Knowledge of oral and oropharyngeal cancer by dental surgeons: an integrative review.

OBJECTIVES: to identify the evidence available in the literature on the knowledge of dentists regarding risk factors and early diagnosis of oral and oropharyngeal cancer. METHODS: it is an integrative review of the literature. Boolean descriptors and operators were searched in the PubMed and LILACS databases, using gray literature, in English, Spanish and Portuguese. RESULTS: of the 79 PubMed and 152 LILACS articles, 24 were selected. Of these, eight showed good knowledge of dentists, while most showed low or little knowledge of risk factors and early diagnosis in dentists. All studies, however, highlight the need for continuing education to improve and maintain knowledge about risk factors and early diagnosis. CONCLUSIONS: most dental surgeons have insufficient knowledge of oral/oropharyngeal cancer. Continued education is suggested, aiming at improving knowledge and early diagnosis.

Knowledge of oral and oropharyngeal cancer by dental surgeons: an integrative review / Conocimiento de los quirúrgicos dentistas sobre cáncer de boca y orofaríngeo: una revisión integrativa / Conhecimento dos cirurgiões-dentistas sobre câncer de boca e orofaringe: uma revisão integrativa

ABSTRACT Objectives: to identify the evidence available in the literature on the knowledge of dentists regarding risk factors and early diagnosis of oral and oropharyngeal cancer. Methods: it is an integrative review of the literature. Boolean descriptors and operators were searched in the PubMed and LILACS databases, using gray literature, in English, Spanish and Portuguese. Results: of the 79 PubMed and 152 LILACS articles, 24 were selected. Of these, eight showed good knowledge of dentists, while most showed low or little knowledge of risk factors and early diagnosis in dentists. All studies, however, highlight the need for continuing education to improve and maintain knowledge about risk factors and early diagnosis. Conclusions: most dental surgeons have insufficient knowledge of oral/oropharyngeal cancer. Continued education is suggested, aiming at improving knowledge and early diagnosis.

RESUMEN Objetivos: identificar evidencias disponibles en la literatura sobre el conocimiento de los quirúrgicos dentistas cuanto a los factores de riesgo y diagnóstico precoz del cáncer de boca/ orofaríngeo. Métodos: revisión integrativa de la literatura. Se realizaron búsquedas mediante los descriptores y operadores booleanos en base de datos PubMed y LILACS, con uso de literatura gris, en los idiomas inglés, español y portugués. Resultados: de los 79 artículos del PubMed y 152 del LILACS, 24 seleccionados. De estos, ocho mostraron bueno conocimiento de los dentistas, mientras la mayoría mostró bajo o poco conocimiento sobre factores de riesgo y diagnóstico precoz en dentistas. Todos los estudios, aunque, destacan la necesidad de educación continuada para mejorar y mantener el conocimiento sobre factores de riesgo y diagnóstico precoz. Conclusiones: gran parte de los quirúrgicos dentistas presenta un conocimiento insuficiente sobre cáncer de boca/orofaríngeo. Sugerida educación continuada, objetivando mejorar el conocimiento y el diagnóstico precoz.

RESUMO Objetivos: identificar as evidências disponíveis na literatura sobre o conhecimento dos cirurgiõesdentistas quanto aos fatores de risco e diagnóstico precoce do câncer de boca e orofaringe. Métodos: trata-se de uma revisão integrativa da literatura. Foram realizadas buscas mediante os descritores e operadores booleanos na base de dados PubMed e LILACS, com uso de literatura cinza, nos idiomas inglês, espanhol e portugês. Resultados: dos 79 artigos do PubMed e 152 do LILACS, 24 foram selecionados. Destes, oito mostraram bom conhecimento dos dentistas, enquanto a maioria mostrou baixo ou pouco conhecimento sobre fatores de risco e diagnóstico precoce em dentistas. Todos os estudos, no entanto, destacam a necessidade de educação continuada para melhorar e manter o conhecimento sobre fatores de risco e diagnóstico precoce. Conclusões: grande parte dos cirurgiões-dentistas apresenta um conhecimento insuficiente sobre câncer de boca/orofaringe. É sugerida a educação continuada, visando melhorar o conhecimento e o diagnóstico precoce.

Surgical Treatment of Aggressive Intraosseous Cavernous Hemangioma in Maxilla Through Surgical Resection.

Hemangiomas are benign vascular lesions characterized by endothelial vascular proliferation and may demonstrate aggressive clinical features. Intraosseous hemangiomas are uncommon and the maxillary location rare, with few cases described in the literature. The treatment of these lesions varies, however they have a better prognosis when a surgical treatment through resection is performed. The aim of this study is to report a case of right maxillary cavernous intraosseous hemangioma treated by surgical resection with previous embolization. The diagnosis was made through incisional biopsy and immunohistochemical examination. An aggressive lesion profile was observed through the Ki67 marker. During surgery, a temporary ipsilateral external carotid artery ligation was performed to minimize possible bleeding. Weber-Fergson surgical access was performed and total surgical resection through hemi-maxillectomy. The patient is stable after 30 months of follow-up without relapses. In suspected cases of intraosseous hemangiomas, accurate diagnosis and total surgical resection of the lesion is essential. The use of therapeutic mammoths that minimize sagging during and after the procedure such as embolization and arteriography should always be performed.