RESUMEN
Wernicke's encephalopathy is a fatal neurological disease caused by thiamine deficiency. Many reports indicate that Wernicke's encephalopathy is caused by malnutrition. We report the case of a 79-year-old female patient who had a left masticator space and parapharyngeal space abscess who was diagnosed with Wernicke's encephalopathy. She reported problems while eating due to the presence of the abscess, but the true quantities of food she was ingesting were never assessed. Clinicians have a responsibility to provide adequate nutritional support by ensuring that patients receive adequate nutrition. Clinicians should also keep in mind that Wernicke's encephalopathy may occur in patients who experienced prolonged periods of malnutrition.
Asunto(s)
Anciano , Femenino , Humanos , Absceso , Ingestión de Alimentos , Desnutrición , Apoyo Nutricional , Nutrición Parenteral , Deficiencia de Tiamina , Encefalopatía de WernickeRESUMEN
Bifid mandibular condyle (BMC) is an uncommon morphological variant of the mandibular condyle. Although authors have proposed various etiologies for BMC, no consensus has emerged. In addition, varying findings have been reported regarding the epidemiological parameters of BMC (e.g., prevalence, gender ratio, and age), possibly due to its low incidence. BMC is occasionally associated with symptoms of the temporomandibular joint, such as ankylosis, pain, and trismus; however, it is difficult to detect this condition on conventional radiographs. This study reports a case of BMC with radiographic findings, and reviews the literature on the epidemiology of BMC.
Asunto(s)
Variación Anatómica , Anquilosis , Anomalías Congénitas , Consenso , Epidemiología , Incidencia , Cóndilo Mandibular , Prevalencia , Articulación Temporomandibular , TrismoRESUMEN
Clinical features of masticator-space abscess (MSA) are very similar to those of parotitis or temporomandibular disorder (TMD), making early differential diagnosis difficult. Local causes of MSA include nerve block anesthesia, infection after tooth extraction, and trauma to the temporomandibular joint (TMJ); the systemic cause is immunodeficiency. Odontogenic causes account for most etiologies, but there are also unusual causes of MSA. A 66-year-old male patient visited the emergency room (ER) presenting with left-side TMJ pain three days after receiving an acupressure massage. He was tentatively diagnosed with conventional post-trauma TMD and discharged with medication. However, the patient returned to the ER with increased pain. At this time, his TMD diagnosis was confirmed. He made a third visit to the ER during which facial computed tomographic (CT) images were taken. CT readings identified an abscess or hematoma in the left masticator space. After hospitalizing the patient, needle aspiration confirmed pus in the infratemporal and temporal fossa. Antibiotics were administered, and the abscess was drained through an incision made by the attending physician. The patient's symptoms decreased, and he was discharged.
Asunto(s)
Anciano , Humanos , Masculino , Absceso , Acupresión , Anestesia , Antibacterianos , Diagnóstico , Diagnóstico Diferencial , Servicio de Urgencia en Hospital , Hematoma , Masaje , Agujas , Bloqueo Nervioso , Parotiditis , Lectura , Supuración , Articulación Temporomandibular , Trastornos de la Articulación Temporomandibular , Extracción DentalRESUMEN
In published article by Li et al., an author's name was misspelled.
RESUMEN
Asunto(s)
Antibacterianos , Médula Ósea , Sistemas de Liberación de Medicamentos , Inflamación , Isquemia , Mandíbula , Necrosis , Osteomielitis , Oxígeno , Plasma , Polimetil MetacrilatoRESUMEN
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Mejilla , Huesos Faciales , Displasia Fibrosa Poliostótica , Derechos del Paciente , Docilidad , Esqueleto , CigomaRESUMEN
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Adulto , Humanos , Dolor de Espalda , Biopsia , Mama , Carcinoma de Células Renales , Hematuria , Riñón , Pulmón , Ganglios Linfáticos , Metástasis de la NeoplasiaRESUMEN
Synovial sarcoma (SS) is a malignant soft tissue tumor comprising 5-10% of all soft tissue sarcomas. This tumor normally occurs in the paraarticular regions of the extremities but is rare in head and neck sites. SS is sometimes difficult to diagnose because it can mimic benign lesions both clinically and radiologically. This paper presents a rare case of a SS of the buccal space of a 25-year old man. The histology examination and immunohistochemistry of the mass led to a diagnosis of synovial sarcoma. The patient was treated primarily with a surgical resection, followed by radiotherapy and chemotherapy. The follow up examination 17-months after surgery showed no signs of tumor relapse or metastasis.
