RESUMEN
INTRODUCTION: Macrocheilia is a rare presentation for acute promyelocytic leukemia (APL). CASE REPORT: A 18 year-old man was referred to our department for an acute swollen lower lip, multiple swollen cervical lymph nodes and spontaneous gum bleeding. The diagnosis of APL was made and the treatment was rapidly started in an intensive care unit. DISCUSSION: APL is often found because of stomatologic symptoms but macrocheilia is rarely reported. APL is a vital emergency.
Asunto(s)
Leucemia Promielocítica Aguda/diagnóstico , Neoplasias de los Labios/diagnóstico , Síndrome de Melkersson-Rosenthal/diagnóstico , Adolescente , Neoplasias Faciales/complicaciones , Neoplasias Faciales/diagnóstico , Neoplasias Faciales/patología , Humanos , Leucemia Promielocítica Aguda/complicaciones , Leucemia Promielocítica Aguda/patología , Neoplasias de los Labios/complicaciones , Neoplasias de los Labios/patología , Masculino , Síndrome de Melkersson-Rosenthal/etiologíaAsunto(s)
Neoplasias Nasales/patología , Tumores Odontogénicos/patología , Senos Paranasales/patología , Adulto , Femenino , Humanos , Neoplasias Nasales/diagnóstico por imagen , Neoplasias Nasales/cirugía , Tumores Odontogénicos/diagnóstico por imagen , Tumores Odontogénicos/cirugía , Senos Paranasales/diagnóstico por imagen , Senos Paranasales/cirugíaRESUMEN
A retrospective study of mandibular resections performed from 1980 to 1984 was conducted to evaluate age, sex, aetiology, etc. The number of mandibular resections appears to have declined at the Institute of Stomatology and Maxillofacial Surgery of the Pitié-Salpêtrière Hospital. Different factors are involved included early diagnosis, improved surgical techniques and better patient follow-up. Partial mandibular resections are increasingly performed (52% of the cases) compared with total resections. Finally, a better understanding of the pathologies involved, especially tumours, has led to an adaptation of the resection techniques to avoid extensive mutilations.
Asunto(s)
Mandíbula/cirugía , Enfermedades Mandibulares/epidemiología , Enfermedades Mandibulares/cirugía , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Carcinoma de Células Escamosas/epidemiología , Carcinoma de Células Escamosas/cirugía , Niño , Femenino , Humanos , Masculino , Neoplasias Mandibulares/epidemiología , Neoplasias Mandibulares/cirugía , Persona de Mediana Edad , Osteotomía/estadística & datos numéricos , Paris/epidemiología , Estudios Retrospectivos , Factores SexualesRESUMEN
Two cases with complete loss of the tooth-bearing portion of the mandible were repaired with a prosthesis. This type of defect can involve the loss of a large number of teeth and aggression to the remaining teeth must be limited as much as possible. A two-part "articulated" prosthesis with two rings appears to be the best adapted system. This method takes into account the requirements of for additional conventional prostheses and thus makes it possible to save the remaining teeth.
Asunto(s)
Diseño de Dentadura , Dentadura Parcial , Mandíbula , Anciano , Ameloblastoma/cirugía , Humanos , Arcada Parcialmente Edéntula/rehabilitación , Masculino , Mandíbula/cirugía , Traumatismos Mandibulares/cirugía , Neoplasias Mandibulares/cirugía , Persona de Mediana Edad , Heridas por Arma de Fuego/cirugíaRESUMEN
A prosthesis was implanted immediately after operation for a velo-palatal tissue defect in an active young female patient in order to avoid function, psychological and social complications involved with this mutilation. The three classical steps of the process were performed: immediate implantation of the prosthesis, temporary prosthesis, definitive prosthesis. Anchoring to the teeth maintained the prosthesis in position. A functional print is always needed to obtain perfect closure. A metallic bridge links the retention part and the obstructive part. The device is effective, discrete, functional and well-tolerated by the patient.
