Evaluation of oral-motor movements and facial mimic in patients with head and neck burns by a public service in Brazil

OBJECTIVES: The purpose of this study was to analyze the characteristics of oral-motor movements and facial mimic in patients with head and neck burns. METHODS: An observational descriptive cross-sectional study was conducted with patients who suffered burns to the head and neck and who were referred to the Division of Orofacial Myology of a public hospital for assessment and rehabilitation. Only patients presenting deep partial-thickness and full-thickness burns to areas of the face and neck were included in the study. Patients underwent clinical assessment that involved an oral-motor evaluation, mandibular range of movement assessment, and facial mimic assessment. Patients were divided into two groups: G1 - patients with deep partial-thickness burns; G2 - patients with full-thickness burns. RESULTS: Our final study sample comprised 40 patients: G1 with 19 individuals and G2 with 21 individuals. The overall scores obtained in the clinical assessment of oral-motor organs indicated that patients with both second- and third-degree burns presented deficits related to posture, position and mobility of the oral-motor organs. Considering facial mimic, groups significantly differed when performing voluntary facial movements. Patients also presented limited maximal incisor opening. Deficits were greater for individuals in G2 in all assessments. CONCLUSION: Patients with head and neck burns present significant deficits related to posture, position and mobility of the oral myofunctional structures, including facial movements. .

Carcinoma infiltrante de mama en biopsias recibidas y diagnosticadas en el Departamento de Patología: Hospital Oscar Danilo Rosales Argüello, León: enero - diciembre 2000 / Infiltrating breast carcinoma in biopsies recaved and diagnosed in the Pathology Departament of the Hospital Oscar Danilo Rosales Argüello, León: january - december 2000

Se realizó un estudio de tipo descriptivo en serie de casos, en el Hospital Escuela "Oscar Danilo Rosales Argüello", en el período comprendido del primero de enero al 30 de noviembre del 2000, a mujeres de diferentes zonas del país que son referidas al departamento de Cirugía por neoformación en la mama y que han sido intervenidas quirurgicamente mediante biopsia y/o mastectomía. El universo de estudio estuvo constituido por 36 casos de carcinoma infiltrante de mama de los que 18 casos (50 porciento) estan comprendidas entre las edades de 36 - 50 años y 18 casos (50 porciento) fueron pacientes por iguales o mayores a 51 años. El carcinoma ductal infiltrante fue el de mayor frecuencia con el mayor número de casos, carcinoma ductal infiltrante grado I con 23 casos, de los cuales 15 casos presentaron metastasis a ganglios linfaticos y con 12 con más de 4 ganglios afectados