Maxillary cysts are a common finding in maxillofacial surgery, dentistry and otolaryngology. Treatment is surgical; a traditional approach includes Caldwell-Luc and other intra-oral approaches. In this article, we analyse the outcomes of 9 patients operated on using a combined intra-oral and trans-nasal approach to the aforementioned disease. Although the number of patients is small, the good results of this study suggest that the combined approach might be a reliable treatment option.

Clinical OtolaryngologyVolume 43, Issue 2 p. 685-691 CORRESPONDENCE: OUR EXPERIENCE Medication-related osteonecrosis of the posterior maxilla: surgical treatment using a combined transnasal endoscopic and intraoral approach, our experience with seven consecutive patients P. Procacci, Corresponding Author P. Procacci pasquale.procacci@univr.it orcid.org/0000-0002-6872-5206 Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy Correspondence P. Procacci, Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy. Email: pasquale.procacci@univr.itSearch for more papers by this authorM. Albanese, M. Albanese Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorL. Trevisiol, L. Trevisiol Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorV. Favero, V. Favero Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorD. Bertossi, D. Bertossi Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorF. Lonardi, F. Lonardi Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorA. D'Agostino, A. D'Agostino Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorE. Manfrin, E. Manfrin Department of Diagnostics and Public Health, Section of Pathology, University of Verona, Verona, ItalySearch for more papers by this authorP. F. Nocini, P. F. Nocini Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this author P. Procacci, Corresponding Author P. Procacci pasquale.procacci@univr.it orcid.org/0000-0002-6872-5206 Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy Correspondence P. Procacci, Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy. Email: pasquale.procacci@univr.itSearch for more papers by this authorM. Albanese, M. Albanese Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorL. Trevisiol, L. Trevisiol Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorV. Favero, V. Favero Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorD. Bertossi, D. Bertossi Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorF. Lonardi, F. Lonardi Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorA. D'Agostino, A. D'Agostino Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this authorE. Manfrin, E. Manfrin Department of Diagnostics and Public Health, Section of Pathology, University of Verona, Verona, ItalySearch for more papers by this authorP. F. Nocini, P. F. Nocini Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, ItalySearch for more papers by this author First published: 05 October 2017 https://doi.org/10.1111/coa.12999Citations: 8Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume43, Issue2April 2018Pages 685-691 RelatedInformation

This clinical report describes a case of rhinorrhea that arose after surgical intervention of partial maxillary resection and obturator prosthesis positioning. Ultimately, the diagnosis was that rhinorrhea was induced by mechanical irritation of the nasal mucosa determined by the nasal part of the obturator prosthesis. The differential diagnosis of nasal irritation, vasomotor rhinitis, gustatory rhinorrhea are presented and discussed, as well as the technical notes and measures taken to reach the final diagnosis and a satisfactory functional and aesthetic result for the patient.

Background: The success of implant therapy depends on the availability of an adequate bone volume in the edentulous site. In the case of posterior bone atrophy, the increase of the alveolar ridge is a prerequisite for the optimal placement of endosseous implants. Purpose: The purpose of this research is to analyze in Literature the success of bone grafts in posterior atrophic edentulous mandible. Materials and methods: The Literature analysis includes only relevant articles specifically on the topic. The following parameters were evaluated: the type of materials used, the average gain expressed in millimeters, the success of the grafts over time and their complications, the outcome of the grafts according of the materials used and the survival rate of endosseous implants over time. Results: Autologous, homologous and heterologous materials were used for the grafts, either separately or in combination. However autologous bone, obtained from the mandible, was preferentially used for grafts in atrophic posterior mandible. Membranes could be also associated to the grafts. The gain in the alveolar ridge was achieved both horizontally and vertically, and usually reflected the surgeon's effort to meet patient's needs. Conclusions: A review of literature reveals that the intraoral autologous bone graft is the most used and allows to achieve the best result in restoring posterior atrophic mandible.

