Intra-Osseous Jaw Lesions in Paediatric Patients: A Retrospective Study

Urs, Aadithya B; Arora, Shelly; Singh, Hanspal

doi:10.7860/jcdr/2014/7318.4166

Cited by 10 publications

(6 citation statements)

References 20 publications

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“…In our study, ameloblastomas showed male predominance and most commonly involve the posterior maxillary region. This is in agreement with the findings of Urs et al 23 and Fernandes et al 26…”

Section: Discussionsupporting

confidence: 94%

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Clinico-Pathological Characteristics, Management, and Outcome of Benign Intraosseous Maxillary Tumors in Adolescents: A Prospective Study

Hassanein

Kukreja

Hassanein

et al. 2022

Journal of Craniofacial Surgery

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that nasal congestion with respiratory difficulty is 1 of the worst symptoms, which were most difficult to tolerate after bimaxillary orthognathic surgery including Le Fort I osteotomy. 7 Second, naso-tracheal intubation is usually required for the orthognathic surgery, which causes mucosal swelling inside nasal airway due to damage or irritation to the nasal mucosa. Furthermore, patients with intermaxillary fixation immediate after the surgery have difficulty in oral breathing.Regarding to treatment, conservative managements such as rest, oxygen therapy, and pain control with analgesia are preferred. Supplying oxygen will increase the diffusion pressure of nitrogen in the subcutaneous tissue and mediastinum. If resolving the pneumomediastinum is fail, mediastinotomy should be performed making incision in the supraclavicular fossa posterior to the sternocleidomastoid muscle and in the suprasternal notch. In our cases, case 1, 2, and 4 patients with treated with high oxygenation but case 3 patient were treated with both oxygenation and suprasternal notch incision.In conclusion, we reported 4 cases of subcutaneous emphysema with or without pneumomediastinum after orthognathic surgery. It can be occurred by cervical fascia injury or alveolar ruptures. To preventing the pneumomediastinum after the orthognathic surgery, traumatic naso-tracheal intubation, excessive positive pressure ventilation, intermaxillary fixation immediate after the surgery and increase of intra-alveolar pressure of the patients should be avoided. Plain chest radiography is useful tool for initial diagnosis of pneumomediastinum, however chest CT describes exact extent of lesion. Conservative management with pain control and oxygenation can be done first and mediastinotomy also performed if resolving the air is failed.

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Section: Discussionsupporting

confidence: 94%

“…Odontogenic tumors showed a slight female predilection in the present study, which was in agreement with the study by Jones and Franklin 22 which also showed a female predilection. However, it was in contrast to the study by Urs et al, 23 which showed a male predilection.…”

Section: Clinical and Pathological Characteristicscontrasting

confidence: 83%

Clinico-Pathological Characteristics, Management, and Outcome of Benign Intraosseous Maxillary Tumors in Adolescents: A Prospective Study

Hassanein

Kukreja

Hassanein

et al. 2022

Journal of Craniofacial Surgery

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“…[ 37 ] and Urs et al . [ 13 ] Pieter[ 38 ] suggested as although both maxilla and mandible are affected with a slight predominance of maxilla similar as our study however according to Liu Y et al . findings mandibular predominance was seen.…”

Section: Discussionsupporting

confidence: 86%

“…The increased number of developmental cysts suggests that at the time of development of a child, factors such as eruption and exfoliation of teeth along with the simultaneous growth of jaws and a probable role of genes interplay with each other that attributes to more prevalence in pediatrics. [ 12 13 14 ] On the other hand, the origin of inflammatory cysts is environmentally related and thus the exfoliation of primary teeth or the absence of tooth follicles of permanent teeth limits its occurrence unlike in the adult population, which are more affected by cystic lesions of inflammatory origin. [ 15 16 17 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 29 ] who attributed high percentage of odontogenic tumors in their respective series of patients; however, findings of the study of Jones and Franklin and other researchers were in contrast to ours, which showed that odontogenic tumors were rare in children. [ 5 ] Odontogenic tumors showed a male predilection in our study, which was in accordance with Urs et al .,[ 13 ] whereas the study of Jones and Franklin showed a female predilection. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

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Incidence and distribution of jaw pathologies among 0–15 years age group at a tertiary rural health-care center of Maharashtra: A retrospective study of 10 years

et al. 2020

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Objective: This study was undertaken to investigate the prevalence of intraosseous jaw lesions among pediatrics (0–15 years of age) in a rural health-care center of Maharashtra and to determine the most common types of lesions and their distribution according to gender and anatomical site involved. Study Design: Histopathological data were collected from a database of lesions classified as intraosseous jaw lesions dated between January 1, 2005, and December 31, 2015, from the archives of the Department of Oral and Maxillofacial Surgery, Rural Dental College, Maharashtra, India. All the cases of jaw cysts and tumors among children under 16 years of age group were segregated and scrutinized further under the headings of type of pathologies, anatomical locations where they are most commonly seen, and the age/gender most pertinent to these pathologies. Results: The present study revealed that 114/3896 jaw lesions were pediatric jaw pathologies, of which odontogenic cysts were 67/114 and jaw tumors were 47/114. Among the cysts, 70% were developmental cysts and 30% were inflammatory cysts. The majority (71.6%) of the jaw cysts were found in the mixed dentition phase (7–15 years). Among the jaw tumors, 55% of them were categorized under odontogenic tumors and 45% were under fibro-osseous lesions. Similar to intraosseous jaw cysts, tumors of jaws were more prevalent under the age of mixed dentition, which was found to be 87%. Male predominance was seen and the overall male:female ratio was calculated as 1:0.52 and 1:0.5 for cysts and tumors, respectively. Mandibular posterior segment was found to be the most commonly encountered anatomical site in both the groups of cases. Conclusion: A large number of cases were recorded, which led us to a path of interrogation through which the reason for increased incidence was extracted, and it was agreed that though the pathogenesis remains the same in every individual, routine health checkups and early diagnosis may reduce the incidence and aggressiveness of pathologies, respectively, which was lacking at the rural area.

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The presentation of odontogenic keratocysts in the jaws with an emphasis on the tooth-bearing area: a systematic review and meta-analysis

Silva

Stoelinga

Naclério‐Homem

2019

Oral Maxillofac Surg

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Intra-Osseous Jaw Lesions in Paediatric Patients: A Retrospective Study

Cited by 10 publications

References 20 publications

Clinico-Pathological Characteristics, Management, and Outcome of Benign Intraosseous Maxillary Tumors in Adolescents: A Prospective Study

Clinico-Pathological Characteristics, Management, and Outcome of Benign Intraosseous Maxillary Tumors in Adolescents: A Prospective Study

Incidence and distribution of jaw pathologies among 0–15 years age group at a tertiary rural health-care center of Maharashtra: A retrospective study of 10 years

The presentation of odontogenic keratocysts in the jaws with an emphasis on the tooth-bearing area: a systematic review and meta-analysis

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