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1.
Rev. cuba. estomatol ; 53(3): 146-152, jul.-set. 2016. ilus
Article in Portuguese | LILACS | ID: lil-794136

ABSTRACT

A mutilação da face pode ocorrer devido à remoção cirúrgica de cânceres ou traumas na região, com importante prejuízo estético e funcional. Tais mutilações provocam alterações morfológicas, funcionais e psicossociais podendo levar o indivíduo ao isolamento social e familiar, ou mesmo deixa-lo estigmatizado. Assim, é imperativo que os profissionais da saúde, especialmente os cirurgiões-dentistas, participem de sua reabilitação. Nesse aspecto, as técnicas de osseointegração têm se destacado na reabilitação desses pacientes como método de fixação, entretanto, nem todos os pacientes podem se beneficiar delas, seja devido a obstáculos financeiros ou a contraindicação inerente à sua condição. O objetivo deste trabalho é descrever o caso da reabilitação de um paciente com perda de grande parte do apêndice nasal devido a um cirurgia oncológica. Paciente do sexo feminino, com 77 anos de idade compareceu apresentando perda de grande parte do apêndice nasal devido a uma cirurgia para ressecção de lesão de câncer de pele seguida de radioterapia adjuvante. A condição sistêmica da paciente contraindicava a realização de cirurgia reparadora e o uso de implantes osseointegráveis. Assim, optou-se pela reabilitação com prótese nasal de resina acrílica óculo-suportada. Em conclusão, com o procedimento empregado, a paciente apresentou melhora em sua respiração, estética e qualidade de vida, favorecendo usa reinserção à vida social(AU)


Face mutilation may occur due to surgical removal of cancer or trauma in the region, with an important aesthetic and functional impairment. Such mutilations cause morphological, functional and psychosocial changes that lead the individual to the social and family isolation, in addition to acquiring the status of stigmatized individual. Therefore, it is an imperative that health professionals, especially dentists, participate in their rehabilitation. Bone integration techniques have excelled in the rehabilitation of these patients as a fixation method; however, not all patients can benefit from it, either because of financial obstacles inherent in their condition or because of contraindication. The objective of this work is to describe the case of a rehabilitated patient with loss of much of the nasal appendage due to cancer surgery. It is a 77-year-old female patient, with loss of much of the nasal appendage due to surgery for resection of a skin cancer lesion, which was subjected to auxiliary radiation therapy and rehabilitation. Surgery and the use of bone-integrable implants were contraindicated due to the patient's overall health. So we opted for the use of a prosthetic acrylic resin nose sustained by eyeglass frames. In conclusion, by means of the procedure used, the patient experiences improvement in breathing, aesthetic appearance, quality of life, which favors her reintegration into the social life(AU)


La mutilación de la cara puede ocurrir debido a la extirpación quirúrgica del cáncer o trauma en la región, con un importante deterioro estético y funcional. Tales mutilaciones causan cambios morfológicos, funcionales y psicosociales que llevan al individuo al aislamiento social y familiar, además de la adquisición de la condición de individuo estigmatizado. Por tanto, es imperativo que los profesionales de la salud, especialmente los dentistas, participen en su rehabilitación. Técnicas de osteointegración se han destacado en la rehabilitación de estos pacientes como método de fijación, sin embargo, no todos los pacientes se pueden beneficiar de ella, ya sea debido a obstáculos financieros o contraindicación inherente a su condición. Constituye objetivo de este trabajo describir el caso de un paciente rehabilidtado con pérdida de gran parte del apéndice nasal debido a una cirugía de cáncer. Se trata de un paciente del sexo femenino, de 77 años de edad, con la pérdida de gran parte del apéndice nasal debido a una cirugía para la resección de la lesión del cáncer de piel, el cual se sometió a radioterapia auxiliar y rehabilitación. La cirugía y el uso de implantes de hueso integrable fueron contraindicados debido a la salud general del paciente. Así que optamos por el uso de una prótesis nasal de resina acrílica sostenida por armaduras de gafas. En conclusión, con el procedimiento empleado, la paciente experimenta mejora en la respiración, la estética, la calidad de vida, lo que favorece su reinserción a la vida social(AU)


Subject(s)
Humans , Female , Aged , Nose Deformities, Acquired/rehabilitation , Osseointegration , Prostheses and Implants/statistics & numerical data , Skin Neoplasms/surgery , Esthetics, Dental , Quality of Life
2.
Open Dent J ; 10: 643-646, 2016.
Article in English | MEDLINE | ID: mdl-28077968

ABSTRACT

BACKGROUND: Lipoma is a benign neoplasm originated from adipose cells circumscribed by connective tissue. This neoplasm represents about 1% to 4.4% of all oral benign tumors and it is rarely located in the palate area. OBJECTIVE: This case reports the occurrence of an oral lipoma in the hard palate of a 57-year-old woman and discusses its etiology and treatment. CASE REPORT: The treatment consisted in the total resection of the lesion and laser therapy. The patient is being followed up for forty three months with no signs of recurrence. CONCLUSION: Lipoma in hard palate is a rare entity that may be associated with endocrine factors and local inflammation.

3.
J Endod ; 34(11): 1415-1419, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18928860

ABSTRACT

This report describes the case of a patient with mesenchymal chondrosarcoma in the region of tooth #18 that mimicked apical periodontitis. Forty-five days after endodontic treatment, gingival swelling and intense pain were observed. The endodontist suspected a furcation lesion, and the treatment option that the patient chose was extraction of the tooth. Seven days after suture removal, a rapidly growing swelling was seen in the region. The patient was referred to an oral and maxillofacial surgeon, who recommended an incisional biopsy after evaluating imaging and clinical findings. Microscopic examination confirmed the diagnosis of mesenchymal chondrosarcoma. The patient underwent hemimandibulectomy with wide surgical margins. This clinical case draws attention to the fact that endodontic lesions should be carefully evaluated because malignant tumors such as mesenchymal chondrosarcoma might mimic apical periodontitis.


Subject(s)
Chondrosarcoma, Mesenchymal/diagnosis , Mandibular Neoplasms/diagnosis , Periapical Periodontitis/diagnosis , Adult , Diagnosis, Differential , Female , Humans
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