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1.
Am J Otolaryngol ; 41(2): 102371, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31917022

RESUMO

PURPOSE: The aim of this study was to illustrate and confirm that the complete intraoral excision of the sublingual gland alone, is anatomically the most rational approach, for the management of plunging ranula. MATERIAL AND METHODS: We retrospectively reviewed clinical charts of diagnosed HIV-infected patients presenting with plunging ranula. The intraoral approach was used for the complete excision of the sublingual gland with evacuation of the pseudocystic content only. Neither extra oral approach, nor ranula dissection / drainage was performed. The surgical procedure was performed using local anesthesia. Pre- and postoperative MRI-scan investigations were recorded. Histological reports were documented to confirm the diagnosis of oral mucocele. Patients were clinically monitored. RESULTS: We identified 90 adults presenting with oral mucocele, type ranula. Seventy (77%) of them were diagnosed with HIV infection. Plunging ranula was recorded in 35 (50%) patients from the latter group. The study enrolled 11 operated patients whose files contained useable data, including an acceptable follow-up period. The postoperative follow-up period ranged from three to 15 months. The clinical and postoperative MRI-scans of operated patients demonstrated satisfactory results. There were neither postoperative complications nor recurrence of ranula reported. CONCLUSION: The location of the sublingual gland in the floor of the mouth coupled with the physio-pathogenesis of the plunging ranula, makes the transoral complete excision of the offending gland, with the intraoral evacuation of the pseudocyst, anatomically the most rational approach for plunging ranula management. There is no need for cervical approach, ranula dissection and/or postoperative placement of drainage.


Assuntos
Mucocele/cirurgia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Rânula/cirurgia , Glândulas Salivares/anatomia & histologia , Glândulas Salivares/cirurgia , Seguimentos , Infecções por HIV/complicações , Humanos , Imagem por Ressonância Magnética , Mucosa Bucal , Mucocele/diagnóstico , Mucocele/etiologia , Mucocele/patologia , Rânula/diagnóstico , Rânula/etiologia , Rânula/patologia , Estudos Retrospectivos , Glândulas Salivares/diagnóstico por imagem
2.
Vet J ; 251: 105350, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31492387

RESUMO

Gallbladder mucocele (GBM) is a common extra-hepatic biliary syndrome in dogs with death rates ranging from 7 to 45%. Therefore, the aim of this study was to identify the association of survival with variables that could be utilized to improve clinical decisions. A total of 1194 dogs with a gross and histopathological diagnosis of GBM were included from 41 veterinary referral hospitals in this retrospective study. Dogs with GBM that demonstrated abnormal clinical signs had significantly greater odds of death than subclinical dogs in a univariable analysis (OR, 4.2; 95% CI, 2.14-8.23; P<0.001). The multivariable model indicated that categorical variables including owner recognition of jaundice (OR, 2.12; 95% CI, 1.19-3.77; P=0.011), concurrent hyperadrenocorticism (OR 1.94; 95% CI, 1.08-3.47; P=0.026), and Pomeranian breed (OR, 2.46; 95% CI 1.10-5.50; P=0.029) were associated with increased odds of death, and vomiting was associated with decreased odds of death (OR, 0.48; 95% CI, 0.30-0.72; P=0.001). Continuous variables in the multivariable model, total serum/plasma bilirubin concentration (OR, 1.03; 95% CI, 1.01-1.04; P<0.001) and age (OR, 1.17; 95% CI, 1.08-1.26; P<0.001), were associated with increased odds of death. The clinical utility of total serum/plasma bilirubin concentration as a biomarker to predict death was poor with a sensitivity of 0.61 (95% CI, 0.54-0.69) and a specificity of 0.63 (95% CI, 0.59-0.66). This study identified several prognostic variables in dogs with GBM including total serum/plasma bilirubin concentration, age, clinical signs, concurrent hyperadrenocorticism, and the Pomeranian breed. The presence of hypothyroidism or diabetes mellitus did not impact outcome in this study.


Assuntos
Doenças do Cão/diagnóstico , Doenças da Vesícula Biliar/veterinária , Hiperbilirrubinemia/veterinária , Mucocele/veterinária , Hiperfunção Adrenocortical/veterinária , Animais , Bilirrubina/sangue , Biomarcadores , Doenças do Cão/mortalidade , Doenças do Cão/cirurgia , Cães , Doenças da Vesícula Biliar/diagnóstico , Doenças da Vesícula Biliar/mortalidade , Doenças da Vesícula Biliar/cirurgia , Predisposição Genética para Doença , Hiperlipidemias/veterinária , Mucocele/diagnóstico , Mucocele/mortalidade , Mucocele/cirurgia , Estudos Retrospectivos , Resultado do Tratamento
3.
J. coloproctol. (Rio J., Impr.) ; 39(3): 258-261, June-Sept. 2019. ilus
Artigo em Inglês | LILACS | ID: biblio-1040324

