Quality of life and functional outcomes in tongue cancer patients: a long-term, prospective, comparative study

Background: The tongue has an indispensable role in communication, swallowing and breathing. Tongue cancer treatment involves direct resection of the tumor and surrounding tissue, which can limit many essential functions of the tongue. There are few patient-reported quality of life studies involving tongue cancer exclusively. There is also a lack of data on the outcomes of quality of life regarding different reconstructive methods, adjuvant nonsurgical therapies and other predicting factors. Our objective is to assess the quality of life, functional status, and predicting factors in patients with tongue cancer up to one year after surgical resection. Material and Methods: Thirty-six patients with tongue cancer were prospectively identified between October of 2017 and January 2021. Patients were examined before and one, three, six and twelve months after surgical resection with the validated University of Washington Quality of Life questionnaire (UW-QOL). Data collection included patient age, sex, TNM staging, size of resection, neck dissection, tracheostomy, reconstructive method and adjuvant therapies. Outcome scores were compared using the Friedman test. Multiple linear regression analysis was used to identify the predictors of quality of life and functional status. Results: The use of UWQOL scores as dependent variables revealed the following predicting factors: age, tobacco use, radiotherapy, chemotherapy, reconstruction method and neck dissection. Conclusions: The most relevant findings in our study are that flap reconstruction becomes increasingly necessary when a glossectomy resection is over 45 mm, in order to maintain tongue function. We established that the reconstructive flap type does not influence quality of life in the long term. Also, we have found that cervical sentinel node biopsy provides better quality of life over neck dissection in the first 3 months after surgery. (AU)

Resection of upper lip adenoid cystic carcinoma and reconstruction with reverse Yu flap: Report of three cases and a literature review.

The present study aimed to describe the techniques that were used, and the results obtained, with the reverse Yu flap to reconstruct medium-sized upper lip defects following resection for adenoid cystic carcinoma (ACC). Data concerning the clinical and pathological characteristics of tumours, the size and location of the defects, surgical resection and the reconstructive procedure used were evaluated in three patients, as well as postoperative complications and outcomes. In all cases, a complete surgical removal of ACC was achieved with clear margins of at least 1 cm. Histopathological features revealed two cases with a predominant solid growth pattern, and one case of cribriform. Following tumour excision, the average size of the upper lip defect was 35.7×30 mm. The reverse Yu flap was raised simultaneously with tumour resection in all cases. No flap failed, and both excellent aesthetic and functional results were obtained. All the patients had a satisfactory oral competence, without microstomia, after a median of 20 months follow-up (range, 12-30 months). Adjuvant radiation therapy was not necessary in any case. On the basis of the present case study and literature review, reverse Yu flap is revealed to be a simple and reliable technique for the reconstruction of defects ranging from one-third to two-thirds of the total upper lip length, involving the commissure, nasolabial fold and philtrum, with minimal donor morbidity and a good functional and aesthetic outcome. This flap appears to be a valid surgical option for reconstruction of medium-sized upper lip defects, which may be considered following radical excision of ACC.

Oral lichenoid lesions related to contact with dental materials: A literature review

Oral lichenoid lesions related to contact are defined as oral-cavity eruptions with an identifiable etiology, and areclinically and histologically similar to oral lichen planus. Within this group are found oral lichenoid lesions relatedto contact with dental materials (OLLC), the most common being those related to silver amalgam. Currently, it remainsdifficult to diagnose these lesions due to the clinical and histopathological similarity with oral lichen planusand other oral mucosa lesions of lichenoid characteristics. In the present paper, we carry out an updated reviewof the tests for, and the different characteristics of OLLC, which may aid the diagnosis. For this review, we madesearches in the Pubmed® and Cochrane® databases. Among the literature we found several published papers, fromwhich we have used review papers, case papers, cohort studies, case and control studies, and a meta-analysis study.After carrying out this review, we can conclude that the diagnosis of these lesions is still difficult and controversial.However, there are different aspects in the clinical presentation, pathological study and results obtained whenreplacing suspect materials, which, when taken together, may be useful when establishing the final diagnosis ofOLLC (AU)

Oral lichenoid lesions related to contact with dental materials: a literature review.

