Résumé
Introduction: The maxillofacial region serves many essential functions of human body. Maxillofacial traumatic injury (MFTI) or sometimes called as facial trauma is the injury to the face, jaws and related structures such as head. Hard tissue / soft tissue injury may range from simple nasal bone fracture to gross facial comminution. The complex maxillofacial trauma has the potential to cause facial disfigurement and difficulty in jaw movement. This study focused on relationship between existing scoring systems as the clinical assessment for MFTI, as a tool for predicting prognosis, morbidity, social and psychological impact. Materials and Method: Data collection included demographics, etiology, MFTI clinical parameters, treatment and psychosocial loss. Data was obtained from the medical records, patient interview at each hospital visit and telephonic interviews as required. A predefined question was prepared containing closed and open ended questions and published scales. Results and conclusion: Mandibular fractures were observed in 69% MFTI cases of which 50% were mandibular only fractures. Need for holistic treatment and management approach was observed. Existing widely used FISS score was found to be predictor for few of the parameters only. Other factors required for holistic treatment approach and planning not predictable by FISS score have also been identified.
Résumé
Feline Injection Site-Associated Sarcoma (FISS) is a neoplasm that implies in reduction of quality of life and overall survival in feline patients. A retrospective study of 13 cases of FISS was conducted to evaluate the efficacy of surgical treatment associated to chemotherapy with doxorubicin or carboplatin. Local recurrence occurred in all patients. Patients treated with surgery and chemotherapy presented a longer overall survival and disease-free interval when compared to those that solely received surgical treatment, although no statistical significance was observed (p= 0.3360 and 0.7506, respectively). Surgery remains as the main option for FISS treatment. Further prospective studies with larger samples are warranted to investigate the benefit of chemotherapy for this neoplasm.(AU)
O Sarcoma de Aplicação Felino (SAF) é uma neoplasia associada a redução na qualidade de vida e sobrevida global. O objetivo deste estudo foi avaliar a eficácia da quimioterapia associada à cirurgia no manejo do SAF. Estudo retrospectivo de 13 pacientes com SAF submetidos à cirurgia isolada ou associada a quimioterapia com carboplatina ou doxorrubicina. Recorrência local ocorreu em todos os pacientes. Pacientes tratados com cirurgia e quimioterapia apresentaram maior sobrevida global e intervalo livre de doença quando comparados àqueles que receberam apenas tratamento cirúrgico, mas não foi observada diferença estatística (p=0,3360 e 0,7506, respectivamente). A cirurgia continua sendo a principal opção para o tratamento do SAF. Estudos prospectivos são necessários para investigação do real benefício da quimioterapia para esta neoplasia.(AU)