Recurrence of Glandular Odontogenic Cysts: A Systematic Review.

BACKGROUND: The glandular odontogenic cyst (GOC) is a benign developmental cyst of the jaws that is characterized by a high recurrence rate. METHODS: A systematic review is presented of reported cases, case series, and retrospective studies of recurrent cases of glandular odontogenic cysts, to determine the overall and detailed demographic features with documentation of the specific histologic features of the initial presentation of each cyst. Searches of detailed databases were carried out to identify articles published in the English language from 1988 to 2023. The variables were demographics, patient symptoms, cyst location, radiographic features, histopathological findings, type of treatment, and minimum eight months of follow-up. RESULTS: Eighteen cases were identified: with an equal gender presentation of 50% females and 50% males. The average age was 44.7. The mean size was 3.5 cm. The most common location was in the anterior mandible in 50% (n = 9) of cases, followed by the posterior mandible 27.8% (n = 5). Most patients were asymptomatic 55.6% (n = 10). The most common histologic features at first diagnosis were mucous cells in 88.9% (n = 16), variable thickness with 83.3% (n = 15), eosinophilic cuboidal cells 88.9% (n = 16), microcysts 83.3% (n = 15), and clear cells 77.8% (n = 14) cases. CONCLUSION: GOC has an aggressive behavior. Evidence was not conclusive to link any single or combination of histologic features to recurrence, and the strongest correlation for recurrence was the type of treatment. Since this is an uncommon cyst, more cases are needed. Follow-up should continue for at least five years, because recurrences were higher between years 3 and 5.

Las crisis de angustia en la urgencia y su relación con los factores desencadenantes desde una perspectiva de género. / [Acute stress disorder in the emergency, its relationship with trigger factors from a gender perspective].

BACKGROUND: Anxiety disorders and, in particular, acute stress disorder are one of the principal reasons for medical assistance, being the women the ones who frequently consult. AIMS: To describe and analyze, from a perspective of gender, the factors that unleash the consultation of an episode of acute stress disorder in the emergency. MATERIALS AND METHOD: An exploratory descriptive study was performed. A semi-directed interview and a socio-demographic questionnaire were assessed and scales to evaluate anxiety and depression were administered to females that consulted for an acute stress disorder. RESULTS: Sixty nine percent of the patients described the physical discomfort as trigger factor, presenting in the 85

of the cases a degree of major anxiety; associating the family conflicts as the principal cause of distress, followed by violence against women. The situation of distress, in 75

of the cases, did not correspond with an isolated episode. CONCLUSION: The physical symptomatology was the principal cause for consultation of an episode of acute stress disorder in the emergency, being the family conflicts and the violence against women the principal reasons of distress. Therefore, interdisciplinary approach for the assistance of mental disorders in emergency should be taken in consideration.

Las crisis de angustia en la urgencia y su relación con los factores desencadenantes desde una perspectiva de género / [Acute stress disorder in the emergency, its relationship with trigger factors from a gender perspective].

BACKGROUND: Anxiety disorders and, in particular, acute stress disorder are one of the principal reasons for medical assistance, being the women the ones who frequently consult. AIMS: To describe and analyze, from a perspective of gender, the factors that unleash the consultation of an episode of acute stress disorder in the emergency. MATERIALS AND METHOD: An exploratory descriptive study was performed. A semi-directed interview and a socio-demographic questionnaire were assessed and scales to evaluate anxiety and depression were administered to females that consulted for an acute stress disorder. RESULTS: Sixty nine percent of the patients described the physical discomfort as trigger factor, presenting in the 85

of the cases a degree of major anxiety; associating the family conflicts as the principal cause of distress, followed by violence against women. The situation of distress, in 75

of the cases, did not correspond with an isolated episode. CONCLUSION: The physical symptomatology was the principal cause for consultation of an episode of acute stress disorder in the emergency, being the family conflicts and the violence against women the principal reasons of distress. Therefore, interdisciplinary approach for the assistance of mental disorders in emergency should be taken in consideration.

El trastorno de ansiedad en la urgencia y su relación con los factores desencadenantes desde una perspectiva de género / Anxiety disorder in the emergency and its relationship with trigger factors from a gender perspective

INTRODUCCIÓN Los trastornos de ansiedad tienen una gran importancia socio-sanitaria. Las mujeres son quienes más consultan por esta problemática, en particular por crisis de angustia, en las guardias de los hospitales generales. OBJETIVOS Identificar, describir y analizar los factores desencadenantes de la demanda de atención en un servicio de urgencia de un hospital general, poniendo el eje en las mujeres que consultan por un episodio de trastorno de ansiedad. MÉTODOS Se realizó un estudio exploratorio descriptivo en pacientes de género femenino que habían consultado por trastorno de ansiedad en la guardia del Hospital General de Agudos Dr. Abel Zubizarreta. La investigación incluyó una entrevista semidirigida y la administración de escalas para evaluar ansiedad y depresión. RESULTADOS De los 980 pacientes atendidos por los equipos de salud mental, 164 habían consultado por crisis de angustia; 114 eran mujeres, y 40 de ellas participaron de esta investigación. El 85% presentaba un grado de ansiedad mayor a la medida. El 69% de las pacientes consideró como factor desencadenante de la consulta en la guardia a la sintomatología física, y el 31%, al cuadro de angustia. El principal motivo causante de la angustia fueron las conflictivas familiares, seguidas de situaciones de violencia basadas en género. DISCUSIÓN La mayoría de las mujeres atendidas consideran que lo somático es el factor desencadenante de la consulta. Esto revela la importancia de establecer prácticas de asistencia en la urgencia del orden de la salud mental, que permitan la detección tanto de problemáticas que todavía no se presentan como un cuadro clínico conformado como de situaciones de violencia basada en género.