Asunto(s)
Humanos , Extremidades , Estudios de Seguimiento , Cabeza , Neoplasias de Cabeza y Cuello , Hidrazinas , Inmunohistoquímica , Cuello , Metástasis de la Neoplasia , Recurrencia , Sarcoma , Sarcoma SinovialRESUMEN
Bisphosphonates are widely used to treat osteoporosis, hypercalcemia of malignant tumor. Despite their clinical benefit, bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a newly documented complication to patients receiving these drugs and first recognized by Marx in 2003. Thus, consideration of prevention and needs regarding unequivocal treatment regimen have emerged. Recently, several authors emphasized reports on appropriate clinical availability of surgical approach. It serves to concern about guideline for surgical and conservative treatment modalities. So, it is the purpose of this paper to review the current literatures about treatment regimens of BRONJ.
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Humanos , Osteonecrosis de los Maxilares Asociada a Difosfonatos , Difosfonatos , Hipercalcemia , Osteonecrosis , OsteoporosisRESUMEN
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Anciano de 80 o más Años , Femenino , Humanos , Vendajes , Densidad Ósea , Remodelación Ósea , Mejilla , Difosfonatos , Hipercalcemia , Maxilares , Diente Molar , Necrosis , Metástasis de la Neoplasia , Osteonecrosis , Osteoporosis , Osteoporosis Posmenopáusica , Supuración , Cirugía Bucal , Diente , Extracción DentalRESUMEN
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Femenino , Humanos , Masculino , Ingestión de Alimentos , Conductos Salivales , Cálculos de las Glándulas Salivales , Glándulas Salivales , Glándula SubmandibularRESUMEN
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Femenino , Humanos , Diente Premolar , Dolor Crónico , Anomalías Congénitas , Caries Dental , Cabeza , Hemangiosarcoma , Oxigenoterapia Hiperbárica , Incidencia , Diente Molar , Mucositis , Cuello , Necrosis , Osteorradionecrosis , Porfirinas , Prótesis e Implantes , Suturas , Lengua , XerostomíaRESUMEN
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Humanos , Persona de Mediana Edad , Mejilla , Incidencia , Boca , Pleura , Tumores Fibrosos SolitariosRESUMEN
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Femenino , Humanos , Masculino , Distribución por Edad , Urgencias Médicas , Servicios Médicos de Urgencia , Huesos Faciales , Hemorragia , Fracturas Maxilomandibulares , Pulpitis , Estudios Retrospectivos , Traumatismos de los Tejidos Blandos , Cirugía Bucal , Trastornos de la Articulación Temporomandibular , Traumatismos de los DientesRESUMEN
Asunto(s)
Femenino , Humanos , Angiomioma , Leiomioma , Extremidad Inferior , Boca , Músculo Liso Vascular , Tumor de Músculo Liso , Tejido SubcutáneoRESUMEN
Asunto(s)
Humanos , Síndrome del Nevo Basocelular , Diagnóstico Precoz , Hipertelorismo , Quistes Odontogénicos , PenetranciaRESUMEN
OBJECTIVE: In organotypic culture of immortalized human oral keratinocytes (IHOK), the change of the growth and differentiation was investigated according to the fibroblast type and the involvement of mitogen-activated protein (MAP) kinase. MATERIALS & METHODS: IHOK was cultured three dimensionally with gingival fibroblast (GF), dermal fibroblast (DF) and immortalized gingival fibroblast (IGF). We characterized biologic properties of three dimensionally reconstructed IHOK by histological, immunohistochemical, and Western blot analysis. We also investigated whether MAP kinase pathway was involved in epithelial-mesenchymal interaction by Western blot analysis. RESULTS: The best condition of three dimensionally cultured IHOK was the dermal equivalent consisting of type I collagen and IGF. IGF increased the expression of more proliferating cell nuclear antigen (PCNA), involucrin than GF and DF in response to co-culture with IHOK. Extracellularly regulated kinase (ERK) pathway was activated in organotypic co-culture with IGF. CONCLUSION: The organotypic co-culture of IHOK with dermal equivalent consisting of type I collagen and IGF resulted in excellent morphologic and immunohistochemical characteristics and involved ERK pathway. The epithelial-mesenchymal interaction was activated according to the fibroblast type.
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Humanos , Western Blotting , Técnicas de Cocultivo , Colágeno Tipo I , Fibroblastos , Queratinocitos , Sistema de Señalización de MAP Quinasas , Fosfotransferasas , Antígeno Nuclear de Célula en ProliferaciónRESUMEN