A case of prostatic cancer metastatic to the orbit and ethmoid sinus.
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A case of myxoma, arising in the maxilla of a 28-year-old female, is presented. Relevant literature is discussed.
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A fifth case of rapidly recurring melanotic neuroectodermal tumor of infancy is reported. The possibility of recurrence and subsequent encroachment on vital facial structures is emphasized. Vigorous bony curettage at initial excision of this benign lesion may aid in the preventing recurrence. Heterotransplantation studies disclosed the benign nature of the MNTI cells.
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We performed microvascular free-tissue reconstruction of extensive defects in the sino-orbital region in 11 patients. Reconstructions were immediate in 10 patients and delayed in one patient. There was loss of orbit in eight patients, maxilla in eight patients, cranial base in two patients, and skin and soft tissue of the face in six patients. Nine rectus abdominis flaps, one radial forearm flap, and one lateral arm flap were used. Palatal reconstruction with autologous tissue was successful in all patients. Cranial base repairs healed without sequelae or evidence of meningitis. Cosmetically, soft-tissue repair of facial skin was only satisfactory. For large defects, it was difficult to reconstruct the palate and facial soft tissue and to maintain nasal airway patency with a single microvascular procedure. Free-tissue transfers remain the safest and most versatile reconstructive procedure for massive sino-orbital defects after ablation of a tumor.
A case of leiomyosarcoma of the anterior maxillary alveolar ridge, including ultrastructural examination findings, in a 39-year-old woman is reported. The patient was clinically free of tumor 34 months later. The twenty-three previously reported cases of oral leiomyosarcoma are reviewed briefly.