ABSTRACT
A anquiloglossia, conhecida também como língua presa, representa uma anomalia do desenvolvimento caracterizada por alteração no freio da língua que resulta em limitações dos movimentos da mesma. O tratamento desta patologia pode ser através da frenotomia ou da frenectomia, que são diferenciadas de acordo com sua extensão. Com isso, o presente relato tem por finalidade demonstrar o caso clínico de frenectomia lingual usando laser de alta potência, demonstrando seus benefícios e apresentando os resultados satisfatórios obtidos. O caso apresentado refere-se a paciente pediátrico, de um ano de idade, que compareceu à Clínica do Curso de Especialização em Odontopediatria do Instituto de Odontologia Multidisciplinar (IOM) com seu responsável legal (mãe), com indicação para frenectomia lingual. Utilizou-se o laser de alta potência (de diodo) para a realização da cirurgia. Diversas vantagens são observadas com o uso do laser cirúrgico de alta potência, dentre elas, menor tempo cirúrgico, campo operatório mais limpo, hemostasia, redução da dor e infecção pós- operatória, menor contração tecidual, ausência de sutura, redução do trauma, edema e otimização da cicatrização.
Ankyloglossia, also known as a prey tongue, represents a developmental anomaly characterized by a change in the tongue's braking resulting in limitations of tongue movements. The treatment of this pathology can be through the frenotomy or the frenectomy, which are differentiated according to its extension. Therefore, this report aims to demonstrate the report of clinical case of lingual frenectomy with high-power laser, demonstrating its benefits and presenting the satisfactory results obtained. The case presented refer to pediatric patient, one year old, who attended the Clinic of the Specialization Course in Pediatric Dentistry of the Institute of Multidisciplinary Dentistry with their legal guardian (mother), with indication for lingual frenectomy. The high-power laser (of diode) was used for the accomplishment of the surgery. The advantages of high-power surgical laser, such as shorter surgical time, cleaner operative field, hemostasis, reduction of pain and postoperative infection, less tissue contraction, absence of suture, reduction of trauma, edema and optimization of healing.
ABSTRACT
Androgen insensitivity syndrome (AIS), is a X-linked disorder characterized by resistance to androgen caused bymutation of androgen receptor gene in which XY karyotype individuals exhibit female phenotype.AIS is characterised by evidence of feminization (under masculinization) of the external genitalia at birth,abnormal secondary sexual development at puberty, and infertility in individuals with 46 XY karyotype.We are presenting here a familial case of complete androgen insensitivity syndrome in south Indian Population.46 XY karyotype was found in two subjects who were cousin sisters with female phenotype,who presented withprimary amenorrhoea. Comet assay was done, which showed results comparable with normal males. In bothgirls’ inguinal gonads was present which was removed and hormonal therapy with estrogen was given to preventosteoporosis. Androgen insensitivity syndrome can be inherited as an X linked disorder as evidenced by previousstudies.
ABSTRACT
Intersex is a general term used for a variety of conditions in which a person is born with a reproductive or sexual anatomy that doesn't fit the typical definitions of male or female. Androgen Insensitivity Syndrome (AIS), formerly known as testicular ferminization, is one that falls into this category. AIS is an X-linked recessive condition resulting in a failure of normal masculinization of the external genitalia in chromosomally male individuals. This paper presents the first recorded case of Androgen Insensitivity Syndrome in our institution in a phenotypically female patient with primary amenorrhea, physical examination findings of inguinal mass, full breast development, blind ending vagina, scanty pubic hair, absent uterus, absent ovaries, absent axillary hair and an XY karyotype. This paper also aims to discuss steps in the diagnosis and management of the condition, its legal impacts and the importance of psychological counseling for patients.
Subject(s)
Humans , Female , Adult , Androgen-Insensitivity Syndrome , AmenorrheaABSTRACT
Testicular feminization syndrome or androgen insensitivity syndrome is a rare disorder with an incidence of 1:20,000-64,000 male births. The individual with complete form of this syndrome (CIAS) have female external genitalia while those with partial form (PIAS) have variable ambiguity of genitalia and often need extensive reconsructive surgery. The diagonosis should be suspected in female child with inguinal hernia or presenting with primary ammenorrohea and on examination there is no vagina with absent axillary or pubic hair. Awareness of this entity is important as with early diagonosis such disorder can be managed appropriately and accurate information can be given to parents regarding long term issues of harmone replacement therapy and fertility.