Metastases to the mouth and jaws: Most frequently, it involves the fifth and seventh cranial nerves [ 11 ]. Possibly, the lesion was not adequately removed; however, at clinical examination the lesion had regressed. The arrowheads indicate the small nuclei of the nerve and the arrows point to the large polygonal tumor cells from the squamous cell carcinoma.
Management of Unilateral Facial Numbness
Perineural inflammatory infiltrate is visible in the left upper and right lower corners of the picture. MRI, axial plane, showing pathological enlargement around the infraorbital nerve and in the back of the maxillary sinus, highlighted by arrows. The Right side facial numbness showed a process between the hard and soft palates. Skin cancer of the head and neck with perineural invasion.
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Epstein is director of oral medicine in right side facial numbness division of otolaryngology and head and neck surgery at the City of Hope, Duarte, California, on staff at the Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center in Los Angeles, California, and maintains a private practice in oral medicine in Vancouver. Acknowledgments The authors wish to thank Annika R. Management of squamous cell and basal cell carcinomas of the head and neck with perineural invasion.
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