“Proposed Classification for the Palatal Perforation” (Dr. Santosh Patil Classification)

Patil, Santosh

doi:10.4172/2376-032x.1000192

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…The palatal perforation can pose a difficult diagnostic dilemma for the clinician [ Table 1 ]. [ 11 ] The perforation may present with the common characteristics and may be indistinguishable clinically. Emphasis is placed on the importance of obtaining a thorough and comprehensive history and collecting relevant laboratory information.…”

Section: Discussionmentioning

confidence: 99%

Palatal perforation: A rare complication of postanesthetic necrosis

et al. 2017

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The everyday practice of dentistry relies heavily on achieving adequate local anesthesia. Even though the safety record of local anesthetic agents is high, complications do occur. Palate is a favorable site for soft-tissue lesions. Various factors such as direct effects of the drug, blanching of the tissues during injection, relatively poor blood supply, and reactivation of the latent forms of herpes can all promote to tissue ischemia and a lesion in the palate. Among various complications, anesthetic necrotic ulcer is a rare and uncommon condition occurring mostly in the hard palate possibly after a local anesthetic infiltration. The ulceration is often deep and shows spontaneous but delayed healing. If proper treatment is not instituted on time, the necrosis can reach deep into the bone causing sequestrum formation and ultimately leading to palatal perforation. Here, we report a case of palatal perforation in a male patient followed by surgical interventions and follow-up.

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Section: Discussionmentioning

confidence: 99%

Palatal perforation: A rare complication of postanesthetic necrosis

et al. 2017

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“…Tumours such as squamous cell carcinoma, adenoid cystic carcinoma, melanoma, acute lymphoblastic leukemia and lymphoma are known causes of ONF. Nevertheless, extranodal NKTCL itself is a rare encounter [2].…”

Section: Introductionmentioning

confidence: 99%

NK/T cell Lymphoma as a Rare Cause of an Oronasal Fistula

et al. 2021

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NK/T cell lymphoma is one of the most unique and rare forms of extranodal non-Hodgkin’s lymphoma, mostly derived from natural killer cell lineages and occasionally cytotoxic T cell lines. Due to the non-specific presentation of NK/T cell lymphoma such as nasal obstruction, nasal discharge, and epistaxis, diagnosis is often an issue and can be misleading. Oronasal fistula following a non-healing ulcer on the soft palate, can be one of the clinical presentations of NK/T cell lymphoma. Here, we are reporting a rare case of NK/T cell lymphoma in a 32-year-old gentleman who presented with an oronasal fistula post tissue biopsy for a non-healing ulcer over the soft palate. The tissue biopsy of the soft palate mass was revealed as NK/T cell lymphoma and was staged as Stage1b after computed tomographic imaging revealed a local tumour invasion without sign of nodal involvement and no metastasis. The patient eventually started with the SMILE Protocol and responded well up to the date. The ulcer healed but the fistula persisted. Primary closure was planned by the oromaxillofacial surgery team after completion of chemotherapy.

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“Proposed Classification for the Palatal Perforation” (Dr. Santosh Patil Classification)

Cited by 2 publications

References 6 publications

Palatal perforation: A rare complication of postanesthetic necrosis

Palatal perforation: A rare complication of postanesthetic necrosis

NK/T cell Lymphoma as a Rare Cause of an Oronasal Fistula

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