HEAD NECK 19 Short notes Epulis -Ludwig's angina

Chapter 14 page 1

Epulis

This  is an abnormal hyperplasia of the gums and is  produced  by

any  cause of chronic irritation (sharp edge of tooth cavity)  or

infection giant cell epulis is also because of inflammation.

Chapter 14 after 2.3

Torticollis

This  is the abnormal position of the head and neck caused  by  a

spasm  of  the  neck muscles. It can be  caused  by  an  abnormal

position while sleeping or an injury at birth. Treatment is  with

physiotherapy  and ultrasound. In the birth injury stretching  of

the muscles can also help.

Chapter 14 after 7.2

Adamantinoma

This is a multilocular cystic swelling usually seen in the  lower

jaw. It causes a bony expansion which can be seen on Xray. It  is

a slow growing tumour but invades tissue locally. The patient  is

20-30 years. Treatment is by local Excision.

Chapter 14 after 4.6

Ameloblastomar

This  tumour takes origen from the enamel organ of the teeth  and

can be seen in the upper or lower jaw also called admantinoma.  A

slow growing low-grade malignat tumour expands the jaw. X-ray  is

a  "soap  bubfle"  multiloculated cystic expansion  of  jaw.  The

lesion has to be excised and replaced with a bone graft.

Chapter 14 after 4.6

Odontoma

There are cysts that origen from ectodermal and mesodermal  teeth

producing tissue in the mouth. These cysts expend the jaw and are

usually benign.

Chapter 14 after 4.2

Ludwig's Angina

This  is  a severe cellulite of the submandibidor region  due  to

tooth  abscess  due to anaerobes and spirochetes the  ocdena  can

cause  respiratory obstruction. The patient needs  admission  and

 hugh dose of antibiotic and metronidazole.

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