Injury excision in the operating room under general anesthesia. The anatomopathological examination showed a coated uniloculated cystic structure, sometimes by respiratory epithelium, sometimes by squamous epithelium. Surrounding connective tissue with a hyalinization band and scarce monomorphonuclear inflammatory infiltrate, corresponding to nasolabial cyst. The patient is undergoing postoperative follow-up, without recurrence.

Background: AIDP (Acute Inflammatory Demyelinating Polyradiculopathy) commonly presents as bilateral lower extremity weakness and areflexia with albuminocytologic dissociation on CSF findings. Sensory symptoms are not prominent presenting features in patients. However, Bulbar and Miller Fisher variants of AIDP are very rare. This case report highlights the unique presentation where unilateral facial nerve palsy along with perioral numbness and decreases taste sensation was the presenting symptom. Case presentation: A 33-year-old male with a past medical history of rhabdomyosarcoma s/p resection who presented with the chief complaint of numbness and dysphagia. He developed left-sided facial droop and decreased taste sensation following an episode of bronchitis six weeks ago. Pertinent positives include mild dysphagia, decreased appetite, congestion and rhinorrhea. Physical exam was not significant except for decreased sensation of the upper and lower left face, decreased sensation of the right lower face, decreased light touch of the right upper extremity, 3+ reflexes of both upper and lower extremities bilaterally. Conclusions: This case report highlights the unique presentation of Bulbar AIDP with some symptoms of Miller Fisher syndrome. Predominant sensory symptoms such as perioral numbness and decreased taste sensation might be the predominant symptoms that bring the patient to attention. Hence, it is imperative to perform a lumbar puncture to support the diagnosis of variant AIDP when prominent sensory symptoms are present.

The historically recorded art of dental fixed bridging, prosthetic tooth replacement, first begins with a simple gold wire wrapped about one support tooth to another with a dead tooth in between. By the 1800s the process evolves to gold “swedged” shell crowns over teeth, without reduction, and a false tooth attached in between. In the early twentieth century, about 1907 as a result of Dr. Tagart’s lost wax technique developed, and the electric dental drill, the art of tooth contouring and the cast gold bridge come about.