This paper is only available as a PDF. To read, Please Download here.
Unilateral numbness of the chin and lip, without a history of trauma or extraction of a tooth, may well indicate the presence of a malignant tumor in the mandible, either from the bone itself or from adjacent or distant organs. This symptom warrants immediate thorough investigation including mandibular x-ray film, laminogram, and intraoral biopsy. External biopsy should be avoided to prevent excessive contamination of the tissue and permit subsequent successful radical surgery. A palpable intraoral mass or clearcut x-ray findings are comparatively late signs. None of the patients whose records were available in the literature and who showed inferior alveolar nerve symptoms with a palpable mass had been cured by radical surgery.
Nine cases of inferior alveolar nerve syndrome, seven cases from the literature and two cases from a personal file, are reviewed in this paper. In one case, following the lead of numbness of the lower lip and chin and anticipation of a malignant tumor of the mandible, an intraoral biopsy was obtained and an early diagnosis of osteogenic sarcoma was made. Radical mandibulectomy was performed. To date, almost three years after surgery, the patient is alive and well without local recurrence of distant metastases.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to The American Journal of Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Oral Pathology.in: 5th ed. C.V. Mosby Co, St. Louis1960: 888
- Osteogenic sarcoma of the jaw.Oral Surg. 1957; 10: 1156
- Undifferentiated sarcoma of the mandible: a problem in diagnosis and treatment.Oral Surg. 1962; 15: 876
- Syndrome of the numb chin.Arch. Int. Med. 1963; 112: 819
- Roentgen characteristics of osteogenic sarcoma of the jaw.Radiology. 1955; 64: 519
- Odontogenic cysts and cystic tumors of the jaws. A roentgen-diagnostic and pathoanatomic study.Acta radiol. 1950; vol. 33
- Malignant osseous tumors of the jaw.Bull. Ayer Clin., Univ. Penn. Hosp. 1946; 3: 495
- Technique for visualization of the mental foramen: a case of an expanding soft tissue tumor in the mental foramen.Acta radiol. 1954; 42: 266
© 1965 Published by Elsevier Inc.