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Results for “FACIAL NEOPLASMS”

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CT and MR imaging of the buccal space and buccal space masses.

The authors describe the normal variations in the buccal space and present the range of buccal space pathologic conditions seen on computed tomographic (CT) and magnetic resonance (MR) images. In a series of 50 patients studied with CT and 30 with MR imaging, the visualization and measurement of the normal facial expression and buccinator muscles, parotidomasseteric fascia, parotid duct, accessory parotid tissue, and facial neurovascular bundle were statistically equivalent. The size of the buccal fat pad was statistically the same from side to side within a given patient. Normal lymph nodes were rarely discernible from the facial neurovascular bundles. In a series of 26 patients with unsuspected buccal space masses, salivary gland tumors were the most common masses. Less frequently, benign lesions (eg, hemangioma and dilated parotid ducts) and soft-tissue malignancies (eg, sarcoma) manifested as buccal space masses. Occasionally, a cheek mass of uncertain cause proved to be lymphadenopathy; however, adenopathy is more commonly associated with clinically evident, deeply infiltrating facial neoplasms. Knowledge of the anatomic variations and expected abnormalities of the buccal space is useful for the radiologist interpreting facial CT or MR images.

Adult↗

Tumours of the head and neck in the elderly: analysis of 190 patients.

Tumours of the head and neck represent approximately 5% of human neoplasms. More than 50% of the patients are above 65 years of age. During the years 1991-1996, 190 patients aged 65 or more and suffering from oro-facial neoplasms were treated in our department. They represent 48.6% of the total number of hospitalized tumour patients. One hundred and ten were male and 80 female. Benign tumours were found in 42 patients whereas 148 patients presented with malignant tumours. Of the malignant tumours, squamous cell carcinoma occurred in 103 patients and salivary gland tumours were the most frequently encountered benign tumours (12 patients). All patients with benign tumours were treated surgically. Of the 148 patients with malignant neoplasms, 116 were treated by surgery alone or in combination with radiotherapy and/or chemotherapy, and the remaining 32 with radiotherapy. Mortality from cancer was 28.1% and mortality from other causes was 5.8%. Postoperative morbidity in the benign tumour group of patients was minimal. In the malignant tumour group of patients, where the magnitude of surgical treatment was greater, there were no intraoperative or immediate postoperative deaths. Five patients died postoperatively whilst in hospital. Deaths were attributed to pre-existing medical problems. It is concluded that the age of the patient is not an important factor in determining the extent of surgical treatment in patients with tumours of the head and neck.

Age Factors↗

Temporomandibular joint dysfunction and facial pain caused by neoplasms. Report of three cases.

The most frequent causes of painful limitation of temporomandibular joint function are myofascial pain dysfunction or anterior disk displacement. A potential problem in dealing with those patients is the risk of misdiagnosing the rare patient who has a neoplastic disease, primary or metastatic to the epipharyngeal region, parotid gland, jaws, or temporomandibular joint. Three cases are presented in which progressively worsening limitation of mandibular movement and increasing pain led to the diagnosis of a neoplasm in the temporomandibular joint region. The article illustrates the necessity of performing a thorough clinical and radiographic examination.

Adult↗