RESUMO
OBJECTIVE: We analyzed a retrospective series of 30 cases of ameloblastoma operated in the Ivory coast from 1992 to 2000. PATIENTS AND METHODS: The following techniques were used--temporary reconstructions via the endobuccal approach using a Peri prothesis in 27 cases and a resin coated Peri prosthesis in one;-- definitive reconstructions using iliac bone grafts in 3 cases and rib grafts in 14. These reconstructions were performed in a second operation via a cutaneous approach to replace the Peri prosthesis. Thirteen patients were lost to follow-up for this second phase. Mean follow-up ranged from 6 months to 13 months (mean 9.9 months). RESULTS: Satisfactory outcome was acchevied when mouth opening was greater than 10 mm and patients with an acceptable cosmetic result no longer complained of mastication or phonation problems. There were four postoperative infections after bone graft reconstruction (two of them were immediate reconstruction). The resin coated Peri prosthesis led to a skin ulceration. DISCUSSION: This study demonstrated the interest of mandibular reconstruction in undermedicalized countries where indications are dominated by reconstruction after resection for ameloblastoma. The large number of patients lost to follow-up before the second stage bone grafts points out the need for immediate reconstruction using autologous bone. Further study in a larger series would be needed to determine the cause of failure after immediate reconstruction.
Assuntos
Ameloblastoma/cirurgia , Neoplasias Mandibulares/cirurgia , Adolescente , Adulto , Transplante Ósseo , Côte d'Ivoire , Países em Desenvolvimento , Estética Dentária , Feminino , Seguimentos , Humanos , Masculino , Mandíbula/fisiopatologia , Prótese Mandibular/efeitos adversos , Mastigação/fisiologia , Pessoa de Meia-Idade , Reoperação , Estudos Retrospectivos , Úlcera Cutânea/etiologia , Fala/fisiologia , Infecção da Ferida Cirúrgica/etiologia , Resultado do TratamentoAssuntos
Noma/cirurgia , Síndrome da Imunodeficiência Adquirida , Adulto , Criança , Côte d'Ivoire , Procedimentos Cirúrgicos Dermatológicos , Feminino , Fibrose , Soropositividade para HIV , Humanos , Noma/etiologia , Noma/patologia , Procedimentos Cirúrgicos Ortognáticos , Extração Dentária , CicatrizaçãoAssuntos
Ameloblastoma/epidemiologia , Neoplasias Mandibulares/epidemiologia , Adolescente , Adulto , Ameloblastoma/diagnóstico por imagem , Ameloblastoma/patologia , Ameloblastoma/cirurgia , Transplante Ósseo , Côte d'Ivoire/epidemiologia , Feminino , Humanos , Masculino , Neoplasias Mandibulares/diagnóstico por imagem , Neoplasias Mandibulares/patologia , Neoplasias Mandibulares/cirurgia , RadiografiaRESUMO
Burkitt's lymphoma, or endemic hematosarcoma, is the major cancer in childhood and the 6th most common cancer in the Ivory Coast. The authors review classical ideas regarding the disease and stress some recent findings.
Assuntos
Linfoma de Burkitt/epidemiologia , Adolescente , Adulto , Linfoma de Burkitt/diagnóstico , Linfoma de Burkitt/terapia , Criança , Pré-Escolar , Côte d'Ivoire/epidemiologia , HumanosRESUMO
Based on a study of 41 cases, the authors report the high incidence of myxo-chondroid varieties on histological examination and their relationship to recurrences attributed to potential changes in myo- epithelial cells.
Assuntos
Adenoma Pleomorfo/patologia , Neoplasias das Glândulas Salivares/patologia , Adenoma Pleomorfo/cirurgia , Adolescente , Adulto , Criança , Côte d'Ivoire , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Neoplasias das Glândulas Salivares/cirurgiaRESUMO
It was found that accessory salivary glands involvement, in particular intra-maxillary, was most frequent in a study involving 10 cases. Only basaloid varieties have a very poor prognosis and surgery remains the only treatment available.