Abstract PATHOLOGIC QUIZ CASE 1 James S. Reilly, MD, John S. Supance, MD, Pittsburgh An 8-month-old male infant was examined at the Otolaryngology Ambulatory Care Facility, Children's Hospital of Pittsburgh, for progressive left-sided facial asymmetry of three months' duration. There was no history of infection or trauma. Pertinent physical findings were limited to the head and neck. An intraoral examination disclosed a firm, nontender mass that arose from the inferomedial aspect of the left maxilla, involved the alveolar ridge, and protruded into the gingivobuccal sulcus. The mucosa was intact, and the mass was nonpulsatile. Extraoral palpation showed the mass to extend superiorly toward the left nasal bone and medially to the lateral nasal wall, with distortion of the left nasal ala and upper lip. Facial function and results of cranial nerve assessments were normal. There was no epiphora, proptosis, or evidence of infection. Facial bone roentgenograms showed an expansile, lucent lesion References 1. Hooker SP: Ameloblastic odontoma: An analysis of 26 cases . Oral Surg 1967;24:375-376. 2. Regezzi JA, Kerr DA, Courtney RM: Odontogenic tumor analysis of 706 cases . Oral Surg 1978;36:771-778. 3. Minderjahn A: Incidence and clinical differentiation of odontogenic tumors . J Maxillofac Surg 1979;7:142-150.Crossref 4. Bernhoft CH, Bang G, Gilhuus-Moe O: Ameloblastic fibro-odontoma . Int J Oral Surg 1979;8:241-244.Crossref 5. Album MM, Neff JH, Myerson RC: Ameloblastic fibro-odontoma: Report of case . J Dent Child 1977;44:320-323. 6. Curan JB, Owen D, Lanoway J: Ameloblastic fibro-odontoma: Case report . J Can Dent Assoc 1980;5:314-316. 7. Miller AS, Lopez CF, Pullon PA, et al: Ameloblastic fibro-odontoma: Report of seven cases . Oral Surg 1976;41:354-365.Crossref 8. Pindborg JJ, Kramer IR: Histological Typing of Odontogenic Tumors, Jaw Cysts, and Allied Lesions , International Histological Classification of Tumors, No. 5. Geneva, World Health Organization, 1971. 9. Gorlin RJ, Chaudhry AP, Pindborg JJ: Odontogenic tumors: Classification, histopathology and clinical behavior in man and domesticated animals . Cancer 1961;14:73-101.Crossref 10. Shafer WG, Hime MK, Levy AM: A Textbook of Oral Pathology , ed 3. Philadelphia, WB Saunders Co, 1974, pp 236-284. 11. Stataloff J: Resident's page . Arch Otolaryngol 1965;82:436-437.Crossref 12. Rogers KA Jr, Snow JB Jr: Squamous cell papilloma of the external auditory canal and middle ear treated with radiation therapy . Laryngoscope 1968;78:2183-2188.Crossref 13. Senturia BH, Marcus MD, Lucente FE: Diseases of the External Ear: An Otologic-Dermatologic Manual . New York, Grune & Stratton Inc, 1980, p 73. 14. Friedmann I: Pathology of the Ear . Oxford, Blackwell Scientific Publications, 1974, pp 147-148.
Archives of Otolaryngology – American Medical Association
Published: Mar 1, 1983