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Pediatr Dermatol ; 37(4): 721-723, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32372427


We report a case of atypical oral hairy leukoplakia (OHL) in a 9-year-old immunocompetent girl treated with fluticasone propionate nasal spray for allergic rhinitis. The OHL in childhood is uncommon and should be included in a differential diagnosis of white lesions in the oral mucosa.

Leucoplasia Pilosa , Sprays Nasais , Corticosteroides , Criança , Feminino , Fluticasona/efeitos adversos , Humanos , Leucoplasia Oral , Mucosa Bucal
J Clin Exp Dent ; 11(6): e582-e586, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31346382


Vascular leiomyomas (VL) are benign lesions of perivascular origin. We report two new cases and discuss their clinical, histological and immunohistochemical characteristics, in order to facilitate the diagnosis and treatment of such lesions. The patients, both male, presented asymptomatic nodules located in the bottom of the labial sulcus and buccal mucosa. In the second case, color doppler ultrasonography was performed, which showed no change in blood flow. After excisional biopsies, a limited lesion was observed histologically, with multiple tortuous vessels of varying sizes and calibers, and among them, spindle cells bundles, positive for smooth muscle actin. Oral VLs have clinical features similar to those of other more common lesions, making preoperative diagnosis difficult. Imaging examination, such as color doppler ultrasonography, may help in diagnosis. In general, excisional biopsy is performed, due to the ease of removal of the lesion during surgery. The treatment of choice is the complete excision of the lesion, which has an excellent prognosis and a low rate of recurrence. Key words:Vascular leiomyoma, spindle cells, thrombus, Doppler.

J Oral Maxillofac Surg ; 75(2): 284.e1-284.e4, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27663539


Delirium is an organic mental syndrome with acute onset characterized by diffuse brain dysfunction and neural activity disorganization. It is usually related to cognition and perception changes, decreased level of consciousness, and disorganization of thoughts that are unrelated to previous dementia. Occurrence is more frequent in patients with previous degenerative disease and elderly patients, especially those older than 85 years. Although the pathophysiology is not totally known, studies have shown that, among the main factors that lead to delirium, the drugs used for general anesthesia induction are the most relevant (hypnotics, anticholinergic drugs, and H2 receptor blockers), especially those used in long surgical procedures. This report describes the case of a 24-year-old woman with a noncontributory medical and psychological history. She underwent bimaxillary orthognathic surgery with a total general anesthesia time of 7 hours. Postoperatively, she developed agitation, confusion, and delirium. After a psychiatry consult and discussion with the anesthesia team, the diagnosis of psychotic break owing to late postoperative delirium was established.

Delírio/etiologia , Procedimentos Cirúrgicos Ortognáticos/efeitos adversos , Complicações Pós-Operatórias/etiologia , Feminino , Humanos , Má Oclusão Classe II de Angle/complicações , Má Oclusão Classe II de Angle/cirurgia , Complicações Pós-Operatórias/diagnóstico , Adulto Jovem
J Oral Maxillofac Surg ; 74(7): 1416-9, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26902709


The chemical senses of taste and smell are important to human life, because they play an important role in detecting potential environmental hazards. Humans can identify countless different flavors by the simultaneous perception of taste and smell. Reports of sensory loss after craniocerebral trauma began to appear in the medical literature in the middle 1800s. Dysgeusia associated with head injuries is rare and its reported incidence is 0.4 to 0.5%. This report describes the clinical case of a 32-year-old man with Le Fort I and III fractures treated with surgical reduction and fixation. The patient presented with dysgeusia after slight improvement of his preoperative anosmia. The prognosis is favorable and the treatment is prospective.

Disgeusia/etiologia , Traumatismos Faciais/complicações , Traumatismos Faciais/cirurgia , Acidentes de Trânsito , Adulto , Humanos , Masculino
Oral Maxillofac Surg ; 20(2): 215-7, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26584947


The adenomatoid odontogenic tumor (AOT) is a painless benign tumor with slow growth, usually asymptomatic. It has three variants: follicular, extrafollicular, and peripheral. In the follicular type, the tumor is associated with an impacted tooth, and maxillary canines are the most frequently affected. Association with primary teeth is very rare. Treatment consists essentially in a total lesion enucleation. The objective of this paper is to present the clinical case of a 7-year-old female patient with an adenomatoid odontogenic tumor associated with the crown of the left lower deciduous canine (73), dislodging it to the mandibular base and consequently shifting and also impacting the permanent lower canine (33). The lesion was treated with careful enucleation, preserving the permanent canine, which then had its eruption path released favoring its migration to an ideal position.

Ameloblastoma/diagnóstico , Dente Canino , Neoplasias Mandibulares/diagnóstico , Dente Decíduo , Ameloblastoma/cirurgia , Criança , Dente Canino/cirurgia , Feminino , Humanos , Neoplasias Mandibulares/cirurgia , Coroa do Dente