Ezher Hamza Dayisoylu

Eosinophilic granuloma (EG) is a rare and relatively benign form of histiocytosis of the Langerhans cells. Radiologically EG characterized by unifocal or multifocal osteolytic lesions that affect the skull. Although the lesion is initially silent, it may erode the bone and destroy the cranial skeleton. Its occurrence on temporal bone indirectly affects the temporalis muscle. In this case report it was aimed to present a patient with EG of temporal bone that mimicking temporomandibular joint disorder (TMD). Key words: Langerhans Cell Histiocytosis, Eosinophilic Granuloma, Bone lesion, Temporomandibular Joint Disorder TEMPOROMANDIBULER EKLEM RAHATSIZLIĞINI TAKLIT EDEN TEMPORAL KEMIĞIN EOZINOFILIK GRANÜLOMASI: VAKA RAPORU ÖZ Eozinofilik Granuloma (EG) Langerhans hücreli histi- yositozisin nadir ve göreceli olarak benign formudur. EG Radyografik olarak tek ya da çok odaklı, kafatasını etkileyen ostelitik lezyonlar ile karakterizedir. Lezyon başlangıçta sessiz olmasına karşın kemiği erode ederek kraniyal iskeleti tahrip edebilir. Temporal kemikte gö- rülmesi durumunda temporal kas dolaylı olarak etkilenir. Bu vaka raporunda bir hastada temporo- mandibuler eklem rahatsızlığını taklit eden temporal kemikteki EG’nin sunulması amaçlandı. Anahtar Kelimeler: Langerhans Hücreli Histiyositozis, Eozinofilik Granüloma, Kemik Lezyonu, Temporomandibuler eklem problemi

The sphenopalatine ganglion (SPG) may be involved in persistent idiopathic facial pain and unilateral headaches. The role of SPG blockade via intra oral route in the management of trigeminal neuralgia (TN) is worthy of study. In this retrospective study, patient records included patients with atypical TN (type 2) that persisted in spite of conservative treatment for at least 2 years, and an average pain intensity from the craniofacial region visual analogue scale (VAS) before examination. In group I the patients received carmapazepin 800 mg a day for at least 2 years. In group II 3 ml of local anesthetic agent consisting 2 ml bupivacaine and 1 ml prilocain in addition to 1 ml fentanyl, 0.5 ml betametasone disodium phosphate and 0.5 ml opaque was injected by the intraoral route. In this group, injection procedures were performed under local anesthesia with fluoroscopic guidance. The Kruskal–Wallis and Mann–Whitney U tests with Bonferroni correction were used for intergroup analysis. Age and sex differences were evaluated with one-way ANOVA and Fisher’s exact tests, respectively. Significant differences were found between pre-op and 3rd day VAS values and also pre-op and 1st month VAS values. No significant differences were found between pre-op and 6th month VAS values. The SPG blockade improves the quality of life of patients and a minimally-invasive procedure to management of TN, when compared to other methods.

Aneurysmal bone cyst (ABC) is a benign osteolytic lesion. ABC is infrequently encountered in the long bones of the skeleton and its occurrence in the craniomaxillofacial area is a rare condition. Trauma, altered vascular equilibrium and genetic factors have been implicated on the development of ABC. In this report an ABC of the mandible in a 16-year old male patient was presented. Key words: Aneurysmal bone cyst, jaw lesions, trauma, orthodontics  MANDİBULADA ANEVRİZMAL KEMİK KİSTİ: OLGU SUNUMU Anevrizmal kemik kisti (AKK)iyi huylu osteolitik bir lezyondur. AKK iskeletin uzun kemiklerinde seyrek olarak gözlenmekle birlikte çene ve yüz bölgesinde oldukça nadir olarak karşılaşılır. Travma, değişken damar basıncı ve genetic faktörler AKK gelişiminden sorumlu tutulmaktadır. Bu vaka raporunda 16 yaşındaki bir erkek hastanın mandibulasında gözlenen AKK olgusu sunulmuştur. Anahtar kelimeler: Anevrizmal kemik kisti, çene lezyonları, travma, ortodonti

Introduction: Plasma cell dyscrasias are characterized by a monoclonal neoplastic proliferation of plasma cells. Solitary bone plasmacytoma (SBP) is a local form of the disease with the vertebrae and long bones being the most frequently encountered sites. Its prevalence in the maxillofacial area is extremely rare. Case Presentation: A 70-year-old Caucasian male patient was referred for the extraction of his mobile premolar tooth with a poorly-defined radiolucent lesion. Histopathological analysis revealed an SBP and no distant lesion or serum M protein was noted on radiological and hematological examinations. The patient was under follow-up care with no recurrence at 2 years of follow up. Conclusions: Diagnosis of an SBP is based on local radiological and neurological symptoms and similar systemic manifestations of multiple myeloma that are also distinctive for SBP. Skeletal radiological analysis including CT and PET-CT, bone marrow biopsy, and serum protein electrophoresis are essential for confirmation of the diagnosis. Although surgery, chemotherapy, and radiation, or a combination of these modalities, have been successfully used in the treatment of SBP, it should be managed in relation to its possible long-term evolution. Keywords: Multiple Myeloma; Solitary Plasmacytoma; Mandible