RESUMO

ABSTRACT Introduction: Mucocele of the appendix is defined as the obstructive dilatation of the vermiform appendix by the abnormal accumulation of mucinous substance in its lumen. Imaging tests may be useful, but they commonly fail to evidence the etiology in question. Regarding the therapeutic approach, there are different options for treatment. Appendectomy was routinely used in simple cystadenomas, with good results. However, in cases of neoplasias, more aggressive resection is necessary, and the therapeutic course of choice is the right hemicolectomy. Case report: Patient presented to the surgery outpatient clinic with magnetic resonance imaging presenting an adnexal cyst of about 11.0 × 4.5 cm on the right. The patient had pain in the right iliac fossa for 6 months. Due to the radiological finding and persistence of the clinical picture, videolaparoscopy was performed, and an appendicular mass suggestive of mucocele was identified. A laparoscopic appendectomy was performed, with no signs of mucus extravasation. Histopathological analysis confirmed the diagnosis. Discussion: Mucocele is rarely diagnosed effectively in the preoperatively. In this context, imaging tests do rarely evidence such etiology. Given the importance of preoperative diagnosis for the definition of conduct, it is essential that this condition be always taken into account as a diagnostic hypothesis.


RESUMO Introdução: A mucocele do apêndice é definida como a dilatação obstrutiva do apêndice vermiforme pelo acúmulo anormal de substância mucinosa em seu lúmen. Os exames de imagem podem ser úteis, porém não raramente falham em evidenciar a etiologia em questão. Em relação à abordagem terapêutica, existem diferentes opções de conduta. A apendicectomia foi o tratamento rotineiramente utilizado em cistoadenomas simples, com bons resultados. Todavia, em casos de neoplasias, é necessária ressecção mais agressiva, sendo a conduta terapêutica a hemicolectomia direita. Relato de caso: Paciente compareceu ao ambulatório de cirurgia com ressonância magnética apresentando cisto anexial de cerca de 11,0 × 4,5 cm à direita. Apresentava quadro de dor em fossa ilíaca direita há 6 meses. Devido ao achado radiológico e persistência do quadro clínico foi realizado videolaparoscopia, sendo identificada massa apendicular sugestiva de mucocele. Foi realizada apendicectomia videolaparoscópica, sem extravasamento do conteúdo mucinoso. A análise histopatológica confirmou o diagnóstico. Discussão: A mucocele raramente é diagnosticada de maneira eficaz no pré-operatório. Neste contexto, os exames de imagem não raramente falham em evidenciar tal etiologia. Diante da importância do diagnóstico pré-operatório para a definição da conduta, é essencial que sempre se leve em conta tal afecção como uma hipótese diagnóstica.


Assuntos
Humanos , Feminino , Idoso , Apendicectomia , Laparoscopia , Mucocele/diagnóstico , Colectomia , Hipertensão
5.
Pan Afr Med J ; 32: 24, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31143329

RESUMO

Osteoblastoma is a rare benign bone tumor, accounting for 1% of all bone tumors. It mainly occurs in the long bones, more rarely in the jaws. Osteoblastoma of the jaws mainly involves the mandible while nasosinusal involvement is very rare. The diameter of the tumor can grow to 10 cm. On X-ray, the tumor may appear as a well or poorly defined clear lesion, usually scattered with mineral patches. Recurrence rate is very low after surgical resection as well as the risk of malignant transformation. We report the case of a 13-year old female patient presenting with nasal obstruction evolving over the last 3 months associated with episodes of epistaxis and left blurred vision. Clinical examination showed voluminous nasal concha with polyploid mucosa filling all the left nasal fossa with left axial exophthalmos. CT scan of the facial massif showed left frontoethmoidal expansive process measuring 50*47*36 mm, spontaneously hypodense, heterogeneous, non enhanced after injection of the Contrast materials, responsible for destruction of the ethmoidal labyrinth, swelling of the bony walls with mass effect on the ipsilateral orbit. The suspected diagnosis was frontoethmoidal mucocele. Hence, the decision to perform endonasal surgery. Whitish thick liquid was collected by the cranial portion of the middle nasal concha sugesting infected mucocele. Resection of the middle nasal concha was performed. The histological examination showed osteoblastoma of the middle nasal concha . Outcome was marked by regression of the exophthalmos with no recurrence during 1-year follow up period.


Assuntos
Neoplasias Ósseas/diagnóstico , Obstrução Nasal/etiologia , Neoplasias Nasais/diagnóstico , Osteoblastoma/diagnóstico , Adolescente , Neoplasias Ósseas/patologia , Neoplasias Ósseas/cirurgia , Exoftalmia/etiologia , Feminino , Seguimentos , Humanos , Mucocele/diagnóstico , Neoplasias Nasais/patologia , Neoplasias Nasais/cirurgia , Osteoblastoma/patologia , Osteoblastoma/cirurgia , Tomografia Computadorizada por Raios X/métodos
8.
Clin J Gastroenterol ; 12(6): 574-577, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30972709

RESUMO

Retaining the etiology of a cystic lesion in the right iliac fossa can be difficult. Appendicular hydatid cyst is a very uncommon cause of a such lesion. In some cases, diagnosis is not obvious. It can radiologically mimic an appendix mucocele, a complicated ovarian cyst, an appendicular lymphangioma or an abscess. Our case highlights the difficulties encountered in this kind of situation and despite the contribution of imaging. We present a case of a 75 years-old woman presented with a right lower quadrant continuous pain. Abdominal CT-scan revealed a multilocular cystic and hydro-aeric mass. The diagnosis of an appendiceal mucocele complicated with gelatinous peritonitis was suspected. An open debulking surgery with right hemicolectomy was performed. The pathological exam has concluded to an infected appendicular hydatid cyst with thick calcified walls. The aim of this work is to report a case of an appendicular hydatid cyst that has imitated an appendicular mucocele to discuss the importance of differential diagnostic reflections and the appropriate treatment.


