Dental office emergencies--update on the basics.
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Biomedical subjects
Publications and source records attributed to D R King.
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Two patients are presented, each of whom had a clinically symptomatic neck mass due to a parathyroid cyst. The literature concerning these cysts is reviewed with exclusion of cases considered to be parathyroid adenomas which have undergone cystic change.
An infant with jejunal atresia developed ischemic jejunitis with intramural and portal venous gas postoperatively following prolonged anastomotic obstruction. The importance of differentiating ischemic bowel disease secondary to obstruction from classic necrotizing enterocolitis is illustrated by this case report.
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A newborn boy had exsanguinating gastrointestinal hemorrhage in in the first week of life secondary to an unusual form of infradiaphragmatic pulmonary venous drainage. Autopsy and postmortem angiograms demonstrated huge esophageal varices as the course of the uncontrolled bleeding. The occurrence of massive gastrointestinal hemorrhage should be considered to be a rare but possibly lethal complication in patients with total anomalous pulmonary venous drainage (TAPVD) type III and IV.
Panorex radiographs taken during the past 5 years at the University of Kentucky College of Dentistry were reviewed for evidence of mucosal cysts of the maxillary sinus. Thirteen patients with this lesion were recalled for re-evaluation of their status. Ten of the patients had symptoms that could be related to the involved sinus. These included stuffiness, fullness, postnasal drip, gushing of yellow fluid from the nose, and headache. Radiographic examination revealed that three of the cysts had increased is size, three had decreased in size, three had not changed in size, and two had disappeared; no evaluation could be made on two. On the basis of radiographic, transillumination, history, and clinical findings, the nine cysts that could be evaluated were diagnosed as being of the nonsecretory type of mucosal cyst. We recommended periodic radiographic examination for this type of lesion. Surgical intervention is necessary only if destruction of surrounding bone has occurred or recurrence of disturbing symptoms is reported.
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