1104 Poster
Cytology, can be used in the diagnosis of
this disease.
doi:10.1016/j.ijom.2007.09.112
P112
Melanotic neuroectodermal tumour of
infancy of the anterior maxilla:
presentation and management
S. S. Joshi*, J. N. Vahanwala
Smt. B.C.J General Hospital, Terna Den-
tal College & Hospital, 1 Jeevan Dhara,
Dr. Ambedkar Road, Bandra West, Mum-
bai 400050, India
Oral and maxillofacial tumours occur
rarely in the paediatric population com-
pared with the adult population. Melanotic
neuroectodermal tumour of infancy
(MNTI) is a rare neoplasm that often
occurs during the first year of life. More
than 90% of MNTIs occur in the head and
neck region, with most on the anterior part
of the maxillary ridge. Our aim is to
discuss the presentation and management
of melanotic neuroectodermal tumour of
infancy (MNTI) of the maxilla. We report
a case of a 14-month old male infant
suffering from a melanotic neuroectoder-
mal tumour of infancy involving the max-
illa. Radiologic imaging revealed a well-
circumscribed cystic lesion containing
teeth. After excision, histopathologic
and electron microscopic evaluation
revealed MNTI. No recurrence was seen
at the 12-month follow-up. This case and a
review of the literature reveal MNTI to be
a rare, benign hard palate tumour, which
may present as a smooth, firm, painless
and slow-growing anterior palatal lesion.
Imaging reveals a well-circumscribed cys-
tic lesion. Complete excision should be
curative. Management may require atten-
tion to the potential need for palatal recon-
struction, orthodontic care and correction
of secondary nasal deformities.
doi:10.1016/j.ijom.2007.09.113
P113
Congenital teratoma on the zygomatic
region: report of a case with review of
literature
M. D. Umesh*, M. Rai
Department of Oral & Maxillofacial Sur-
gery, K.V.G. Dental College and Hospital,
Kurunjibagh, Sullia 574327 D.K, India
Teratomas are tumours composed of tissue
elements of bidermal or tridermal origin.
They are congenitally acquired and are
usually found in the ovary. Incidence in
the head and neck region is less than 6% and
teratoma in the face are extremely rare;
generally, their degree of histologic differ-
entiation being high. A three day old baby
was referred to us with a finger like projec-
tion on the right zygomatic region of the
face. Computed tomographic scan was
done and after routine investigations
patient was operated for enucleation. His-
topathological diagnosis was a mature ter-
atoma. Here, we are presenting this
exceptionally unusual case of congenital
teratoma on the right zygomatic region with
a review of literature.
doi:10.1016/j.ijom.2007.09.114
P114
Management of mandibular vascular
malformation with sclerotherapy
Report of two cases
A. Hassani
Azad University Tehran, Iran
Background: Management of vascular
anomalies is extremely challenging and
varies according to the nature of the lesion.
Traditionally, embolization with the resec-
tion of the lesion and autogenously
immediate reconstruction has been used.
The purpose of this report is to present cases
successfully using sclerosing solution
injection alone. Methods: This paper
describes the management of two cases
of mandibular vascular malformations
using transe-osseus injection of the sodium
tetradecyl sulfateto the periphery of the
lesion. The procedure was performed four
or five times at two weeks interval respec-
tively. Imaging was performed using sub-
traction arteriography and sequential
panoramic dental radiographs. Results:
Radiological and histological evaluation
of the cases showed resolution of the
lesions following sclerothrapy alone. Con-
clusions: Conservative intralesionl man-
agement using trase-osseous injection of
sclerosing solution was successful in treat-
ing mandibular vascular anomalies.
doi:10.1016/j.ijom.2007.09.115
P115
Acanthomatous ameloblastoma
presented as mixed lesion on
radiograph
W. Quyyam*, S. Ahmed, S. Ahmed,
S. M. Haider
Abbasi Shaheed Hospital, Karachi Medi-
cal and Dental College, Karachi, Pakistan
A 62-year-old male was presented to the
MaxilloFacial OPD, Abbasi Shaheed Hos-
pital Karachi on 3-10-06 with a history of
swelling on the anterior lower jaw for the
last 2 years. It was painless and slow grow-
ing. Clinical examination and radiological
evaluation gave an impression of Cemento
Ossifying Fibroma, Chronic Osteomyelitis,
Paget’s Disease, Fibrous Dysplasia and
Desmoplastic Ameloblastoma. Incisional
biopsy revealed Acanthomatous Amelo-
blastoma. A resection without continuity
defect was planned. Resected specimen
also confirmed histological diagnosis, i.e.
Acanthomatous Ameloblastoma. It is unu-
sual for an Acanthomatous Ameloblastoma
to be present as a mixed lesion on a radio-
graph, but this case was presented as a
mixed lesion and mimicking other radio
opaque- radiolucent lesions.
doi:10.1016/j.ijom.2007.09.116
Reconstructive Surgery
P116
Use of expanded polytetrafluroethylene
in orofacial reconstruction
A. Vyas
Department of Oral and Maxillofacial
Surgery Bangalore Institute of Dental
Sciences, Bangalore, India
Objective: To determine on an ongoing
basis the safety and efficiency of expanded
polytetrafluroethylene as an implant mate-
rial in orofacial reconstruction. Methods:
The patients selected from our unit who are
undergoing orofacial reconstruction with
placement of expanded polytetrafluroethy-
lene. Results: The results are assessed
according to follow up notes, of the treated
patients, and full preoperative and post-
operative photographic documentation.The
implant shows stability and tissue toler-
ance. Conclusion: We conclude that
expanded polytetrafluroethylene has excel-
lent physical properties, malleable yet firm
enough and so easily contoured during
repair. As healing progressed the growth
of host tissue into material is noted, so
augmenting the stability of implant and
decrease incidence of extrusion.
doi:10.1016/j.ijom.2007.09.117
P117
Tongue flap reconstruction of intraoral
defects
A. Bhanja*, R. N. Poddar
Department of Oral and Maxillofacial