ABSTRACT
OBJECTIVE: Small intraoral defects are usually reconstructed using skin autografts. However, the goal of this research was to describe an alternative to classic techniques using artificial dermis (Integra) in the reconstruction of these types of injuries. MATERIALS AND METHODS: Four patients with small intraoral lesions in different locations underwent resection. The created defects were covered with a bilayer of Integra; then, a chlorhexidine stent cure (Laboratorios Salvat, Barcelona, Spain) was applied. The patients were followed up daily during the first week to detect any signs of infection, dehiscence, or loss of the lamina. Thereafter, they were followed up once a week for 1 month. RESULTS: None of the patients presented with infections or loss of the dermis. When the silicon sheet was detached, granulation tissue was detected, with complete re-epithelialization of the lesion in the postoperative weeks 3 to 4. CONCLUSIONS: The use of the Integra allowed for the rapid reconstruction of slight intraoral defects while preventing the morbidity associated with classic techniques. In this study, no complications were observed.
Subject(s)
Carcinoma, Squamous Cell/surgery , Carcinoma, Verrucous/surgery , Chondroitin Sulfates/therapeutic use , Collagen/therapeutic use , Gingival Neoplasms/surgery , Oral Surgical Procedures/methods , Plastic Surgery Procedures/methods , Tongue Neoplasms/surgery , Aged , Aged, 80 and over , Female , Humans , MaleABSTRACT
Introducción. La traqueotomía temporal electiva se emplea confrecuencia en intervenciones realizadas en el territorio cervicofacial. El colgajode pared traqueal anterior de base inferior (colgajo de Björk) facilita elcambio de cánula en el periodo postoperatorio. Caso clínico. Paciente intervenidode un cáncer oral al que tras haberse cerrado el traqueostoma se ledescubrió de forma casual un hilo de sutura en la luz traqueal. Dada la dificultadde su retirada por vía endoscópica y ausencia de sintomatología, sedecidió no retirarlo. Discusión. La traqueotomía electiva en oncología cervicofacialasegura la vía aérea, pero presenta también complicaciones. Es muyimportante un adecuado manejo del traqueostoma, independientementede que se elija un cierre primario o secundario del mismo(AU)
Introduction. Elective temporary tracheotomy in oftenperformed in head and neck oncologic surgery. An inferiorly hingedtracheal flap (Björk flap) provides a secure airway in the inmediatepostoperative period. Clinical case. This patient underwent resectionof an oral cancer and subsequent tracheotomy. After deccanulation,a piece of suture was found into the trachea as an incidentaldiscovery. There were no symptoms related to it, and it was notpossible to remove it from the anterior tracheal wall by means ofendoscopy, so it was left in place. Discussion. Elective tracheotomyin head and neck resection for malignancy safeguards the airway,but also has complications. It is very important a careful managementof the stoma, without regard if a primary or secundary closure of itis chosen(AU)
Subject(s)
Humans , Male , Middle Aged , Tracheotomy/adverse effects , Foreign Bodies/complications , Mouth Neoplasms/surgery , Sutures/adverse effectsABSTRACT
La artrocentesis de la articulación temporomandibular fue descrita en el año 1991 por la Dra. Dorrit W. Nitzan. La técnica básicamente consiste en la realización de una doble punción articular y el lavado con suero Ringer Lactato del compartimento superior (meniscotemporal) de la cavidad articular. Sus indicaciones primarias son la existencia de un bloqueo articular agudo y el síndrome del disco articular adherido. Otras patologías en las que se utiliza la artrocentesis con fines terapéuticos son las artropatías inflamatorias o metabólicas, los cuadros de dolor asociados a osteoartrosis y las artritis traumáticas. El porcentaje de éxito varía de un 70-100 por ciento en cuanto a mejoría del dolor y aumento de la apertura oral en sus indicaciones primarias. Las principales ventajas de esta técnica radican fundamentalmente en la mayor sencillez de realización, la posibilidad de realizarla bajo anestesia local, la nula necesidad de medios técnicos sofisticados, su bajo coste y la escasez de efectos secundarios (AU)
Subject(s)
Humans , Punctures/methods , Temporomandibular Joint , Temporomandibular Joint Dysfunction Syndrome/therapy , Arthroscopy/methodsABSTRACT
A six-year-old boy was seen by his dentist for a tumor mass in the left mandibular region. The panograph revealed a multilocular radiotransparent lesion extending from the canine to the left mandibular ascending ramus with well defined borders. After biopsy, the lesion was enucleated via curettage of the bone bed. The lesion was diagnosed as ameloblastic fibroma. After six months, radiographs showed that the surgical defect had filled with new bone.
