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A 59-year-old man with diabetes presented with a 15-year history of intermittent fetid left-sided otorrhea and hearing loss without tinnitus or dizziness. Otoscopic examination revealed a subtotal perforation associated with an attic perforation that was filled with desquamative skin debris. An...
Diagnosis: Gingival granular cell tumor of the newborn (GGCTN) (congenital epulis) Congenital epulis is a rare benign tumor that most often presents on the maxillary or mandibular alveolar ridges. Epulis is a nonspecific term that refers to masses of the gingiva, so some authors have advocated...
Diagnosis: Lemierre syndrome The axial contrast-enhanced magnetic resonance images (Figure 1) revealed a lack of enhancement in the distal left transverse sinus owing to a nonenhancing fresh clot. The dural enhancement around the left tentorium was abnormal, likely because of altered venous...
A healthy 26-year-old white man presented with a several-week history of fevers and a painful swelling in the left side of his neck. He denied having dysphagia, dyspnea, or dysphonia. He did state that he had lost a filling from one of his teeth before the onset of symptoms. His medical history...
A full-term girl was born via spontaneous vaginal delivery, with no perinatal complications. Two soft tissue masses were found along her maxillary alveolar ridge. The lesions were not obstructive, and the patient was asymptomatic. She had no evidence of respiratory distress after delivery and...
Diagnosis: Dentigerous mandibular cyst Cystic and cystlike lesions of the mandible are primarily ellipsoid, radiolucent, and clearly demarcated and may be odontogenic or nonodontogenic. Odontogenic cysts are found in the jaws arising from epithelium involved in tooth formation. They include...
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