Miescher's cheilitis granulomatosa is the monosymptomatic form of Melkersson-Rosenthal Syndrome. Severe macrocheilitis often causes a functional and esthetical impairment of the lip. Conservative treatment represents the first option to face this rare disease. Unfortunately, medical treatment is often ineffective without any significant result as far as swelling and disfigurement are concerned. Reductive cheiloplasty is indicated in all those patients who have failed to respond to medical treatment. Excision of excess tissue may be obtained by means of several surgical techniques. We report a case of a 55-year-old man affected by severe granulomatous cheilitis refractory to any medical treatment and then treated with the use of tongue flap for the reconstruction of the excised lower lip.

Congenital isolated absent columella is a rare event in population, with an aetiology that is still unclear. Reconstruction remains a challenging problem. A single case is presented with the description of an original single stage surgical technique to restore it.

Third molar displacement into the infratemporal fossa during a surgical extraction is a rare event. Nevertheless, because of the presence of several vascular and neurological trunks through the infratemporal fossa, a correct management of this unusual surgical complication is fundamental in order to avoid many potential serious side effects. In this report, an unusual case of upper third molar displacement into the infratemporal fossa is presented. Detailed radiographic evaluation with CT scans should be performed in order to precisely evaluate the location of the dislocated tooth and the safer surgical corridor to reach it.

Ectopic third molar displacement is a rare event in the population. The etiology of this infrequent condition has not been completely clarified. Optimal management is still unclear. In symptomatic patients surgical removal, after a careful preoperative planning, is the recommended treatment. Several surgical approaches, both extraoral and intraoral, have been described, depending on the ectopic molar position. This paper reports two cases of ectopic third molar, one located in the coronoid process and the other one in the lower edge of the mandibular body. Both teeth were removed successfully by an intraoral and extraoral approach respectively.

Ranulas present as a painless cyst on the floor of the mouth. They present in varying sizes, ranging from the small ranula on the floor of the mouth to large plunging ranulas that extend through to the neck. Treatment options vary depending on the size of the ranula and the operative techniques. This article describes the authors' methods for treating ranulas.

Nodular fasciitis is an uncommon tumor-like fibroblastic proliferation that occurs rarely in the head and neck region. A new case of nodular fasciitis occurring in the cheek of a 56-year-old woman is reported. The case was characterized by dental trauma preceding the appearance of the lesion (extraction of tooth 35). Histologically, the lesion consisted of proliferating fibroblasts and myofibroblasts presenting clinically as a rapidly growing subcutaneous nodule. A conservative surgical excision with curettage is the treatment of choice, and the lesion usually does not exhibit a tendency to recur. The clinical relevance of this condition relies on the fact that both the disorder and its surgical treatment may cause tissue distortion resulting in aesthetic compromise. Furthermore, it needs to be differentiated from malignancy due to its very rapid growth, its rich cellularity, and its high mitotic activity. Both of these aspects, i.e. aesthetic implications and differential diagnosis, have been discussed.

The aim of this study was to examine the clinical performance of this method, and determine which temporary cement was the most appropriate.Dental fixtures (Tiolox implants GmbH, Germany) were implanted and crown and bridgework applied in a private practice between 1998 and 2003. Copings made of pure gold or titanium were permanently cemented onto the prepared teeth. The bridges were attached with either conventional temporary cements (Zinc oxide/ calcium hydroxide based) or acrylic/urethane cement (IMProv) both to the copings and to the implant abutments. Complications were evaluated by a retrospective review in January 2006.A total of 47 patients (response: 81%) with 65 fixed partial dentures could be evaluated. Removal and re-attaching without damage of the dentures was undertaken for the following reasons: for follow-up examinations (n = 31), colour corrections (n = 15), cleaning of the dentures (n = 12), treatment of peri-implantitis (n = 2), repair following ceramic fractures (n = 5), implant failure (n = 1), tooth extractions (n = 2), root canal treatments (n = 2), occlusal corrections (n = 2), or in the case of abutment loosening (n = 4). Accidental detachments with conventional temporary cements occurred more frequently and more rapidly than with IMProv (15% versus 88.7% survival rate after four years).This method for dental implant supported fixed partial dentures is successful and efficient.