Redução de seio frontal: abordagem bucomaxilofacial na terapia de reabilitação das fraturas panfaciais / Frontal sinus reduction: approach oral and maxillofacial rehabilitation therapy of pan facial fractures

Objetivo: relatar um caso clínico de fratura do seio frontal, com o manejo clínico e cirúrgico, as complicações e os benefícios dos tratamentos adotados. As lesões do seio frontal, na sua maioria, relacionam-se a traumas de grande amplitude, como acidentes com veículos automotores, agressões físicas, ferimentos com arma de fogo e acidentes em trabalhadores da construção civil, acometendo mais a população masculina entre 21 e 30 anos de idade, podendo afetar as paredes anterior e/ou inferior do seio frontal, incluindo fraturas naso- -órbito-etmoidal e zigomáticas. O seu envolvimento pode causar complicações relacionadas a cavidade intracraniana, órbita e/ou estruturas nasais, como sinusites recorrentes, osteomielite do osso frontal, mucocele ou mucopiocele, meningite, encefalite, abcesso cerebral ou trombose do seio cavernoso, podendo evoluir para o óbito do paciente. Os objetivos do tratamento são: prevenção de infecção, isolamento do conteúdo intracraniano, correção da drenagem de líquido cefalorraquidiano, restauração da função e da estética, podendo ser realizado por equipe multidisciplinar. Relato de caso: o presente trabalho expõe um caso de fratura fronto-naso-órbito-etmoidal com afundamento de seio frontal, confirmada por exame tomográfico de face, em um paciente masculino de 26 anos, vítima de acidente automobilístico, submetido a redução da parede anterior do seio frontal, imobilização e fixação interna rígida, com posterior redução fechada da fratura dos ossos nasais, tamponamento nasal anterior e contenção externa com micropore e gesso. Considerações finais: demonstrou-se com esse artigo a possibilidade de divergência de tomada de conduta das diferentes áreas envolvidas no tratamento e a importância do tratamento multidisciplinar. (AU)

Objective: to report a clinical case of frontal sinus fracture, clinical and surgical management, complications and benefits of the treatments adopted. Frontal sinus lesions, for the most part, are related to large-scale traumas such as accidents with motor vehicles, physical assault, gunshot wounds and accidents in construction workers, affecting more the male population between 21 and 30 years of age, and may affect the anterior and / or inferior wall of the frontal sinus including naso-orbito- ethmoidal and zygomatic fractures. Its involvement may cause complications related to the intracranial cavity, orbit and / or nasal structures such as recurrent sinusitis, osteomyelitis of the frontal bone, mucocele or mucopiocele, meningitis, encephalitis, cerebral abscess or thrombosis of the cavernous sinus, and may evolve to the death of these patients . The objectives of treatment are prevention of infection, isolation of intracranial content, correction of cerebrospinal fluid drainage, restoration of function and aesthetics, and can be performed by a multidisciplinary team. Case report: this paper reports a case of frontal-naso-orbito-orbito-ethmoidal fracture with frontal sinus sinking, confirmed by face tomography, in a 26-year-old male patient who had suffered an auto accident, submitted to a reduction of the anterior wall of the frontal sinus, immobilization and rigid internal fixation with posterior closed reduction of nasal bones fracture, anterior nasal packing and external restraint with micropore and gypsum. Final considerations: to demonstrate the possibility of divergence of the conduct of the different areas involved in the treatment and the importance of the multidisciplinary treatment. (AU)

Assessment of knowledge about oral cancer: study with students of public education

Introduction and Objective: To evaluate the level of knowledge about oral cancer of students attending public school in one city of Santa Catarina (Brasil). Material and methods: A descriptive crosssectional study, using primary data collection. Students of last year of elementary school and first year of high school, enrolled in public schools in the city of Itajaí (SC), in 2012, were the target population. The non-probability sample was obtained by convenience. Data were collected through a self-administered questionnaire structured with 13 questions divided into three fields. The level of knowledge was made based on pre-established scores. Results: 1149 instruments were analyzed (80.8% of the target population). The average age of the group was 15.5 years and 54.5% were female. The majority (78%) never had received information about oral cancer. Only 27.9% had cognizance about self-examination of the oral cavity. With regard to knowledge, 87.5% classified as unsatisfactory. For most issues the cognitive field did not identify a significant correlation between knowledge and the variables gender and education. When asked if they would like to participate in educational and preventive activities about oral cancer and other issues related to health, 72.6% expressed interest. Conclusion: The group did not have adequate knowledge on the subject of oral cancer. Facing this reality, and the positive attitude of respondents, the researchers designed and offered an educational program to the research subjects.