PurposeSeveral studies have described the outcomes and complications following orthognathic surgery. However, the average patient age in these studies is 20–40 years. It is unclear whether results from these age groups can be extrapolated to older patients. MethodsThis retrospective observational study included 54 patients over 50 years of age, who underwent orthognathic surgery. From these patients’ medical records, we retrieved data regarding patient characteristics, surgery characteristics, outcomes, and complications. ResultsThe patients’ mean age was 56 years (range, 50–69 years), and mean ASA score was 2. A bad split occurred in one patient, and immediate postoperative complications occurred in two patients. There were no long-term sequelae. Neurosensory disturbances (NSD) occurred in 30 patients. Preoperative temporomandibular dysfunction (TMD) was present in 9 patients—among whom, five were cured after surgery. Four patients postoperatively developed de novo TMD. Hardware removal was performed in 22 patients. The mean length of stay was two days for monomaxillary procedures, and three days for bimaxillary procedures. ConclusionsThis study demonstrated apparent differences between patients over 50 years of age and the general orthognathic population. In particular, neurosensory disturbances and hardware removal were more prevalent in our study population.

IntroductionOdontogenic cysts are cysts that originate from the odontogenic epithelium and are found in the areas of the jaw that bear teeth. Dentigerous cysts are one of the most common developmental types of odontogenic cysts occurring in the oral cavity and often manifest as incidental findings on dental radiographs and/or as asymptomatic swellings. Treatment usually involves cyst enucleation or tooth extraction, although decompression may be used for larger lesions. Case reportWe report the case of an 8-year-old patient referred by his ENT physician following the swelling of the left maxilla for whom the clinical, radiological examination associated with biopsy suggested a dentigerous cyst. Conclusionmanagement consisted of decompression of the lesion after eight months which allowed the disappearance of the cystic. The patient continues to be followed clinically and radiologically.

Diagnosing Immunoglobulin G4-related sialadenitis (IgG4-RS) remains challenging due to its rarity and similarity to other forms of sclerosing sialadenitis. Controversies persist regarding biopsy approaches. We presented a case with sclerosing sialadenitis in the major salivary glands, pancreatitis, elevated serum IgG4 levels, and core needle biopsy (CNB) revealed lymphoplasmacytic infiltration. This case report aims to raise awareness of the potential use of CNB in suspected IgG4-RS cases, minimizing associated risks compared to open biopsy.

The importance of close and collaborative working between surgeons and radiologists in a one stop neck lump clinic is essential to ensure the correct diagnosis and treatment pathway for patients. Here we present an unusual presentation of lymphoma which demonstrates how a cancer diagnosis can be made without delay even with conflicting clinical and radiological findings, when colleagues are able to direct liaise in a one stop clinic.

Osteolipoma is a rare variant of lipoma that can arise mainly in the lower limbs and the head and neck region. As of January 2023, 51 cases of head and neck osteolipomas have been described in the English literature, excluding the tuber cinereum osteolipomas. The review was performed using the Pubmed and Scopus search engines and the following keywords: [osteolipoma], [ossifying AND lipoma] or [lipoma AND osseous metaplasia]. In addition to these 51 cases, we present 3 more cases of osteolipomas involving the craniomaxillofacial area. The scope of this study is to broaden the knowledge regarding this rare tumor and improve the treatment and follow-up protocols.

Head and neck locations are the site of predilection for skin cancers. This is mainly due to the photoexposition of these areas and is made more important in our equatorial setting with high sunlight exposure, rising trend of skin bleaching and higher percentages of albinism. Hence, we sought to evaluate the knowledges of patients visiting at the dental service of a tertiary hospital on these skin cancers.We conducted a descriptive cross-sectional at the dental unit of the Garoua Regional Hospital over a period of one month. We included in our study all patients attending the dental unit willing to voluntarily take part in this survey and those not willing to voluntarily take part in this survey were excluded from our study. We carried out a consecutive sampling.We retained 69 participants with a mean age of 30 [24.0–38.0] years and a sex ratio of 0.71.52.3 % of our participants had heard about skin cancer before, with 4.6 % having seen a patient with skin cancer, all of whom were family members.Regarding sunlight exposure, 56.9 % of our participants thought UV exposure can increase the risk of skin cancer, 29.2 % thought body areas exposed to sunlight were more at risk of having skin cancer.Even though 90.8 % thought these cancers were dangerous,50.8 % thought it could be treated only 1.5 % knew any means of treatment.Our findings show that compared to other population-based studies the knowledge level on skin cancers is lower.

Introductiondental trauma, particularly to the maxillary permanent incisors, is relatively common at Bouaké University Hospital. The aim was to identify the epidemioclinical characteristics and distinguish the therapeutic methods. Material and methodsThis was a retrospective cross-sectional study carried out in the Odontostomatology and Maxillofacial Surgery Department of Bouaké University Hospital from 2015 to 2021. Alveolar-dental trauma of the maxillary permanent incisors was included in the study. Results346 subjects were enrolled, representing a prevalence of 20.99 % of all maxillofacial injuries. The mean age was 23.5 years (extremes 8 and 73 years) and the sex ratio was 3.55. Road traffic accidents were the cause of trauma in 250 cases (72.25 %), of which 213 (85.20 %) involved motorised 2-wheelers without helmets. Concurrent damage to the central and lateral incisors was observed in 178 cases (51.44 %). The dental organ was affected in 219 cases (63.29 %), the supporting tissue in 183 cases (52.89 %) and the bone tissue in 102 cases (29.48 %). Other associated craniofacial lesions were observed in 135 cases (39.02 %). For lesions of the dental support tissue, reduction and retention were performed in 39 cases (21.31 %). For lesions of the dental organ, dental avulsion was performed in 102 cases (46.58 %). For alveolar bone lesions, For alveolar bone lesions, reduction with maxillo-mandibular blocking was performed in 54 cases (52.94 %). Discussion: Alveolodental traumatic lesions of the maxillary permanent incisors are, in more than a third of cases, included in a multi-traumatic maxillofacial context, and can therefore very easily be relegated to secondary consideration. ConclusionThese traumas most often affect young patients, with major lesions that need to be treated as effectively as possible, at the risk of significant functional and aesthetic sequelae.

Large bone tumors can form in the upper and lower jaws of the mouth, leading to dental and jaw lesions. These tumors pose a significant challenge in performing dental prosthetics and restorative procedures in the affected jaws. This case report highlights a successful surgical intervention for a fifty-five-year-old Syrian man who presented with multiple bone tumors in the jaw bones. The surgery, performed at the dental clinic of the International University of Science and Technology, aimed to remove the tumors, allowing for future dental restorations. The surgical procedure was successful, and the tumorous lesions were examined and removed from both the upper and lower jaws. The jaws were then prepared for complete dental restorations. This case emphasizes the importance of timely intervention and surgical management for bone tumors in the jaws to restore oral function and improve quality of life.