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Delayed diagnosis in the maxillofacial region: Two case reports
Ebtihal H Zain-Alabdeen1, Raed I Al-Sadhan2, Faisal S AlSuhaim3
1Department of Oral and Basic Clinical Sciences, College of Dentistry, Taibah University, Almadinah Almunawwarah, KSA.
Journal of Taibah University Medical Sciences
|August 23, 2019
Summary
Delayed maxillofacial diagnoses can occur despite advanced imaging like cone beam CT (CBCT). Thorough examination, accurate interpretation, and timely specialist referral are crucial for preventing misdiagnosis in dental and maxillofacial cases.
Area of Science:
- Dentistry
- Radiology
- Oncology
Background:
- Conventional CT scans have been standard for maxillofacial bone imaging.
- Cone beam CT (CBCT) has significantly advanced dental and maxillofacial diagnostics since its introduction.
Observation:
- Two cases illustrate diagnostic delays in maxillofacial imaging.
- A 49-year-old female experienced a delayed non-Hodgkin's lymphoma diagnosis.
- A 9-year-old female's limited mouth opening was initially misdiagnosed as muscle spasm.
Findings:
- The second case revealed an elongated right lateral pterygoid plate impeding mandibular movement.
- Diagnostic delays stemmed from incomplete clinical evaluation and radiographic interpretation.
Implications:
- Comprehensive clinical exams, accurate radiographic interpretation, and complete medical histories are vital.
- Prompt specialist referral is essential when definitive diagnoses cannot be reached by dentists.
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