Oral lichenoid lesions related to contact are defined as oral-cavity eruptions with an identifiable etiology, and are clinically and histologically similar to oral lichen planus. Within this group are found oral lichenoid lesions related to contact with dental materials (OLLC), the most common being those related to silver amalgam. Currently, it remains difficult to diagnose these lesions due to the clinical and histopathological similarity with oral lichen planus and other oral mucosa lesions of lichenoid characteristics. In the present paper, we carry out an updated review of the tests for, and the different characteristics of OLLC, which may aid the diagnosis. For this review, we made searches in the Pubmed(R) and Cochrane(R) databases. Among the literature we found several published papers, from which we have used review papers, case papers, cohort studies, case and control studies, and a meta-analysis study. After carrying out this review, we can conclude that the diagnosis of these lesions is still difficult and controversial. However, there are different aspects in the clinical presentation, pathological study and results obtained when replacing suspect materials, which, when taken together, may be useful when establishing the final diagnosis of OLLC.

Papular purpuric gloves and socks syndrome. Presentation of a clinical case.

Papular-Purpuric Glove-and-Sock Syndrome is a rare, infectious disease, of viral etiology, characterized by the presence of pruritus, edema and symmetrical erythema, very well defined at the wrists and ankles with a gloves-and-socks distribution. Other areas can be affected, with a moderate erythema appearing in cheeks, elbows, knees, armpits, abdomen, groin, external genitalia, internal face of the thighs and the buttocks. Erosions, small ulcers, enanthema and blisters can be observed in the oral cavity and lips, and less frequently in other mucous membranes. Complications are rare, although they can be severe, 50% of the published cases are related with the Parvovirus B19. Due to its oral involvement stomatologists should be aware of this syndrome in order to carry out a correct diagnosis of the disease.

Papular-purpuric gloves-and-socks syndrome. Presentation of a clinical case

El Síndrome Papular Purpúrico en Guante y Calcetín es un síndrome raro, infeccioso, de etiología, viral que se caracteriza por la presencia de prurito, edema y eritema simétricos, muy bien delimitadas a nivel de las muñecas y de los tobillos con el aspecto en guante y calcetín. Pueden afectarse otras áreas apareciendo un eritema moderado en mejillas, codos, rodillas, axilas, abdomen, ingles, genitales externos, cara interna de muslos y glúteos. En la cavidad oral y labios y menos frecuentemente en otras membranas mucosas se pueden observar erosiones , pequeñas úlceras, enantema y vesículas. Las complicaciones son raras aunque pueden ser severas El 50 por ciento de los casos publicados están relacionados con el Parvovirus B19. La afectación oral en este síndrome hace que deba ser conocido por los estomatologos para realizar un correcto diagnostico de esta enfermedad

Papular-Purpuric Glove-and-Sock Syndrome is a rare, infectious disease, of viral etiology, characterized by the presence of pruritus, edema and symmetrical erythema, very well defined at the wrists and ankles with a gloves-and-socks distribution.Other areas can be affected, with a moderate erythema appearing in cheeks, elbows, knees, armpits, abdomen, groin, external genitalia, internal face of the thighs and the buttocks. Erosions, small ulcers, enanthema and blisters can be observed in the oral cavity and lips, and less frequently in other mucous membranes. Complications are rare, although they can be severe, 50 percents of the published cases are related with the Parvovirus B19. Due to its oral involvement stomatologists should be aware of this syndrome in order to carry out a correct diagnosis of the disease

Parotid sialolithiasis in Stensen's duct.

