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1.
Childs Nerv Syst ; 36(5): 1083, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32144489

RESUMEN

The original version of this article unfortunately contained an error. The author apologizes for having communicated an interchanged author's first and family names. Given in this article are the correct author names.

2.
Childs Nerv Syst ; 36(3): 485-489, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-31989207

RESUMEN

BACKGROUND: Olfactory neuroblastoma, also called esthesioneuroblastoma (ONB), is a rare neuroectodermal neoplasm that originates from the olfactory epithelium of the nose-sinus tract. It generally occurs with epistaxis, nasal obstruction, diplopia, and anosmia. METHODS: A 16-year-old female was admitted to our Unit with a complaint of nasal obstruction, recurrent epistaxis, anosmia, and intermittent headache of sixth month's duration. After the ENT consultation, physical examination, endonasal endoscopy, and multiple biopsies were performed. Instrumental images (CT, MRI) have been requested to stage the aforementioned pathology. RESULTS: Instrumental images (CT, MRI) showed a mass filling the right nasal cavity and the maxillary bone and involving the cribriform plate without evidence of dural invasion. Craniofacial resection by means of a bifrontal craniotomy combined with a modified lateral rhinotomic transfacial route was performed. The reconstruction of the inferior and medial orbital walls with employing split-thickness calvarial grafts, pedicled galea-pericranium flap rotated downwards was performed. The patient received 56 Gy of external beam radiotherapy over a 6-week period. CONCLUSION: Early diagnosis and treatment coordinated by a multidisciplinary team of ENTs, neurosurgeons, oncologists, pathologists, and radiologists are a prerequisite for a good prognosis. An excellent surgical debulking, negative margins, and subsequent locoregional control of the pathology through radiotherapy is fundamental.


Asunto(s)
Estesioneuroblastoma Olfatorio , Neoplasias Nasales , Adolescente , Endoscopía , Estesioneuroblastoma Olfatorio/diagnóstico por imagen , Estesioneuroblastoma Olfatorio/cirugía , Hueso Etmoides , Femenino , Humanos , Cavidad Nasal/diagnóstico por imagen , Cavidad Nasal/cirugía , Neoplasias Nasales/diagnóstico por imagen , Neoplasias Nasales/cirugía
3.
Acta Biomed ; 92(1): e2021018, 2020 10 13.
Artículo en Inglés | MEDLINE | ID: mdl-33682826

RESUMEN

BACKGROUND AND AIM OF THE WORK: Fibrous dysplasia is a fibro-osseous osteopathy in which the normal bone architecture is replaced by fibrous tissue and non-functional trabeculae-like osseous structures. In head and neck area monostotic or polyostotic lesions cause a progressively expanding destructive bone swelling producing cosmetic deformities and functional impairments. The aim of this article is to present a retrospective review of a clinical case series with pathologically confirmed jawbone fibrous dysplasia for over an 8-year-period. MATERIAL AND METHODS: Clinical presentation and radiographic features of fibrous dysplasia affecting the jawbone skeletal area, surgical procedures performed including the reconstructive methods employed and clinical outcomes were analysed for each patient. RESULTS: Seven cases were classified as having monostotic fibrous dysplasia while the others four cases were classified as having polyostotic form. The mandible was most commonly involved. The most common presenting features included marked facial deformity, intraoral bulging, malocclusion and dental alterations. Aesthetic and/or functional impairments were the major indications for surgical treatment in all the patients of this series. Six patients underwent bone remodelling while in the remaining cases subtotal or total resection was performed. Bone reconstruction by means of autologous free bone grafts or revascularized free bone flaps was made in three cases. CONCLUSION: The choice of the tailored therapeutic approach should be evaluated according the patient's age, rate of growth, anatomic location, type of involvement and the presence or not of functional disturbances and cosmetic alterations. Surgery remains the best therapeutic option.


Asunto(s)
Displasia Fibrosa Poliostótica , Procedimientos de Cirugía Plástica , Adolescente , Adulto , Trasplante Óseo , Niño , Femenino , Displasia Fibrosa Poliostótica/diagnóstico por imagen , Displasia Fibrosa Poliostótica/cirugía , Humanos , Maxilares/patología , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Cráneo , Adulto Joven
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