Herniation of Bichat's Fat Tissue into the Oral Cavity Secondary to Trauma

Herniation of Bichat’s fat tissue into the oral cavity is a rare clinical entity. It is known as “traumatic pseudolipoma,” which develops within a short time after direct trauma to the buccal mucosa, especially in young children, or as “post-traumatic lipoma,” which occurs depending on the changes in the storage and differentiation of adipocytes after conditions, such as trauma and hematoma, that trigger cytokine release. In this article, herniation of Bichat’s fat tissue secondary to blunt-penetrating trauma in a 3-year-old boy is presented, and important points of diagnosis and treatment procedures are discussed in accordance with the literature

Ossicular chain erosion in chronic otitis media patients with cholesteatoma or granulation tissue or without those: analysis of 915 cases

WOS: 000464861500006PubMed ID: 30759279Purpose The aim of this study was to evaluate the ossicular chain erosions (OCE) in chronic otitis media patients with cholesteatoma (COM-C) or without cholesteatoma (COM). Materials and methods The OCE and preoperative hearing levels of a total of 915 patients were evaluated retrospectively. Patients were divided into three groups. Of the 915 patients, 615 (67.2%) had COM, 234 (25.6%) had COM-C, and 66 (7.2%) had chronic otitis media with granulation tissue (COM-G). Results OCE was found in 291 (31.8%) of 915 patients. OCE was found in 192 (82%) of 234 patients with COM-C, 21 (31.8%) of 66 patients with COM-G, and 78 (12.7%) of 615 patients with COM. Conclusion The most commonly seen OCE was incus erosion, followed by stapes and malleus erosions. The results of this study show that there are more OCE in the COM-C group than in the COM-G and COM groups. To our knowledge, this study has the widest patient population in the literature focused on the OCE relation with COM, COM-C, and COM-G and its effect on the preoperative hearing level

Carotid Sheath Abscess Caused by a Tooth Decay Infection on the Opposite Side

Deep neck infections are mortal diseases that need emergency treatment. It can occur at any age but usually in pediatric ages. In this report, a left cervical carotid space abscess of a pediatric patient was discussed. It was interesting that the only origin of the left carotid sheath abscess was right inferior first molar tooth decay. Right neck spaces were all clean. Patient had no immunosupression and also there were no congenital masses such as branchial cleft cysts, foreign bodies, or masses suspicious for malignancies in cervical ultrasound and MRI. We discussed this rare condition under the light of the literature