Gnaneswaran Manica Ramamoorthy, Varadarajan Usha, Srinivasan Ramesh, Kamatchi Sangeetha
Consultant, Meenakshi Mission Hospitals and Research Centre (MMHRC), Madurai, Tamil Nadu, India.
Natl J Maxillofac Surg. 2012 Jul;3(2):232-7. doi: 10.4103/0975-5950.111395.
This is a rare case report of a patient around 11 years with the complaint of extra mouth who reported to the hospital for removal of that extra mouth. On examination there was accessory oral cavity with small upper and lower lips, seven teeth and saliva was drooling out. Under general anesthesia crevicular incision from 32 to 43 was put and labial gingiva with alveolar mucosa was reflected completely and bone exposed to lower border of mandible. There were seven teeth resembling lower permanent anterior teeth in the accessory mouth, which was excised with the accessory lips. 41 extracted and osteotomy carried out extending the incision from the extracted site and osteotomy carried out. Dermoid cyst both below and above the mylohyoid muscle and rudimentary tongue found and excised and the specimen sent for histopathological examination. The wound was closed and uneventful healing noted to the satisfaction of the patient. This is a rare and interesting case which has been documented.
这是一例罕见病例报告,患者约11岁,主诉口外存在多余口腔,遂到医院要求切除该多余口腔。检查发现存在副口腔,有小的上、下唇,七颗牙齿,且有唾液流出。在全身麻醉下,从32至43进行龈沟切口,完全翻开唇侧牙龈及牙槽黏膜,暴露至下颌骨下缘。副口腔中有七颗类似下颌恒前牙的牙齿,连同副唇一并切除。拔除41牙,并从拔牙部位延伸切口进行截骨术。发现并切除了下颌舌骨肌上下的皮样囊肿及发育不全的舌,标本送检做组织病理学检查。伤口缝合,愈合顺利,患者满意。这是一个已记录在案的罕见且有趣的病例。