RESUMO
Odontogenic myxomas are an uncommon benign odontogenic tumor that can present with a wide variety of symptomatology depending on location and potentially be locally destructive. The present case describes a 66-year-old female who presented with left lower facial paresthesia, left aural fullness and hearing loss. She was found to have an odontogenic myxoma that involved the condylar head and extended into the masticator space. In this report we detail our surgical approach utilizing a preauricular transfacial transmandibular approach to the masticator space. In addition, we will discuss various approaches to the masticator space and infratemporal fossa along with considerations on how to manage facial nerve paralysis, facial contour deformities, and post-operative rehabilitation for permanent unilateral condylar head disarticulation.
Assuntos
Côndilo Mandibular/cirurgia , Neoplasias Mandibulares/cirurgia , Mixoma/cirurgia , Tumores Odontogênicos/cirurgia , Procedimentos Cirúrgicos Bucais/métodos , Idoso , Paralisia Facial/etiologia , Feminino , Perda Auditiva/etiologia , Humanos , Mandíbula/cirurgia , Neoplasias Mandibulares/complicações , Neoplasias Mandibulares/patologia , Neoplasias Mandibulares/reabilitação , Mixoma/complicações , Mixoma/patologia , Mixoma/reabilitação , Invasividade Neoplásica , Tumores Odontogênicos/complicações , Tumores Odontogênicos/patologia , Sistema Estomatognático/patologia , Sistema Estomatognático/cirurgiaAssuntos
Átrios do Coração , Neoplasias Cardíacas , Mixoma , Adaptação Psicológica , Assistência ao Convalescente/normas , Eletrocardiografia , Feminino , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/reabilitação , Neoplasias Cardíacas/cirurgia , Humanos , Pessoa de Meia-Idade , Mixoma/diagnóstico , Mixoma/reabilitação , Mixoma/cirurgia , Manejo da Dor/psicologia , Dor Pós-Operatória/psicologia , Alta do PacienteRESUMO
Myxoma is a benign tumor that arises from mesenchymal tissue and is found less commonly in the bone than in soft tissue. The majority of bony myxomas occur in the jaws. When compared with other odontogenic tumors, myxoma of the jaws is a rare entity. Numerous types of treatment have been used for these tumors including simple curettage, enucleation, curettage with peripheral ostectomy, and en bloc resection with or without immediate reconstruction. The buccal fat pad (BFP) is a lobulated mass of fatty tissue in the oromaxillofacial region, which has long been a source of grafts in facial augmentation. A case of an odontogenic myxoma in the left maxillary molar area of a 34-year-old female that was treated by curettage and peripheral ostectomy is presented. The surgical defect was successfully repaired with a pedicled BFP flap.
Assuntos
Tecido Adiposo/transplante , Neoplasias Maxilares/cirurgia , Mixoma/cirurgia , Procedimentos Cirúrgicos Bucais/métodos , Adulto , Substitutos Ósseos , Transplante Ósseo , Bochecha , Feminino , Seguimentos , Humanos , Neoplasias Maxilares/patologia , Neoplasias Maxilares/reabilitação , Mixoma/patologia , Mixoma/reabilitação , Invasividade Neoplásica , Fístula Bucoantral/cirurgia , Procedimentos de Cirurgia Plástica , Retalhos Cirúrgicos , Tomografia Computadorizada por Raios XRESUMO
El mixoma cardíaco aunque infrecuentemente en los grupos etarios jóvenes es la neoplasia más frencuente en el corazón de los pacientes de corta edad. Se presenta el caso de un niño de 13 años de edad con esta lesión a nivel de la aurícula izquierda con sus respectivos hallazgos de anatomía patológica. Posteriormente se revisan las principales características de este tumor que incluyen incidencia, hallazgos macrocópicos, microscópicos, clínica y tratamiento