RESUMO
This paper reports two cases of orbital apex syndrome. The most salient clinical signs, ophthalmoplegia and eyelid ptosis, arose from perineural spread of facial squamous cell carcinomas that were previously excised with tumour-free surgical margins and exhibited no signs of local or other regional recurrence. The interest of these two cases lies in the fairly rare occurrence of this type of tumour spread and the highly aggressive nature of the tumour, unequivocal diagnosis of which usually arrives too late for a surgical solution. Awareness of the possibility of such perineural spread may allow the clinician to establish an early diagnosis and thus undertake radical surgery, thereby increasing the likelihood of success in combination with postoperative radiotherapy.
Assuntos
Blefaroptose/etiologia , Carcinoma de Células Escamosas/secundário , Neoplasias dos Nervos Cranianos/secundário , Oftalmoplegia/etiologia , Neoplasias Cutâneas/patologia , Idoso , Carcinoma de Células Escamosas/complicações , Carcinoma de Células Escamosas/diagnóstico , Neoplasias dos Nervos Cranianos/complicações , Neoplasias dos Nervos Cranianos/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Masculino , Tomografia Computadorizada por Raios XAssuntos
Queimaduras/cirurgia , Transplante de Pele , Doadores de Tecidos , Criopreservação , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
A 6-year analysis of 2000 cases of burns was carried out. Half of the patients were from rural and the other half from urban locations. One hundred and sixty-two patients out of the 2000 suffered from ember burns. The number of rural patients affected was greater than urban patients (117 vs. 45). Ember burns are frequent in Andalusia and have severe aesthetic and functional sequelae. Burns of this type are more common in children than in adults, so they carry an added social and medical relevance.
Assuntos
Queimaduras/epidemiologia , Calefação/efeitos adversos , Adolescente , Adulto , Queimaduras/etiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Espanha/epidemiologiaRESUMO
One hundred and thirty-six patients attending for local anaesthetic procedures in the trigeminal area were assigned to four groups. Each group was injected with the anaesthetic solution at temperatures 10 degrees C, 18 degrees C, 37 degrees C and 42 degrees C, respectively. Measurement of pain during injection was made on a numeric scale. The results show a strong relationship between the temperature of the anaesthetic solution and the pain of the injection (p << 0.001). This demonstrates that warming the anaesthetic solution significantly reduces the pain felt by the patient during injection, especially at 42 degrees C.
