Diese Präsentation wurde erfolgreich gemeldet.
Wir verwenden Ihre LinkedIn Profilangaben und Informationen zu Ihren Aktivitäten, um Anzeigen zu personalisieren und Ihnen relevantere Inhalte anzuzeigen. Sie können Ihre Anzeigeneinstellungen jederzeit ändern.

Inflammatory pappilary hyperplasia & ranula

7.601 Aufrufe

Veröffentlicht am

Veröffentlicht in: Bildung, Gesundheit & Medizin, Technologie
  • Dating direct: ♥♥♥ http://bit.ly/369VOVb ♥♥♥
       Antworten 
    Sind Sie sicher, dass Sie …  Ja  Nein
    Ihre Nachricht erscheint hier
  • Follow the link, new dating source: ♥♥♥ http://bit.ly/369VOVb ♥♥♥
       Antworten 
    Sind Sie sicher, dass Sie …  Ja  Nein
    Ihre Nachricht erscheint hier
  • Hello, I'm 45 and have battled with severe Yeast Infection for the last nine years. A month and a half ago, I stumbled across your Yeast Infection No More program. I had my doubts and didn't think it was the right program for my Yeast Infection or if it was going to work at all, but I did order it because I'll do anything to rid myself of this crippling condition. Over 3 week period, I have seen an improvement that I had never experienced with any other conventional or so called natural treatment. The non-stop vaginal itching and burning have stopped. My skin looks significantly better and I slowly got rid of the psoriasis on my right elbow that I had for years. I can now save the money that I would have wasted on drugs like Monistat and Diflucan. Your suggestions have kept my vaginal yeast infections as well as the other candida related symptoms at bay incredibly well! I also lost about 15 lbs! I am feeling so healthy, too. ●●● http://scamcb.com/index7/pdf
       Antworten 
    Sind Sie sicher, dass Sie …  Ja  Nein
    Ihre Nachricht erscheint hier
  • I am so thankful and thrilled to know that someone had found a solution to such a disturbing problem in this country! There are too many women and men that are suffering from this horrendous disease! Before I ordered your program, I used to itch and scratch constantly sometimes all night long. Above all the annoyance it was very embarrassing, especially at work. Since I started your system, I don't use drugs or creams anymore to bring me through the nightmare of yeast infections that was my reality for too long! The constant itching and rashes that sometimes continued for mouths are completely gone. Additionally, the lack of energy and heartburn which I now know were caused by candida overgrowth have also disappeared in a matter of weeks. I feel so rejuvenated and lucky to have found your system. I am also amazed and thankful that your product worked so fast and well. ◆◆◆ https://tinyurl.com/y3flbeje
       Antworten 
    Sind Sie sicher, dass Sie …  Ja  Nein
    Ihre Nachricht erscheint hier
  • I am so thankful and thrilled to know that someone had found a solution to such a disturbing problem in this country! There are too many women and men that are suffering from this horrendous disease! Before I ordered your program, I used to itch and scratch constantly sometimes all night long. Above all the annoyance it was very embarrassing, especially at work. Since I started your system, I don't use drugs or creams anymore to bring me through the nightmare of yeast infections that was my reality for too long! The constant itching and rashes that sometimes continued for mouths are completely gone. Additionally, the lack of energy and heartburn which I now know were caused by candida overgrowth have also disappeared in a matter of weeks. I feel so rejuvenated and lucky to have found your system. I am also amazed and thankful that your product worked so fast and well.  https://tinyurl.com/y3flbeje
       Antworten 
    Sind Sie sicher, dass Sie …  Ja  Nein
    Ihre Nachricht erscheint hier

Inflammatory pappilary hyperplasia & ranula

  1. 1. INFLAMMATORY PAPILLARY HYPERPLASIA & RANULA Presented By :Irfan Zunzani III rd Year
  2. 2. INFLAMMATORY PAPILLARY HYPERPLASIA /PALATAL OR DENTURE PAPILLOMATOSIS
  3. 3. Introduction • Papillary hyperplasia is a unusual condition involving the mucosa of the palate. • It is of unknown etiology. • It may be considered a from of inflammatory hyperplasia associated in instances with ill fitting denture.
  4. 4. ETIOLOGY • Exact pathogenesis is not known. • An ill-fitting denture. • Poor denture hygiene. • Wearing the denture 24 hours a day. (20% OF PATIENTS). • Candida also has been suggested as a cause.
  5. 5. CLINICAL FEATURES • SITE –  Hard palate beneath a denture base.  Edentulous mandibular alveolar ridge.
  6. 6. • The lesion presents itself as numerous, closely arranged, red, edematous papillary projections. • The individual papillae are seldom over a millimeter or two in diameter. • The tissue exhibit varying degrees of infllamation, but sometimes there is ulceration.
  7. 7. HISTOLOGICAL FEATURES • Microscopic section shows numerous, small vertical projections each composed of parakeratotic or sometimes orthokeratotic stratified squamous epithelium and a central core of connective tissue. • Pseudoepitheliomatous hyperplasia, in varying degrees, is seen in most of the cases. • Severe inflammatory cell infiltration is nearly always present in the connective tissue. • Chronic inflammatory cell consist of lymphocytes and plasma cells.
  8. 8. Treatment • Discontinuing the use of ill fitting denture or construction of new denture without surgical removal of the excess tissue will generally result in regression of edema and inflammation, but papillary hyperplasia persists. • Surgical excision of the lesion prior to new denture construction will return the mouth to a normal state. • Use of conditioner to rebase an old denture often results in some improvement of the lesion .
  9. 9. RANULA Frog belly
  10. 10. Definition • Name derived from Latin word rana, which means frog, because the swelling may resemble a frog’s translucent underbelly. • It is a form of mucocele that specifically occurs in the floor of the mouth in association with ducts of the submaxillary or sublingual gland. • It may arise through duct blockage or through development of ductal aneurysm.
  11. 11. CLINICAL FEATURES • Appears as blue, dome-shaped, fluctuant swelling in the floor of mouth. • Deeper ranulas are normal in color. • Lesion develops as a slowly enlarging painless mass located lateral to the midline of the floor of the mouth. • Ranulas can develop into large masses that are many centimeters in diameter, fill the floor of mouth and elevate the tongue.
  12. 12. • An unusual clinical variant. • The PLUNGING or CERVICAL RANULA. • Occurs due to herniation of spilled mucin through the mylohyoid muscle, producing swelling within the neck.
  13. 13. Differential diagnosis • • • • • Dermoid cyst, Abscess, Hemangioma, Lymphangioma, Lymphoepithelial cyst.
  14. 14. HISTOPATHOLOGIC FEATURES • Variable epithelial lining of cuboidal, columnar, or atrophic squamous cells, surrounding the thin or mucoid secretions in the lumen. • Some cysts (more commonly those arising due to ductal obstruction) demonstrate oncocytic metaplasia of the epithelium.
  15. 15. EPITHELIAL LINING SHOWS CUBOIDAL TO COLUMNAR EPITHELIUM WITH SCATTERED MUCIN – PRODUCING CELLS
  16. 16. TREATMENT AND PROGNOSIS • Removal of the feeding sublingual gland & marsupialization (i.e. to unroof the lesion rather than to excise it totally). • Occasionally the lesion recur if the entire sublingual gland or other gland causing them is not excised with the lesion

×