconium oxide ceramic implant is a suitable implant biomaterial for the reconstruction of orbital floor fractures.

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The reconstruction of large nasal defects after tumor resection is a challenging procedure, this case report describes a patient with a basal cell carcinoma of the nose. The tumor was excised with a safe margin and subtotal nasal reconstruction was performed by paramedian forehead flap while nasal lining and septum were reconstructed by a modified sublabial mucosa flap together with medpor implant. Although numerous surgical techniques have been described for reconstruction of nasal septum and lining but no single procedure is recognized as being reliable in all cases. Modified mucosal flap of upper lip and medpor implant is a versatile surgical technique which can be used for reconstruction of the nasal septum and lining with minimal morbidity.