Salivary duct lithiasis is a condition characterized by the obstruction of a salivary gland or its excretory duct due to the formation of calcareous concretions or sialoliths resulting in salivary ectasia and even provoking the subsequent dilation of the salivary gland. Sialolithiasis accounts for 30% of salivary diseases and most commonly involves the submaxillary gland (83 to 94%) and less frequently the parotid (4 to 10%) and sublingual glands (1 to 7%). The present study reports the case of a 45-year-old male patient complaining of bad breath and foul-tasting mouth at meal times and presenting with a salivary calculus in left Stensen's duct. Once the patient was diagnosed, the sialolith was surgically removed using local anesthesia. In this paper we have also updated a series of concepts related to the etiology, diagnosis and treatment of sialolithiasis.

Sialolitiasis parotídea del conducto de Stensen / Parotid sialolithiasis in Stensen´s duct

La litiasis salival es una afectación consistente en la obstrucción mecánica de una glándula salival o de su conducto excretor, debido a la formación de concreciones calcáreas o sialolitos, lo que determina una ectasía salival, pudiendo provocar la dilataciónposterior de la glándula.La sialolitiasis supone el 30 % de la patología salival y afecta principalmente a las glándulas submaxilares (83 a 94 %), seguida por la glándula parótida (4 a 10 %) y las glándulas sublinguales (1 a 7 %).En este trabajo presentamos el caso de un paciente varón de 45 años que presentaba mal olor y sabor de boca en el momento de las comidas y afecto de un cálculo salival a nivel del conducto de Stensen izquierdo. Tras el diagnóstico de la sintomatología,el sialolito se eliminó quirúrgicamente bajo anestesia local. De igual forma realizamos una actualización de conceptos en relación con la etiología, diagnóstico y tratamiento de esta patología

Salivary duct lithiasis is a condition characterized by the obstruction of a salivary gland or its excretory duct due to the formationof calcareous concretions or sialoliths resulting in salivary ectasia and even provoking the subsequent dilation of the salivary gland. Sialolithiasis accounts for 30% of salivary diseases and most commonly involves the submaxillary gland (83 to 94%) and less frequently the parotid (4 to 10%) and sublingual glands (1 to 7%).The present study reports the case of a 45-year-old male patient complaining of bad breath and foul-tasting mouth at meal times and presenting with a salivary calculus in left Stensen´s duct. Once the patient was diagnosed, the sialolith was surgically removed using local anesthesia. In this paper we have also updated a series of concepts related to the etiology, diagnosis and treatment of sialolithiasis

Incidence of barodontalgias and their relation to oral/ dental condition in personnel with responsibility in military flight.

OBJECTIVES: The aim of the present study was to investigate the incidence of barodontalgias in a sample of 506 patients, all of whom are personnel with responsibility in military flight. An additional aim was to correlate this incidence with various oral pathologies and their subsequent treatment. DESIGN OF THE STUDY: The ICAO and CPITN indices in flight personnel who underwent the obligatory official examination at the Straits Air Command Hospital were investigated, in each case taking the data of the initial examination. Any effects that occurred in simulated flights, conducted in a hypobaric chamber, were also recorded. Any case of barodontalgia was investigated in depth, relating it to the pathology that caused it, and observing the result of the treatment employed. RESULTS: There were three cases of barodontalgia (2.63%). The pain was essentially of posterior localisation (92.3%), and in the majority of cases was described as acute and localised (61.5%). In a high percentage it did not disappear after landing (61.5%). The pathologies were varied, and the treatments were in keeping with these. The result after the therapeutic phase was entirely satisfactory in 69.2%. If we correlate the appearance of barodontalgias with other variables, in the patients who experienced them we record a larger number of fillings (P = 0.1617) and a smaller number of teeth missing (P = 0.6603). The Caries Index is similar in the two groups (P = 0.9187). The average ICAO is higher (P = 0.3345) in those patients who suffered from pain, though it must be pointed out that the low number of cases means it is difficult to record statistically significant results. CONCLUSIONS: Our results showed an incidence of barodontalgia in the study population of 2.63%, overall. In real flight the incidence was 2.4% and in the ascents conducted in the hypobaric chamber it was 0.2%. On the other hand, no statistically significant differences were found between the results for the Indices of Oral Health of the patients affected by barodontalgia and those not so affected, although the ICAO was greater.