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Minerva Stomatol ; 60(1-2): 83-6, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21252852


Adenoid cystic carcinoma is a malignant tumor which occurs frequently in hard palate associated with minor salivary glands. The lesion generally presents as a painful slow growing mass and it is characterized by recurrences and distant metastasis resulting in a poor prognosis for the patient. This paper reports an atypical adenoid cystic carcinoma with palatal perforation which occurred in a young woman. Initial diagnostic hypothesis were necrotizing sialometaplasia and lues. Although adenoid cystic carcinoma is common in hard palate, cases with palatal perforation are uncommon and may lead to delay in diagnosis and therapy.

Carcinoma Adenoide Cístico/patologia , Palato Duro/patologia , Neoplasias das Glândulas Salivares/patologia , Glândulas Salivares Menores/patologia , Adulto , Carcinoma Adenoide Cístico/diagnóstico , Carcinoma Adenoide Cístico/diagnóstico por imagem , Diagnóstico Tardio , Feminino , Humanos , Cavidade Nasal/patologia , Invasividade Neoplásica , Prognóstico , Radiografia , Neoplasias das Glândulas Salivares/diagnóstico , Neoplasias das Glândulas Salivares/diagnóstico por imagem , Sialometaplasia Necrosante/diagnóstico , Sífilis/diagnóstico
Br Dent J ; 202(7): 368, 2007 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-17435703
Minerva Stomatol ; 55(7-8): 465-70, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17041546


A strong posteriorly directed force applied to the mandible resulting in fracture, can also displace the mandibular condyle towards the external auditory canal or superiorly against the mandibular fossa, causing its penetration into the middle cranial fossa or even the fracture of the temporal bone. We report the case of a 30-year-old male patient victim of a bicycle accident that developed facial expression muscles paralysis on the left side soon after the trauma. On physical examination he presented left side postauricular ecchymosis, diminished muscular tonus of the left mouth angle and difficulty to close the left eye, he did not present clinical signs of facial fractures. The neurological and CT scan examination revealed fracture of the left temporal bone with total facial expression muscles paralysis. The patient was referred to the neurosurgical team for evaluation and they opted for a conservative treatment. After 3 months the patient showed a marked improvement with almost normal facial expression muscle movements. The trauma dynamics and treatment details are discussed.

Doenças do Nervo Facial/etiologia , Paralisia Facial/etiologia , Traumatismos Mandibulares/complicações , Fraturas Cranianas/complicações , Osso Temporal/lesões , Adulto , Humanos , Masculino