Diagnosis and Treatment of Paracoccidioidomycosis in the Maxillofacial Region: A Report of 5 Cases.

Paracoccidioidomycosis is a fungal infection initially described in Brazil in 1908 by Adolfo Lutz. Manifestation of this disease depends on numerous factors, such as microorganism virulence, hormonal profile, genetic predisposition, nutrition, and immune system. It is characterized classically by cutaneous lesions, lymphadenopathy, and pulmonary involvement. It presents male predilection, which can be explained by the protective effect of female hormones. Classic presentation within oral cavity is a superficial ulcer characterized by hemorrhagic dots of moriform aspect. Treatment should be established individually and closely monitored. This manuscript aims at reporting five cases of this pathology.

Tratamento cirúrgico de lipoma em região maxilofacial ­ relato de caso / Surgical treatment of lipoma in maxillofacial region ­ case report

O lipoma é a neoplasia mesenquimal de maior prevalência, sendo raro na região maxilofacial. Geralmente são lesões assintomáticas e se manifestam como massas nodulares, de superfície lisa e macia a palpação. Ao exame histopatológico, observa-se proliferação de células trapezoidais, de citoplasma claro, volumoso e exibindo núcleo deslocado para periferia. Este artigo tem por objetivo relatar um caso de um lipoma em mucosa jugal na região de corpo mandibular esquerdo, com paciente apresentando queixa estética. O tratamento cirúrgico instituído foi a biópsia excisional da lesão, com acompanhamento de 12 meses sem recidiva (AU).

Lipoma is the most prevalent mesenchymal neoplasm, being rare in the maxillofacial region. They are usually asymptomatic lesions and manifest as nodular masses, with smooth surface, and soft palpation. Histopathological examination shows proliferation of trapezoidal cells, clear cytoplasm, bulky and showing nucleus displaced to the periphery. This article aims to report a case of a lipoma in jugal mucosa in the region of the left mandibular body, with patient presenting aesthetic complaint. The surgical treatment instituted was the excisional biopsy of the lesion, with follow-up of 12 months without relapse (AU).

Remoção de dente deslocado para o espaço bucal / Removal of a tooth displaced into the buccal space

A remoção cirúrgica de terceiros molares impactados é um procedimento cirúrgico comum, que pode ser realizado tanto por dentistas generalistas como por cirurgiões buco-maxilo-faciais. O deslocamento dental para espaços fasciais contíguos, entretanto, é um acidente relativamente raro, associado a exames clínico-radiográficos inadequados, à falta de conhecimentos da anatomia local, a acessos cirúrgicos inadequados, à visibilidade limitada e a movimentos cirúrgicos excessivos ou descontrolados.Embora a remoção de um dente deslocado seja normalmente realizada tardiamente, e, após estudos clínico-radiográficos minuciosos, resgates imediatos também são uma possibilidade. O objetivo deste trabalho é descrever o manejo de um terceiro molar superior deslocado acidentalmente para o espaço bucal após tentativa de exodontia... (AU)

The removal of impacted third molars is a common surgical procedure that may be performed by general dentists and oral and maxillofacial surgeons alike. Tooth displacement into contiguous fascial spaces, however, is a rather uncommon surgical mishap that is associated with inadequate clinical and radiographic examination, lack of sound anatomical knowledge, inadequate surgical access, limited visibility and excessive or uncontrolled surgical movements. While the removal of a displaced tooth is normally performed after thorough clinical and radiographic assessments in a mediate fashion, immediate surgical rescue is also a possibility. The aim of this paper is to describe the management of an upper third molar accidentally displaced into the buccal space after an attempt to extract... (AU)