Oral pulse granuloma: Clinical and histopathological features. A review of 62 cases

Talacko, Anna; Radden, B. G.

doi:10.1016/s0901-5027(88)80059-6

Cited by 54 publications

(82 citation statements)

References 15 publications

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“…Experimental lesions have been induced in animals by intratracheal, intraperitoneal, and submucous introduction of leguminous seeds (Knoblich, 1969;Talacko and Radden, 1988a). Periapical pulse granulomas are associated with tooth damaged by caries and with the antecedence of endodontic treatment (Simon et al, 1982;Talacko and Radden, 1988b). Pulse granulomas are characterized by the presence of intensely iodine-and PAS-positive hyaline rings or bodies surrounded by giant cells and inflammatory cells (Mincer et al, 1979;Simon et al, 1982;Talacko and Radden, 1988a,b).…”

Section: (B) Plant Materialsmentioning

confidence: 99%

Pathogenesis of Apical Periodontitis and the Causes of Endodontic Failures

Nair

2004

Critical Reviews in Oral Biology & Medicine

818

385

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Apical periodontitis is a sequel to endodontic infection and manifests itself as the host defense response to microbial challenge emanating from the root canal system. It is viewed as a dynamic encounter between microbial factors and host defenses at the interface between infected radicular pulp and periodontal ligament that results in local inflammation, resorption of hard tissues, destruction of other periapical tissues, and eventual formation of various histopathological categories of apical periodontitis, commonly referred to as periapical lesions. The treatment of apical periodontitis, as a disease of root canal infection, consists of eradicating microbes or substantially reducing the microbial load from the root canal and preventing re-infection by orthograde root filling. The treatment has a remarkably high degree of success. Nevertheless, endodontic treatment can fail. Most failures occur when treatment procedures, mostly of a technical nature, have not reached a satisfactory standard for the control and elimination of infection. Even when the highest standards and the most careful procedures are followed, failures still occur. This is because there are root canal regions that cannot be cleaned and obturated with existing equipments, materials, and techniques, and thus, infection can persist. In very rare cases, there are also factors located within the inflamed periapical tissue that can interfere with post-treatment healing of the lesion. The data on the biological causes of endodontic failures are recent and scattered in various journals. This communication is meant to provide a comprehensive overview of the etio-pathogenesis of apical periodontitis and the causes of failed endodontic treatments that can be visualized in radiographs as asymptomatic post-treatment periapical radiolucencies.

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Section: (B) Plant Materialsmentioning

confidence: 99%

Pathogenesis of Apical Periodontitis and the Causes of Endodontic Failures

Nair

2004

Critical Reviews in Oral Biology & Medicine

818

385

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“…chronic mandibular periostitis [1][2][3], giant-cell hyaline angiopathy [2,16,18], HB and giant cells associated with a radicular cyst [4], periostitis and osteitis associated with HB [5], granulomas in edentulous jaws [6], pulse granuloma [7,10,12,14,15,19,21,22,24,26,28,30], oral vegetable granuloma [17], HR granuloma [13,23,27,29,31], le granulome "alimentaire" des maxillares [25], food-induced granuloma [20]and granuloma tissue with giant cells and hyaline change [12]. The report by Hase et al [9] obviously represents a case of oral infection due to Torulopsis glabrata but superimposed on a case of OPHRG.…”

Section: Terminologymentioning

confidence: 99%

Pulse or hyaline ring granuloma. Review of the literature on etiopathogenesis of oral and extraoral lesions

Philipsen¹,

Reichart

2009

Clin Oral Invest

102

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Since the late 1950s, reports on an unusual giantcell granulomatous lesion affecting the jaws, lungs, stomach and intestines have been published . Histopathologically, the lesions showed the presence of structureless hyaline rings with multinucleated giant cells. The aim of this review was to summarize the literature on the etiopathogenesis of the socalled oral and extraoral pulse or hyaline ring granuloma. Literature was searched using PubMed and Medline. In addition, hand search was performed. Search words were oral and extraoral hyaline ring granuloma, giant-cell hyaline angiopathy, pulse granuloma and chronic periostitis. Numerous terms for hyaline ring granuloma have been introduced over time .

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“…Pulse granulomas are rare, odd reactions to vegetable matter characterized by clusters of eosinophilic hyaline rings admixed with inflammation, and usually occupy the oral region [1]. The hyaline rings ultrastructurally resemble cellulose or collagen.…”

Section: Discussionmentioning

confidence: 99%

“…Various theories had been proposed for the composition and origin of the hyaline rings, including degenerated blood vessels related to vasculitis, hence a previous name, "giant-cell hyaline angiopathy" [6,7]. Most research suggest that pulse granulomas represent unique reactions to vegetable matter, hence the alternate name, "vegetable granuloma," and that the hyaline rings are related to cellulose and collagen [1,2,3,4,5]. …”

Section: Discussionmentioning

confidence: 99%

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Vegetable or Pulse Granuloma in the Nasal Cavity

Yeo

Eom

Lim

et al. 2014

Clin Exp Otorhinolaryngol

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Vegetable granuloma or pulse granuloma results from the implantation of food particles of vegetable origin. Pulse granulomas have mainly been reported in association with lung aspirations, the oral cavity with a history of oral procedures and less frequently in gastrointestinal tracks. We report a 31-year-old woman who presented with right nasal obstruction and was found to have a firm mass in the right nasal cavity. Paranasal sinus computerized tomography scans identified a calcified ring lesion in her right nasal cavity. Endoscopic sinus surgery was performed, and pathology examination revealed a lesion consistent with a pulse granuloma that contains starch granules with cellulose envelopes appearing as hyaline rings surrounded by inflammation cells and concentrically arranged delicate connective tissue. Pulse granuloma is a well described entity with distinct histopathology. However, pulse granulomas are rare, and especially extraoral pulse granulomas are extremely rare. We found that pulse granuloma can be occurred in the nasal cavity through regurgitation.

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Oral pulse granuloma: Clinical and histopathological features. A review of 62 cases

Cited by 54 publications

References 15 publications

Pathogenesis of Apical Periodontitis and the Causes of Endodontic Failures

Pathogenesis of Apical Periodontitis and the Causes of Endodontic Failures

Pulse or hyaline ring granuloma. Review of the literature on etiopathogenesis of oral and extraoral lesions

Vegetable or Pulse Granuloma in the Nasal Cavity

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