RESUMO
INTRODUCTION: Pleomorphic adenoma is a benign growth that most often appears in the parotid gland where it is the most frequent type of tumour. Its appearance in childhood is rare and there are no large series available in this age group for comparison with its presentation in adults. Surgical treatment is similar in children and in adults; whilst the prognosis is good, they may become malignant and metastasize. MATERIAL AND METHOD: In this study, we present seven parotid pleomorphic adenomas in childhood treated in our Department and a review of the literature. The following data were evaluated: sex, age, affected side, clinical symptoms and period of evolution of the symptoms, surgical technique applied and complications observed. RESULTS: The mean age at presentation was 12.4 years. All patients were males with the right side affected in five patients. The treatment was conservative superficial parotidectomy in five patients, conservative total parotidectomy in one, and an enucleation including a wide safety margin in the last case. None of the patients exhibited any permanent postoperative complication. The mean follow-up was 41.3 months (26-58 months).
Assuntos
Adenoma Pleomorfo , Neoplasias Parotídeas , Adenoma Pleomorfo/diagnóstico , Adenoma Pleomorfo/epidemiologia , Adenoma Pleomorfo/cirurgia , Adolescente , Criança , Humanos , Masculino , Neoplasias Parotídeas/diagnóstico , Neoplasias Parotídeas/epidemiologia , Neoplasias Parotídeas/cirurgia , Espanha/epidemiologiaRESUMO
Aunque el consumo de fármacos inhibidores de la enzima convertidora de angiotensina presenta un bajo índice de efectos indeseables, en raras ocasiones se producers cuadros de edema angioneurótico localizados en el area orofacial y laríngea. El intervalo de aparición de este cuadro oscila entre las primeras horas y varios años desde el inicio de la toma del fármaco. Se presenta el caso de un hombre de 70 años, hipertenso, que desde hacía tres años tomaba enalapril. Fue ingresado en nuestro hospital por presentar un edema orolingual intenso, con dificultad para el lenguaje y disnea moderada. Se realizó un tratamiento con glucocorticoides, antihistamínicos y oxigenoterapia con mascarilla facial. No fue necesaria la intubación del paciente. El cuadro se resolvió a las 48-72 horas (AU)
