Biomedical subjects
Publications and source records attributed to D S Poe.
A patient with a LeFort III fracture developed clear prandial rhinorrhea as a late complication. A parotid-antral communication was discovered and surgically corrected. Only one previous case of parotid-antral rhinorrhea has been reported in the literature. Although it is a rare complication, salivary origin for post-traumatic rhinorrhea must be considered in the differential diagnosis.
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The authors present a case of a 33-year-old white man with a 4-month history of a rapidly enlarging, tender, painful, circumscribed facial mass located in the masseter muscle. CT scan and fine needle aspiration cytology, coupled with clinical assessment, suggested the diagnosis of proliferative myositis. Curative intraoral excisional biopsy was done, thereby avoiding a parotidectomy incision and approach to the lesion. The pathology showed proliferative myositis. A review of the literature revealed 36 cases which indicated that proliferative myositis is a relatively rare etiology of a head and neck mass. Careful clinical, radiologic, and pathologic evaluations were required to make this unusual diagnosis and avoid any unnecessary facial mutilation in its treatment.
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