Gustavsenandreassen3105

The head and neck region consists of several potential tissue spaces that are formed by the fascial layer. The buccal space is an area of anatomic significance due to its small size and distribution of adipose tissue. Unilateral buccal space masses often pose a diagnostic challenge owing to the diversity of tissues in the area. Here, we report four such cases of buccal space masses arising from different tissues, which presented as unilateral buccal space swelling. This report also highlights the various causes and the differential diagnoses of unilateral buccal space masses.

A straightforward clinical reasoning is always difficult in patients with persistent orofacial pain with vague symptoms. Craniofacial pain or Orofacial pain can have a mixture of causes ranging from neurogenic, myogenic, and psychogenic factors intertwined amidst the intricate anatomy with a high vascular network. This plethora of uncertainty blurs the judgment for such patients to whom we provide care. We hereby present a case of a 17 year old female with vague pain on talking, chewing and even swallowing when initially examined; this chronic orofacial pain often worsened her quality of life. The aim of this manuscript is to present a case of Pterygoid Hamulus syndrome that was misdiagnosed as glossopharyngeal and myofascial neuralgia.

The condition was managed by surgical excision of the elongated pterygoid hamulus, following a recurrence of her symptoms.

The patient was relieved of pain only after the surgical excision of the elongated hamulus.

The surgery was decided upon only after conservative management had not provided much relief and the manuscript also discusses the ambiguous composite pain referral pattern in Pterygoid Hamulus syndrome.

The surgery was decided upon only after conservative management had not provided much relief and the manuscript also discusses the ambiguous composite pain referral pattern in Pterygoid Hamulus syndrome.We present an unusual case of an intra-abdominal collection which evidenced a rare etiology and raises diagnostic particularities.

Fish bones ingestion is frequent, but seldom followed by complications. Those are often reported at specific sites.

This case report emphasizes the unusual presentation and site localization of a colonic perforation by a small fish bone, in the context of limited radiological accuracy at the diagnostic phase.

A 37 year old male was admitted to the gastroenterology ward with upper and left sided abdominal pain associated with fever and marked fatigue. His medical history was marked by a sleeve gastrectomy in 2010 for obesity. Abdominal signs and elevated acute inflammatory syndrome on blood tests were followed by computer tomography which revealed a pericolic mass near the left splenic flexure. The pain and fever increased in intensity, so a laparotomy was proposed. Intraoperatively, a tumor-like lesion was found and a resection with oncologic limits was performed. Microscopic examination of the specimen revealed a fish bone, but only after surgery did the patient confirm that he had eaten fish meal the week before. The post-operative period was uneventful.

Fish bones remain some of the most frequently ingested alimentary foreign bodies; they may cause atypical clinical presentations, frequently omitted by the patients themselves if symptoms appear delayed. They could also lead to possible high-risk complications which need to be addressed by surgeons.

Fish bones remain some of the most frequently ingested alimentary foreign bodies; they may cause atypical clinical presentations, frequently omitted by the patients themselves if symptoms appear delayed. They could also lead to possible high-risk complications which need to be addressed by surgeons.Restless legs syndrome is a common lifelong neurological disorder with a negative impact on the patients' sleep and quality of life. Despite its common occurrence in the general population, the condition usually remains undiagnosed. Atuzabrutinib purchase Patients with diabetes run at a higher risk to suffer from restless legs syndrome. Diabetic neuropathy, in particular, shares similar clinical characteristics with restless legs syndrome and reduces significantly the patients' quality of life. Our aim was to report on an interesting case of restless legs syndrome in a patient with diabetes seeking medical advice for a ten-year long insomnia. Sleep deprivation was falsely attributed to diabetic neuropathy. A literature overview of the up-to-date knowledge was performed in order to summarize available information and provide primary care physicians with a comprehensive way of clinical thinking to differentiate peripheral neuropathy and restless legs syndrome manifestations.

Identifying the optimal method for occlusion analysis by comparing examination sensitivity of the static and dynamic occlusion using three systems clinical occlusion analysis, semi-adjustable articulator and virtual articulator (3Shape, Denmark) occlusion analysis.

The occlusion analysis of sixteen patients was performed using the three systems. In order to analyze the number of concordant and discordant points and trajectories, the clinical method was compared to the semi-adjustable articulator and to the computerized method.

The greatest correspondence was obtained by comparing the clinical and the articulator methods, having a success rate of 85.25%, versus the clinical and the computerized method with a success rate of 73.25%. The propulsion registered the highest discrepancies 35% in case of the semi-adjustable articulator comparison and 62% in case of the virtual articulator comparison.

The semi-adjustable articulator was superior in static and dynamic occlusion analysis compared to the virtual articulator. The analysis of the dynamic occlusion is the most problematic due to its dependency on the individual anatomy of the glenoid fossa which cannot be exactly reproduced by any articulator.

The semi-adjustable articulator was superior in static and dynamic occlusion analysis compared to the virtual articulator. The analysis of the dynamic occlusion is the most problematic due to its dependency on the individual anatomy of the glenoid fossa which cannot be exactly reproduced by any articulator.