RESUMEN
Intrathoracic dissemination of an odontogenic infection is very infrequent. The resulting clinical manifestation, known as descending necrotizing mediastinitis, causes high mortality. Due to the absence of early clinical or radiological signs, diagnosis is usually made only when the process is completely established. Treatment is a combination of intravenous antibiotics and mediastinal drainage, via either a cervical or a transthoracic approach. We report the clinical and microbiological characteristics of 4 patients with descending necrotizing mediastinitis, and their clinical course over a period of 10 years.
Asunto(s)
Infección Focal Dental/complicaciones , Mediastinitis/microbiología , Adolescente , Adulto , Antibacterianos , Drenaje , Quimioterapia Combinada/uso terapéutico , Edema/microbiología , Femenino , Humanos , Inyecciones Intravenosas , Masculino , Mediastinitis/diagnóstico , Mediastinitis/tratamiento farmacológico , Mediastinitis/cirugía , Necrosis , Enfisema Subcutáneo/etiología , Odontalgia/complicacionesRESUMEN
Metastasizing pleomorphic adenoma is a rare lesion, histologically benign but with a malignant clinical behaviour. Two cases are reported with a flow cytometric study. Recurrent adenoma and its metastasis were aneuploid in one case.
Asunto(s)
Adenoma Pleomórfico , Metástasis Linfática , Neoplasias Maxilares , Neoplasias Palatinas , Neoplasias de la Parótida , Adenoma Pleomórfico/patología , Adenoma Pleomórfico/cirugía , Adolescente , Adulto , Anciano , Aneuploidia , Niño , Femenino , Citometría de Flujo , Estudios de Seguimiento , Humanos , Metástasis Linfática/patología , Masculino , Maxilar/patología , Neoplasias Maxilares/patología , Neoplasias Maxilares/cirugía , Persona de Mediana Edad , Recurrencia Local de Neoplasia , Neoplasias Palatinas/patología , Neoplasias Palatinas/cirugía , Glándula Parótida/patología , Neoplasias de la Parótida/patología , Neoplasias de la Parótida/cirugía , Factores de TiempoRESUMEN
Primary tuberculosis in the oral cavity is a rare entity. Usually, the microorganisms need a disruption of the oral mucosa to become pathogenic. In this article the authors describe a clinical case of primary oral tuberculosis, on a female of 52 years-old who suffered an exodontia 20 days before. The bacteria identificated was Mycobacterium tuberculosis hominis. The microbiologic identification is essential to assure the efficacy of the treatment.
Asunto(s)
Mucosa Bucal/microbiología , Mycobacterium tuberculosis/aislamiento & purificación , Tuberculosis Bucal , Antibióticos Antituberculosos/administración & dosificación , Antituberculosos/administración & dosificación , Quimioterapia Combinada , Femenino , Humanos , Isoniazida/administración & dosificación , Persona de Mediana Edad , Pirazinamida/administración & dosificación , Radiografía Panorámica , Rifampin/administración & dosificación , Factores de Tiempo , Extracción Dental/efectos adversos , Tuberculosis Bucal/diagnóstico , Tuberculosis Bucal/tratamiento farmacológicoAsunto(s)
Blefaroptosis/etiología , Exoftalmia/etiología , Oftalmoplejía/etiología , Fracturas Craneales/complicaciones , Traumatismo del Nervio Abducente , Adulto , Fístula Arteriovenosa/diagnóstico , Blefaroptosis/diagnóstico , Enfermedades de las Arterias Carótidas/diagnóstico , Arteria Carótida Interna , Seno Cavernoso , Diagnóstico Diferencial , Exoftalmia/diagnóstico , Humanos , Masculino , Traumatismos del Nervio Oculomotor , Oftalmoplejía/diagnóstico , Síndrome , Traumatismos del Nervio TroclearRESUMEN
We describe in this work one case of osteochondroma of the mandibular condyle. The first clinical sign was a limitation of the mouth opening. Based on this lesion, a review of the literature is made, and different treatment modalities are discussed.
Asunto(s)
Cóndilo Mandibular/patología , Neoplasias Mandibulares/complicaciones , Osteocondroma/complicaciones , Trastornos de la Articulación Temporomandibular/etiología , Adolescente , Humanos , Masculino , Neoplasias Mandibulares/patología , Osteocondroma/patologíaRESUMEN
The "combined epithelial odontogenic tumor" in an uncommon lesion characterized by the synchronous presentation of typical histological feature of the adenomatoid odontogenic tumour, and the Pindborg's tumor. In this work, the authors, describe a case of combined epithelial odontogenic tumor associated with an unerupted maxillary central incisor. The clinical and histological characteristics of this lesion point out that it could be primitively an adenomatoid odontogenic tumor, with several areas of calcifying epithelial odontogenic tumor.
Asunto(s)
Neoplasias Maxilares/patología , Tumores Odontogénicos/patología , Adulto , Epitelio/patología , Humanos , Incisivo/patología , Masculino , Diente no Erupcionado/patologíaRESUMEN
Burkitt's tumor is a undifferentiated lymphoma of lymphocytes B with a characteristic histologic pattern often called as "starry sky". It is classified in two groups: endemic Burkitt's lymphoma (African form), and non-endemic Burkitt's lymphoma (American form). The extranodal involvement of the head and neck in the American type is uncommon, so the diagnosis can be delayed. The authors present in this paper a case of American Burkitt's lymphoma in a patient with gingival hyperplasia, and compare the epidemiological, clinical, radiographic, therapeutic and prognostic characteristics of the endemic and non-endemic forms of Burkitt's lymphoma.