Palate

Palatal perforation from cocaine abuse

April 30, 2008     Marc Cohen, MD, Vishad Nabili, MD, and Dinesh K. Chhetri, MD
article

Reduction of snoring with a plasma-mediated radiofrequency-based ablation (Coblation) device

January 1, 2008     Jonas T. Johnson, MD, Jennifer Vates, BS, and Robin L. Wagner, BS
article

Abstract

We evaluated the effectiveness of using a plasma-mediated radiofrequency-based ablation (Coblation) device to perform volumetric tissue reduction of the soft palate as a means of controlling snoring in 23 patients with loud snoring and mild or no sleep apnea. Tissue reduction was achieved by performing a channeling procedure designed to shrink the tissue surrounding the treatment zone. The soft palate was treated at three separate sites, and each channel was completed in approximately 11 seconds. Data regarding the primary outcome—that is, pre- and postoperative subjective assessments of snoring intensity provided by the patients’ bed partners—were available for comparison for 21 of the 23 patients. Of the 21 patients, treatment was deemed successful in 10 (48%). Postoperatively, the overall mean intensity of snoring on a scale of 0 (no snoring) to 10 (terrible snoring) fell by 4 points (p < 0.05). Likewise, the loudness of snoring was also significantly reduced on objective SNAP recordings; the mean intensity fell from 12 to 8 dB (p < 0.05). Of the 10 successfully treated patients, 2 required only one procedure, 5 were improved after two treatments, and 3 underwent three operations. Seventeen of the 23 patients (74%) reported an improvement in quality of life. Surgical complications were mild to moderate, and pain was easily manageable in most cases. Our findings suggest that this procedure can be an effective treatment for socially unacceptable snoring. We hope that in future studies, investigators will evaluate outcomes over a longer term.

Marginal-zone B-cell lymphoma of the bony palate presenting as sinusitis

January 1, 2008     Lisa Skultety Ayers, DO, Jacqueline Oxenberg, DO, Seth Zwillenberg, MD, and Mahmoud Ghaderi, DO
article

Abstract

The diagnosis of low-grade B-cell lymphoma consistent with marginal-zone lymphoma has proven to be challenging when the disease involves the hard palate. The diagnosis is complicated by the nonspecific nature of the presenting symptoms and a difficult-to-differentiate histologic picture. We describe a case of low-grade B-cell lymphoma of the hard palate with a delayed presentation. We also compare the features of this case with the features of the small number of other such cases that have been reported in the literature. Finally, we review the etiology of low-grade B-cell lymphoma, we discuss its radiologic and pathologic features, and we briefly describe the treatment options.

Necrotizing sialometaplasia: A potential diagnostic pitfall

August 31, 2006     Pavel KomĂ­nek, MD, PhD; Petr Blasch, MD
article
Abstract
Necrotizing sialometaplasia is a benign, spontaneously healing inflammatory condition. It usually affects the hard palate, and it can mimic a malignancy both clinically and histologically. We report a new case of this rare disorder.

Massive pleomorphic adenoma of the soft palate

December 1, 2004     Ryan F. Osborne, MD; Sofia Avitia, MD
article

Second branchial cleft anomaly presenting as a rudimentary pinna in the nasopharynx of a newborn

August 31, 2004     Khwaja Asif Ahmed, MD; Michael D. Poole, MD, PhD
article
Abstract
We describe the case of a 4-day-old girl who presented with an epiglottic cyst that was later identified as a rudimentary pinna attached to the soft palate.

Nasopalatine duct cyst

April 30, 2004     Hugh Robertson, MD, FACR; Enrique Palacios, MD, FACR
article
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