



CASE REPORT Year : 2012 | Volume : 3 | Issue : 2 | Page : 232-237

Accessory oral cavity



Manica Ramamoorthy Gnaneswaran1, Usha Varadarajan2, Ramesh Srinivasan3, Sangeetha Kamatchi1

1 Consultant, Meenakshi Mission Hospitals and Research Centre (MMHRC), Madurai, Tamil Nadu, India

2 Ultra's Best Dental Science College, Madurai, Tamil Nadu, India

3 Surgeon ESI Hospital, Coimbatore, Tamil Nadu, India



Date of Web Publication 4-May-2013

Correspondence Address:

Usha Varadarajan

C 72/44 Santanam Road, TVS Nagar, Madurai 625 003, Tamil Nadu

India

Source of Support: None, Conflict of Interest: None Check

DOI: 10.4103/0975-5950.111395



Abstract

This is a rare case report of a patient around 11 years with the complaint of extra mouth who reported to the hospital for removal of that extra mouth. On examination there was accessory oral cavity with small upper and lower lips, seven teeth and saliva was drooling out. Under general anesthesia crevicular incision from 32 to 43 was put and labial gingiva with alveolar mucosa was reflected completely and bone exposed to lower border of mandible. There were seven teeth resembling lower permanent anterior teeth in the accessory mouth, which was excised with the accessory lips. 41 extracted and osteotomy carried out extending the incision from the extracted site and osteotomy carried out. Dermoid cyst both below and above the mylohyoid muscle and rudimentary tongue found and excised and the specimen sent for histopathological examination. The wound was closed and uneventful healing noted to the satisfaction of the patient. This is a rare and interesting case which has been documented.

Keywords: Accessory mouth, accessory oral cavity, osteotomy, sublingual dermoid, teratoma

How to cite this article:

Gnaneswaran MR, Varadarajan U, Srinivasan R, Kamatchi S. Accessory oral cavity. Natl J Maxillofac Surg 2012;3:232-7

How to cite this URL:

Gnaneswaran MR, Varadarajan U, Srinivasan R, Kamatchi S. Accessory oral cavity. Natl J Maxillofac Surg [serial online] 2012 [cited 2020 Sep 21];3:232-7. Available from: http://www.njms.in/text.asp?2012/3/2/232/111395

Introduction

Case Report

Figure 1: Patient with extra mouth



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Figure 2: Saliva drooling from extra mouth



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Figure 3: Extra mouth with mouth open



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Figure 4: CT scan



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Figure 5: The CT scan



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Figure 6: CT scan



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Figure 7: 3-D CT



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Figure 8: Surgery



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Figure 9: Exposed accesory oral cavity



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Figure 10: Excised accesory oral cavity



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Figure 11: Excision complete



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Figure 12: Excised specimen



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Figure 13: HPE report as teratoma



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Figure 14: HPE report as accessory tongue



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Figure 15: Postoperative



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Discussion

Conclusion

References

1. Al-Waheidi Em. Accessory jaw and mouth: Report of case. ASDC J Dent Child 1995;62:360-2.

2. Gulzar Ali Bukhari S, Amin M, Khurshid T, Binish, Tariq Sarfraz. Giant oral teratoma in newborn. Pak Armed Force Jr 2008;3.

3. Gupta S, Singh S, Hasija S, Sen R. Teratoma of the tongue. J Surgl Case Reps 2012.

4. Mouth Tumor Removed From Fetus While Still In The Womb. Med News Today; 2012. Available from: http://www.medicalnewstoday.com/articles/247009.php [Last accessed date 25 Jun 2012].

5. Shafer, Hine, Levy R. Rajendran, Sivapathasundaram: A Text Book of Oral Pathology. 6 th ed W.B.Saunders and Co; 2009. p. 69.

6. Gibson WS Jr, Fenton NA. Congenital Sublingual Dermoid Cyst. Arch Otolaryngol 1982;108:745-8.

7. Makos C, Noussios G, Peios M, Gougousis S, Chouridis P. Dermoid cysts of the floor of the mouth: Two case reports. Case Rep Med 2011;2011:362170.

8. Kandogan T, Koç M, Vardar E, Selek E, Sezgin O. Sublingual epidermoid cyst: A case report. J Med Case Rep 2007;1:87.

9. De Ponte FS, Brunelli A, Marchetti E, Bottini DJ. Sublingual epidermoid cyst. J Craniofac Surg 2002;13:308-10.

10. Fuchshuber S, Grevers G, Issing WJ. Dermoid cyst of the floor of the mouth: A case report. Eur Arch Otorhinolaryngol 2002;259:60-2.

11. Bloom D, Carvalho D, Edmonds J, Magit A. Neonatal dermoid cyst of the floor of the mouth extending to the midline neck. Arch Otolaryngol Head Neck Surg 2002;128:68-70.

12. Lima SM Jr, Chrcanovic BR, de Paula AM, Freire-Maia B, Souza LN. Dermoid cyst of the floor of the mouth. Scientific World Journal 2003;3:156-62.

13. Dimov Zh, Dimov K, Kr′stev N, Kr′stev D, Baeva M, Baeva N, et al. Dermoid, epidermoid and teratoma cysts of the tongue and oral cavity floor. Khirurgiia (Sofiia) 2000;56:30-2.

14. Ege G, Akman H, Senvar A, Kuzucu K. Case report: Sublingual dermoid cyst. Tani Girisim Radyol 2003;9:57-9.

15. Emmanouil-Nikoloussi EN, Kerameos-Foroglou C. Developmental malformations of human tongue and associated syndromes (review). Bull Group Int Rech Sci Stomatol Odontol 1975;35:5-12.

16. Sakuda M, Maeda N, Matsuya T, Urade M, Hasegawa K. A case of tongue anomaly (accessory tongue) (author′s transl). Nihon Koku Geka Gakkai Zasshi 1975;21:609-10.

17. Soldatskiĭ IuL, Sedykh AA, Solonichenko VG, Onufrieva EK. A rare anomaly: An accessory tongue. Vestn Otorinolaringol 2002;3:54-5.

18. Soldatskiĭ IuL, Sedykh AA, Solonichenko VG, Onufrieva EK. A case of an accessory tongue. Vestn Otorinolaringol 2002;3:54-5.

