Is the injection of tramadol effective at control of pain after impacted mandibular third molar extractions? A systematic review and meta-analysis.

BACKGROUND: Third molar extraction is among the most common surgical procedures performed by oral-maxillofacial surgeons. Postoperative pain, swelling and trismus are common, especially in wisdom teeth, due to trauma to local tissues and the duration of the surgical procedure, among other factors. MATERIAL AND METHODS: This systematic review was conducted in accordance with the 'Preferred Reporting Items for Systematic Reviews and Meta-Analyses' in order to answer the focused question: 'Is the local submucosal injection of tramadol effective at the control of postoperative pain in patients submitted to impacted mandibular third molar extractions?'. We analyzed papers published until March 30, 2021 in the MEDLINE|PubMed, Web of Science and Cochrane Library databases. Gray literature was also consulted. Standard pairwise meta-analyses of direct comparisons were performed using a fixed-effect model; I2 ≥ 50 % or ≥ 75 % indicated moderate or high heterogeneity, respectively. Risk of bias was assessed by Cochrane Collaboration's tool. RESULTS: In total, 172 participants (98 males and 74 females, aged 18 or over) from three randomized placebo-controlled trials were considered for analysis. The submucosal injection of 2 ml of tramadol adjacent to the impacted mandibular third molar was effective in controlling pain up to 6-hours after surgery, in increasing the onset of consumption of rescue analgesic and in reducing the total number of rescue analgesics used. CONCLUSIONS: The submucosal injection of tramadol can be considered a safe and effective procedure for pain control after impacted mandibular third molar extractions.

Complications associated with submental liposuction: a scoping review.

BACKGROUND: Liposuction is one of the most commonly performed cosmetic procedures worldwide. Complications associated with submental liposuction are rare. However, when they occur they are significant and can cause disfiguring consequences. The objective of this study was evaluated complications from submentual liposuction in literature and description of clinical experience of complication after submentual liposuction. MATERIAL AND METHODS: At first, a scoping review was carried out online search with no time restrictions for complications after submental liposuction was performed in the databases Medline / PubMed, Embase, and Web of Science. The variables analyzed were: age, sex, type of esthetic procedure, anesthesia, complications, time after Procedure, treatment, follow-up care, and sequelae. Then, a case of a patient with submental hematoma after an aesthetic procedure for submental liposuction was described. RESULTS: Firstly, 539 articles were selected, after application of the inclusion criteria, 4 studies were included. Most cases were female (8:1), with a mean age of 55.77 years. Postoperative complications were found, such as submental depression, submental edema, hypertrophic scar formation, scar contracture, cervical necrotizing fasciitis, Cervico-facial dystonia and transient facial nerve paralysis. The follow-up period for cases ranged from 3 to 12 months. The clinical case presented there was no sequelae. CONCLUSIONS: Submental liposuction requires the surgeon's attention. Anatomical knowledge, correct clinical and surgical management, diagnosis, and immediate approach to adverse situations are points that must be respected in this type of esthetic procedure to avoid more serious complications.

Head and neck cancer associated with myiasis.

Head and neck cancer patients represent a risk group for the development of fly larvae infestation in neoplastic wounds. This condition can accelerate the disease progression and increase its lethality due to local or systemic complications. The aim of this study was to conduct a scoping review on head and neck cancer associated with myiasis in order to answer the focal question: what are the occurrence, diagnosis, aetiology, treatment and outcomes of head and neck cancer associated with myiasis? This paper was structured based on the five-steps methodology proposed by Arksey and O'Malley (Int J Soc Res Methodol 2005;1:19-32), and followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR), OSF Registries protocol. The electronic search was performed in the MEDLINE/PubMed, Embase and SciELO.org databases for articles published up to 28 February 2021. In total, 38 articles and 56 patients were included. Most patients were male (66%), and the mean age was 66.63 years. Cases were predominantly associated with squamous or basal cell cancer. The most affected anatomical sites were the eyes, scalp, ears and oral cavity, and the most frequent type of larva was Crisomyia (13%). Manual removal of the larvae was considered the standard treatment, associated or not with antibiotics, analgesics and antiparasitic drugs.

Resistência do tipo antibiose a ninfas de tibraca limbativentris (stal, 1860) (heteroptera: pentatomidae) em variedades de arroz

ABSTRACT The stem bug (Tibraca limbativentris Stal, 1860) is one of the most harmful rice pests in Brazil. Resistant varieties can be an important method for controlling this pest. The present experiment was carried out in the greenhouse at Embrapa Arroz e Feijão. Evaluation was made of the antibiosis to nymphs of T. limbativentris in 16 rice varieties in an experimental design of randomized blocks in 8 replications. The parameters evaluated were the number of live nymphs, dry matter-mg, body surface-mm2, nymphs survival and development index, and insect days of life. There were three types of tests: a) considering only the data obtained in replications evaluated at 7, 13, 21 and 26 days after the infestation; b) considering only the data from 4 replications evaluated at 35 days after the infestation and; c) considering the data together on 8 replications. It was concluded that the varieties Arroz Comum and Desconhecido Branco, especially the former, showed some degree of antibiosis resistance to nymphs of T. limbativentris.

RESUMO O percevejo-do-colmo (Tibraca limbativentris Stal, 1860) é uma importante praga do arroz no Brasil. O uso de variedades resistentes a esse inseto é uma ferramenta importante para o seu controle. O experimento foi conduzido em casa de vegetação na Embrapa Arroz e Feijão. Foi avaliada resistência tipo antibiose em ninfas de T. limbativentris em 16 variedades de arroz em delineamento experimental de blocos casualizados em oito repetições. Os caracteres utilizados para detectar indícios de resistência do tipo antibiose foram: número de ninfas vivas, massa seca (mg)/ninfas, superfície corporal/mm2, índice de sobrevivência e desenvolvimento e dias de vida das ninfas. Realizaram-se três tipos de análises: a) considerando somente os dados obtidos nas repetições avaliadas aos 7, 13, 21 e 26 dias após a infestação; b) considerando somente os dados das quatro repetições avaliadas aos 35 dias após a infestação e c) considerando os dados obtidos conjuntamente nas oito repetições. Conclui-se que as variedades Arroz Comum e Desconhecido Branco, principalmente a primeira, evidenciam possuir características que lhes confere determinado grau de resistência do tipo antibiose a ninfas de T. limbativentris.