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    Blandin-nuhn gland mucocele: presentation of a new case and review of the literature

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    Minor salivary glands can be found in the ventral and anterior part of the tongue (Blandin-Nuhn glands). Rarely, these glands can develop a mucocele which appears as an exophytic, sometimes pedunculated, lesion: this feature of the mucocele is due to the absence of a capsule, thus glands are right beneath the mucosa and over the muscle tissue. A 12-year-old healthy Caucasian boy was referred to our Department for the evaluation of an exophitic lesion of the anterior and ventral part of the tongue: the lesion appeared light pink in color, elastic, mobile on the underneath planes, no bleeding and no pain; excisional biopsy of the lesion together with the underneath salivary gland revealed a mucocele of Blandin-Nuhn gland. Anatomy, pathology, clinical features and therapy of Blandin-Nuhn gland mucoceles are discussed: Blandin-Nuhn gland mucoceles, due to uncommon clinical appearance, are often difficult to diagnose. Excisional biopsy is mandatory and, at the same time, diagnostic and therapeutic. A careful removal of the underlining salivary gland is necessary to avoid relapses

    Brain abscess of odontogenic origin: two cases report and review of the literature

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    Brain abscesses are rare, life-threatening infections: odontogenic origin is rarely advocate as the cause of these infections. Neurological manifestation which depend on the involved site (i.e. epilepsy, hemiparesis, hemiparesthesia, aphasia, depressed consciousness) are accompained by systemic symptoms such malaise and fever; mortality rate is high (almost 50%). The identification of causal organism can be difficult and the odontogenic origin is often an exclusion diagnosis. Therapy should be started as soon as possible in order to prevent the rapid diffusion to the rest of the brain: recovery might happen with mild-moderate residual neurological deficit. We present two new cases of brain abscesses; Case 1: a 9-year-old boy with a frontal abscess presented multiple dental foci; a CT scan demonstrated the diffusion to the brain through maxillary and ethmoidal sinuses. Case 2: a 60-year-old female presented with cerebral brain abscess: she was under steroid therapy for reumatoid artritis; a panorex revealed numerous dental foci. No other foci were found in both patients. Due to their rarity, brain abscesses of odontogenic origin are difficult to diagnose: a thorough oro-maxillofacial investigation should always be performed in order to exclude this origin
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