Cuidados de enfermagem no pós-operatório de pacientes com trauma bucomaxilo-facial: revisão de literatura / Nursing care in the postoperative period of patients with oralmaxillofacial-trauma: literature review

Objetivo: identificar os principais cuidados de enfermagem no atendimento a pacientes acometidos por trauma bucomaxilo facial. Metodologia: trata-se de uma revisão sistemática da literatura. Foi realizada uma pesquisa digital nasbases de dados da National library of medicine (PubMed) e Biblioteca virtual em saúde (BVS), no ano de 2007, utilizandoseartigos do período 2000 a 2007. Resultados: foram identificados cuidados de enfermagem através do desenvolvimentode ações, atitudes e comportamentos com base em conhecimento científicos, experiências e pensamento crítico,realizados para e com o paciente, no sentido de promover, manter e/ou recuperar sua dignidade e totalidade humana.Conclusão: com a realização de cuidados de enfermagem promove-se uma melhoria na qualidade de vida dos pacientescom trauma facial, contribuindo em sua reabilitação física, funcional, estética, social e emocional.

Advanced osteosarcoma of the maxilla: a case report.

Osteosarcomas are primary malignant bone tumours in which mesenchymal cells produce osteoid. It is generally the most common malignant bone neoplasm, although lesions of the jaw are uncommon. Osteosarcoma of the jaw (JOS) presents a lower incidence of metastasis and a better prognosis than osteosarcoma of the long bones. However, patients with JOS can exhibit advanced tumours, mainly when early diagnosis is not performed. This article reports on a case of an advanced osteosarcoma of the maxilla. A 38-year-old woman was referred for evaluation and treatment of recurrent fibrous dysplasia of the facial bones. The patient related that she had been diagnosed with fibrous dysplasia four years earlier and, since the first diagnosis, she was submitted to four surgical interventions, all followed by recurrences. The main clinical findings were redness and swelling of the facial skin, upper lip ulceration, and hard palate swelling. Computed tomography showed a large hyperdense mass in right maxilla extending to right orbit and left maxillary sinus. An incisional biopsy was performed and microscopic examination showed areas of osteoid and chondroid formation surrounded by a cellular stroma. The diagnosis of osteosarcoma was established and the patient was recommended for oncologic treatment. Unfortunately, she died six months after the diagnosis due to uncontrollable local spread.

Advanced osteosarcoma of the maxilla: A case report

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Osteosarcomas are primary malignant bone tumours in which mesenchymal cells produce osteoid. It is generallythe most common malignant bone neoplasm, although lesions of the jaw are uncommon. Osteosarcoma of the jaw(JOS) presents a lower incidence of metastasis and a better prognosis than osteosarcoma of the long bones. However, patients with JOS can exhibit advanced tumours, mainly when early diagnosis is not performed. This article reports on a case of an advanced osteosarcoma of the maxilla. A 38-year-old woman was referred for evaluation and treatment of recurrent fibrous dysplasia of the facial bones. The patient related that she had been diagnosed with fibrous dysplasia four years earlier and, since the first diagnosis, she was submitted to four surgical interventions, all followed by recurrences. The main clinical findings were redness and swelling of the facial skin, upper lip ulceration,and hard palate swelling. Computed tomography showed a large hyperdense mass in right maxilla extending to rightorbit and left maxillary sinus. An incisional biopsy was performed and microscopic examination showed areas ofosteoid and chondroid formation surrounded by a cellular stroma. The diagnosis of osteosarcoma was establishedand the patient was recommended for oncologic treatment. Unfortunately, she died six months after the diagnosisdue to uncontrollable local spread (AU)