ABSTRACT
Se han vertido numerosas justificaciones a favor y en contra de la exodoncia de los terceros molares asintomáticos. Diferentes estudios han mostrado que el riesgo de desarrollar alguna patología en relación con estos dientes es bajo. Pese a que no se pueden establecer indicaciones y contraindicaciones absolutas, en el presente trabajo se defienden los argumentos en pro de la extirpación selectiva de los cordales retenidos asintomáticos (AU)
Subject(s)
Humans , Molar, Third/surgery , Tooth Extraction , Risk Factors , Patient Selection , Tooth, Impacted/surgery , Tooth, Impacted/epidemiologyABSTRACT
Intrathoracic dissemination of an odontogenic infection is very infrequent. The resulting clinical manifestation, known as descending necrotizing mediastinitis, causes high mortality. Due to the absence of early clinical or radiological signs, diagnosis is usually made only when the process is completely established. Treatment is a combination of intravenous antibiotics and mediastinal drainage, via either a cervical or a transthoracic approach. We report the clinical and microbiological characteristics of 4 patients with descending necrotizing mediastinitis, and their clinical course over a period of 10 years.
Subject(s)
Focal Infection, Dental/complications , Mediastinitis/microbiology , Adolescent , Adult , Anti-Bacterial Agents , Drainage , Drug Therapy, Combination/therapeutic use , Edema/microbiology , Female , Humans , Injections, Intravenous , Male , Mediastinitis/diagnosis , Mediastinitis/drug therapy , Mediastinitis/surgery , Necrosis , Subcutaneous Emphysema/etiology , Toothache/complicationsABSTRACT
Metastasizing pleomorphic adenoma is a rare lesion, histologically benign but with a malignant clinical behaviour. Two cases are reported with a flow cytometric study. Recurrent adenoma and its metastasis were aneuploid in one case.
Subject(s)
Adenoma, Pleomorphic , Lymphatic Metastasis , Maxillary Neoplasms , Palatal Neoplasms , Parotid Neoplasms , Adenoma, Pleomorphic/pathology , Adenoma, Pleomorphic/surgery , Adolescent , Adult , Aged , Aneuploidy , Child , Female , Flow Cytometry , Follow-Up Studies , Humans , Lymphatic Metastasis/pathology , Male , Maxilla/pathology , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Middle Aged , Neoplasm Recurrence, Local , Palatal Neoplasms/pathology , Palatal Neoplasms/surgery , Parotid Gland/pathology , Parotid Neoplasms/pathology , Parotid Neoplasms/surgery , Time FactorsABSTRACT
Primary tuberculosis in the oral cavity is a rare entity. Usually, the microorganisms need a disruption of the oral mucosa to become pathogenic. In this article the authors describe a clinical case of primary oral tuberculosis, on a female of 52 years-old who suffered an exodontia 20 days before. The bacteria identificated was Mycobacterium tuberculosis hominis. The microbiologic identification is essential to assure the efficacy of the treatment.
Subject(s)
Mouth Mucosa/microbiology , Mycobacterium tuberculosis/isolation & purification , Tuberculosis, Oral , Antibiotics, Antitubercular/administration & dosage , Antitubercular Agents/administration & dosage , Drug Therapy, Combination , Female , Humans , Isoniazid/administration & dosage , Middle Aged , Pyrazinamide/administration & dosage , Radiography, Panoramic , Rifampin/administration & dosage , Time Factors , Tooth Extraction/adverse effects , Tuberculosis, Oral/diagnosis , Tuberculosis, Oral/drug therapySubject(s)
Blepharoptosis/etiology , Exophthalmos/etiology , Ophthalmoplegia/etiology , Skull Fractures/complications , Abducens Nerve Injury , Adult , Arteriovenous Fistula/diagnosis , Blepharoptosis/diagnosis , Carotid Artery Diseases/diagnosis , Carotid Artery, Internal , Cavernous Sinus , Diagnosis, Differential , Exophthalmos/diagnosis , Humans , Male , Oculomotor Nerve Injuries , Ophthalmoplegia/diagnosis , Syndrome , Trochlear Nerve InjuriesABSTRACT
Burkitt's tumor is a undifferentiated lymphoma of lymphocytes B with a characteristic histologic pattern often called as "starry sky". It is classified in two groups: endemic Burkitt's lymphoma (African form), and non-endemic Burkitt's lymphoma (American form). The extranodal involvement of the head and neck in the American type is uncommon, so the diagnosis can be delayed. The authors present in this paper a case of American Burkitt's lymphoma in a patient with gingival hyperplasia, and compare the epidemiological, clinical, radiographic, therapeutic and prognostic characteristics of the endemic and non-endemic forms of Burkitt's lymphoma.
Subject(s)
Burkitt Lymphoma/pathology , Mandibular Neoplasms/pathology , Adult , Diagnosis, Differential , Fatal Outcome , Gingival Hyperplasia/pathology , Humans , Male , Neoplasm StagingABSTRACT
We describe in this work one case of osteochondroma of the mandibular condyle. The first clinical sign was a limitation of the mouth opening. Based on this lesion, a review of the literature is made, and different treatment modalities are discussed.
Subject(s)
Mandibular Condyle/pathology , Mandibular Neoplasms/complications , Osteochondroma/complications , Temporomandibular Joint Disorders/etiology , Adolescent , Humans , Male , Mandibular Neoplasms/pathology , Osteochondroma/pathologyABSTRACT
The "combined epithelial odontogenic tumor" in an uncommon lesion characterized by the synchronous presentation of typical histological feature of the adenomatoid odontogenic tumour, and the Pindborg's tumor. In this work, the authors, describe a case of combined epithelial odontogenic tumor associated with an unerupted maxillary central incisor. The clinical and histological characteristics of this lesion point out that it could be primitively an adenomatoid odontogenic tumor, with several areas of calcifying epithelial odontogenic tumor.
