Author/Authors :
Yucesoy, Turker Oral and Maxillofacial Surgery Department - Dentistry Faculty - Bezmialem Vakif University, Istanbul, Turkey , Kilic, Erdem Oral and Maxillofacial Surgery Department - Dentistry Faculty - Bezmialem Vakif University, Istanbul, Turkey , Dogruel, Fatma Oral and Maxillofacial Surgery Department - Dentistry Faculty - Erciyes University, Kayseri, Turkey , Bayram, Fahri Endocrinology Department - Medicine Faculty - Erciyes University, Kayseri, Turkey , Alkan, Alper Oral and Maxillofacial Surgery Department - Dentistry Faculty - Bezmialem Vakif University, Istanbul, Turkey , Celal Akcan, Alper General Surgery Department - Medicine Faculty - Erciyes University, Kayseri, Turkey , Ozturk, Figen Pathology Department - Medicine Faculty - Erciyes University, Kayseri, Turkey
Abstract :
Primary hyperparathyroidism is an endocrine disorder occurring due to increased secretion of parathormone resulting in a
complex of clinical, anatomical, and biochemical alterations. On the other hand, excision of a parathyroid adenoma can
normalize the metabolic status. A 24-year-old man was referred to the hospital with bilateral swelling and spontaneous gingival
bleeding from posterior of the mandible also with radiolucent well-demarcated lesions bilaterally in the mandibular third molar
regions. After consultations, the patient was hospitalized in the endocrinology department where further tests were performed
due to highly increased PTH level as 714 pg/ml. Bilateral brown tumors started to regress spontaneously, and no additional
surgery was required after subtotal parathyroidectomy was performed. The presented case is the first patient whose bilateral
brown tumors in the jaws spontaneously and totally healed after subtotal parathyroidectomy and endocrinal therapy who was
strictly followed up for 4 years even though the lesions were associated with impacted third molars.
