Oral myiasis is invasion of the soft tissues of oral cavity by the parasitic larvae of the flies. This condition affects debilitated, mentally challenged individuals. These patients are not physically or mentally endowed to ward off flies or complain about worms burrowing their way into oral wounds. This study describes three cases of orofacial myiasis, removal of the live maggots, supportive treatment, and management of the cases with application of turpentine oil and also highlights oral health care in the patients with special needs.
Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal dominant disease. It is characterized by widespread soft tissue ossification and congenital stigmata of the extremities, affecting all ethnic backgrounds. The worldwide reported prevalence is approximately 1/2,000,000. Based on history and clinicoradiological findings, FOP should be diagnosed as early as possible and noninvasively. The hallmark of diagnosis of FOP is bilateral great toe anomaly present from birth. Misdiagnosis may lead to inadvertent managements, such as manipulations, biopsies, and surgery. Surgery, till now, does not seem to have any role in the management of this condition and may lead to further trauma and disease progression. FOP may be precipitated due to trauma to muscle. In masticatory muscle, it mainly affects masseter muscle and presents with symptom of trismus. Herein, we present a case of FOP which presented to us with trismus after wooden thorn injury and immobility of the left leg. This article also emphasize on diagnosis, precaution, and treatment of disease.
Rationale:
Osteoma is a benign osteogenic lesion with a slow growth, characterized by the proliferation of either cancellous or compact bone. Peripheral osteoma which is known to arise from the periosteum is a rare entity in the mandible. This case report emphasizes on the extraoral approach used for surgical excision of peripheral osteoma of the mandible.
Patient Concerns:
This article presents three cases of peripheral osteoma in females who presented with extraoral swelling near the inferior border of the mandible. The swelling was noticed incidentally and had mild or no pain.
Diagnosis:
Diagnosis was made after correlating clinical and radiographical findings and confirmed by histopathology.
Treatment:
Extraoral submandibular incision was used for the excision of peripheral osteoma in all the cases.
Outcomes:
Patients were followed up for 3 months without any signs of recurrence.
Take-away Lessons:
Every case is unique, and it is wise to take uncommon surgical approach keeping in view the patient's benefit at large.
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