Images in otorhinolaryngology
Granuloma of the Palate Under a Dental Prosthesis
Granuloma palatino bajo de prótesis dental
Miguel Alberto Rodríguez-Pérez
, Fernando Aguirre-García
Corresponding author
Servicio de Otorrinolaringología, Hospital Virgen del Puerto, Plasencia, Cáceres, Spain
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She attended our clinic due to discomfort in the hard palate, especially when placing and removing the prosthesis. This pain prevented her from using it normally, having spent the last 6 months edentulous.</p><p id="par0010" class="elsevierStylePara elsevierViewall">During exploration, we observed a 2.5<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>cm lesion that adopted the exact shape of the palate, of mucosal appearance, rigid consistency and reddish colour, pedunculated on a single layer of approximately 3<span class="elsevierStyleHsp" style=""></span>mm in the most anterior and medial vertex of the hard palate (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">During the time when she used the prosthesis, the neoformation was stable and “trapped” between the prosthesis and the palate. However, when she removed it, it hung freely, fully occupying the oral cavity and interfering with swallowing, speech and even breathing.</p><p id="par0020" class="elsevierStylePara elsevierViewall">We decided to excise the lesion under local anaesthesia using electrocautery and the intervention was carried out without incident. The surgical specimen was square, mucosal, measured 2.5<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>cm and was of reddish-brown colour, with areas of fibrinoid appearance. It was referred for anatomopathological study and was reported as “reactive palatal hyperplasia” (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">At present, the patient can use the dental prosthesis without discomfort, having suffered no postoperative complications.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-04-06" "fechaAceptado" => "2010-04-21" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Rodríguez-Pérez MA, Aguirre-García F. Granuloma palatino bajo de prótesis dental. Acta Otorrinolaringol Esp. 2011;62:475–6.</p>" ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 852 "Ancho" => 814 "Tamanyo" => 126975 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1420 "Ancho" => 1266 "Tamanyo" => 193513 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1227 "Ancho" => 1636 "Tamanyo" => 400903 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000006200000006/v1_201304231505/S2173573511000822/v1_201304231505/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000006200000006/v1_201304231505/S2173573511000822/v1_201304231505/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573511000822?idApp=UINPBA00004N" ]
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