ABSTRACT
Introdução: A granulomatose de Wegener é uma doença autoimune rara que ocorre através de mediadores imunológicos. Sua etiologia permanece desconhecida. No entanto, sabe-se que é caracterizada principalmente pela inflamação dos vasos sanguíneos que acometem preferencialmente as vias aéreas superiores, inferiores e os rins. A doença apresenta altas taxas de morbidade e mortalidade quando não tratada, seu principal tratamento é através do uso de corticoides e imunossupressores. Objetivo: realizar um relato de caso de Granulomatose de Wegener tratando a comunicação orosinusal através de prótese bucomaxilofacial e uma discussão baseada na literatura recente. Relato de caso: paciente do gênero masculino, 40 anos de idade, leucoderma, encaminhado ao serviço de Bucomaxilofacial do Hospital Universitário da Universidade Federal de Santa Catarina (HU-UFSC) queixando-se de comunicação oronasal em região de palato. Foi tratado com prótese BMF obturadora, o que devolveu ao paciente a capacidade de fonação, deglutição e convívio social. Conclusão: o tratamento com a prótese BMF reestabelece o velamento velofaríngeo, corrige hipernasalidade, melhora a deglutição e dá conforto psicológico ao paciente com estabilidade protética funcional... (AU)
Introduction: Wegeners' Granulomatulosis is a rare autoimmune disease that acts through immunologic mediators. It's etymology remains unknown. However, it is known that it's mainly characterized by the inflammation of blood vessels that affect, by preference, upper and lower airways, as well as kidneys. The disease presents high rates of morbidity and mortality when not treated, and it's main treatments are corticoids and immunosuppressants. Objective: Perform a Wegener's Granulomatulosis case report treating orosinusal communication through the use of a bucomaxilofacial prosthesis and a discussion based on current literature. Case report: Male patient, 40 years of age, leucoderma, brought to the Bucomaxilofacial department of Federal University of Santa Catarina (HU UFSC) with complaints regarding oronasal communication in the palate region. The patient was treated with a BMF prosthetics, which has allowed the patient to resume normal social activities, as well as returning phonation and deglutition. Conclusion: Treatment with a BMF prosthetics reestablishes velopharyngeal veiling, assists in the correction of nasal voice, improves deglutition and offers the patient psychological comfort with functional prosthetic stability... (AU)
Introducción: la granulomatosis de Wegener es una enfermedad autoinmune rara que se presenta a través de mediadores inmunológicos. Su etiologia permanece desconocida. Sin embargo, se sabe que se caracteriza principalmente por la inflamación de los vasos sanguíneos que afectan preferentemente las vías respiratorias superiores e inferiores y los riñones. La enfermedad tiene altas tasas de morbilidad y mortalidad cuando no se trata, su principal tratamiento es mediante el uso de corticosteroides e inmunosupresores. Objetivo: realizar un reporte de caso de Granulomatosis de Wegener en el tratamiento de la comunicación orosinusal mediante prótesis maxilofacial y una discusión basada en la literatura reciente. Caso clínico: paciente de sexo masculino, 40 años, leucoderma, remitido al Servicio Maxilofacial del Hospital Universitario de la Universidad Federal de Santa Catarina (HU-UFSC) por comunicación oronasal en región paladar. Fue tratado con una prótesis obturatriz de BMF, que le devolvió al paciente la capacidad de hablar, tragar y socializar. Conclusión: el tratamiento con la prótesis BMF restablece el velo velofaríngeo, corrige la hipernasalidad, mejora la deglución y proporciona confort psicológico al paciente con estabilidad protésica funcional... (AU)
Subject(s)
Humans , Male , Adult , Autoimmune Diseases , Granulomatosis with Polyangiitis , Maxillofacial Prosthesis , Palate , Phonation , Blood Vessels , Mortality , Adrenal Cortex Hormones , Deglutition , Immunosuppressive AgentsABSTRACT
The macroglossia is a rare condition, congenital or acquired, characterized by hypertrophy of the lingual muscles that can cause both aesthetic and functional changes such as mandibular prognathism and malocclusion. Diagnosis is through clinical examination. Treatment consists of excision of part of the tongue and different surgical techniques have been described in the literature. The keyhole lingual resection technique has shown satisfactory results in reducing the volume and preservation of the neurovascular bundles of the tongue. This work aims to present a clinical report of true macroglossia associated with dental-skeletal discrepancies, submitted to partial glossectomy previously to orthognathic surgery.
Subject(s)
Glossectomy/methods , Macroglossia/surgery , Malocclusion, Angle Class III/surgery , Esthetics, Dental , Humans , Male , Tongue/surgery , Young AdultABSTRACT
Objectives: The purpose of this study was to evaluate the prevalence of denture-related oral mucosal lesions(DML) in São Francisco sertão microregion, in Sergipe State, Northeastern Brazil.Study Design: Data related to gender, age, type of denture, length of denture use, hygiene care, nocturnal denturewear, symptoms, and presence of DML were obtained. Statistical analysis included the Pearsons chi-square andmultivariate logistic regression.Results: The global prevalence of DML was 50%, with a significant association between the DML and femalegender, age ≥ 40 years, and length of use ≥ 5 years. By using the interaction model of logistic regression it wasobserved that females over 40 years have 4.5 greater odds of developing DML compared to males of the sameage group. The DML more common was the type 2 denture stomatitis, followed by type 1 denture stomatitis andinflammatory fibrous hyperplasia.Conclusions: This study shows that the DML are more common in female over 40 years of age, suggesting thathormonal chances and age-related factors may favor the development of lesions. In addition, there is a significantassociation between length of denture use and prevalence of DML (AU)
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Subject(s)
Humans , Mouth Mucosa/injuries , Denture, Partial, Removable/adverse effects , Stomatitis, Denture/epidemiology , Age and Sex Distribution , Brazil/epidemiologyABSTRACT
Os quartos molares são uma das anomalias de número mais frequentes, sendo encontrados commaior incidência na arcada superior, na dentição permanente e em pacientes do gênero masculino.A razão para esta anomalia dentária não está completamente elucidada, porém parece estar relacionadaa uma hiperatividade da lâmina dentária. O exame radiográfico consiste no elemento principalpara sua detecção, uma vez que se apresentam quase invariavelmente retidos e assintomáticos. Estetrabalho tem como objetivo relatar um caso de quartos molares superiores retidos bilateralmente,bem como comentar a sua etiologia, prevalência, descrição detalhada da técnica cirúrgica de remoção, complicações e forma de tratamento através de uma revisão bibliográfica.
Fourth molars are one of the most common number anomalies and are found with higher incidencein the maxilla, in the permanent dentition and in male patients. The reason for this dental anomaly isnot completely understood, but is probably related to hyperactivity of dental lamina. The radiographicexamination is the major element for diagnosis, since they have almost invariably retained andasymptomatic. This paper aims to report a case of upper impacted fourth molars bilaterally, as wellas comment on the etiology, prevalence, complications and treatment through a literature review.