Assuntos
Apêndice , Doenças do Ceco/diagnóstico , Equinococose/diagnóstico , Mucocele/diagnóstico , Dor Abdominal/etiologia , Idoso , Diagnóstico Diferencial , Feminino , Humanos
9.
Cient. dent. (Ed. impr.) ; 16(1): 55-58, ene.-abr. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-183382

RESUMO

El objetivo de este trabajo es conocer las principales técnicas para el tratamiento de la ránula sublingual, llevando a cabo una revisión de la literatura existente a propósito de un caso clínico. Con respecto al caso clínico se trata de una paciente mujer de 20 años que acude a consulta por aumento de tamaño del suelo de la boca de unos 3x5 cm. Al realizar la resonancia magnética, se observa una lesión quística en la región sublingual derecha. Se planifica cirugía de escisión radical, extirpando la glándula sublingual derecha y la lesión. Se pauta como tratamiento antibiótico amoxicilina-ác. clavulánico 875/125 mg y antiinflamatorio metilprednisolona 40 mg y dexketoprofeno 50 mg. Como conclusión la técnica más utilizada, hoy en día, es la cirugía radical, seguida de la micromarsupialización y técnicas modernas mínimamente invasivas


The objective of this study is to know the main techniques for the treatment of the sublingual ranula, through a literature review about a clinical case. With regard to the clinical case, this is a 20 year old female patient present at medical clinic for an increase size of the floor of the mouth of about 3x5cm. When performing a magnetic resonance, observe a cystic lesion in the right sublingual region. Radical excision surgery planned, removing the right sublingual gland and the lesion. It is prescribed as antibiotic treatment amoxicillin-clavulanic acid 875/125 mg and anti-inflammatory methylprednisolone 40 mg and dexketoprofene 50 mg. In conclusion, the most used technique, nowadays, is the radical surgery, followed by the micromarsupialisation and minimally invasive modern technique


Assuntos
Humanos , Feminino , Adulto Jovem , Rânula/diagnóstico por imagem , Rânula/cirurgia , Mucocele/diagnóstico , Mucocele/cirurgia , Imagem por Ressonância Magnética
10.
BMJ Case Rep ; 12(3)2019 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-30898953

RESUMO

Mucocele of paranasal sinuses commonly affects frontal or frontoethmoidal air cells. With the evolution of endoscopic sinus surgery, the endoscopic marsupialisation has become the standard of care for these lesions. However, the external approach still has a role in selected cases of frontal sinus mucocele. The location of the mucocele and its communication with the natural outflow tract of the frontal sinus are some of the critical factors to be considered while choosing the surgical approach. We have discussed the management of three cases of frontal mucoceles having different locations and one of them having intervening septa. We emphasise that the successful management of far laterally located mucoceles and those with laterally situated septation require an external approach in conjunction with endoscopic marsupialisation.


Assuntos
Drenagem/métodos , Seio Frontal/diagnóstico por imagem , Mucocele/diagnóstico , Doenças dos Seios Paranasais/diagnóstico , Adulto , Idoso , Endoscopia , Feminino , Seio Frontal/patologia , Humanos , Imagem por Ressonância Magnética , Masculino , Mucocele/patologia , Mucocele/cirurgia , Doenças dos Seios Paranasais/patologia , Doenças dos Seios Paranasais/cirurgia , Tomografia Computadorizada por Raios X
11.
Med Oral Patol Oral Cir Bucal ; 24(2): e231-e235, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30818316

RESUMO

BACKGROUND: Oral mucocele is the most common minor salivary gland lesion with good prognosis after surgical removal. However, its recurrence is not rare, sometimes bothersome. This study aimed to identify the possible predictive variables affecting the recurrence rate of oral mucocele. MATERIAL AND METHODS: The histoclinical data of 164 patients diagnosed with oral mucocele were retrospectively obtained by reviewing dental records. The predictive variables for its recurrence were identified by analyzing its recurrence rate according to clinical variables. RESULTS: The recurrence rate showed the significant differences according to location and age. Oral mucocele recurred with significantly higher frequency on the ventral mucosa of tongue (50.0%) than on the labial/buccal mucosa (8.8%). Its recurrence was significantly more common in the younger patients (aged < 30 years, 16.0%) than in the older patients (aged > 30 years, 4.4%). However, there was no significant difference in recurrence rates between surgical procedures using scalpels and those using lasers. CONCLUSIONS: Patients with oral mucocele should be more carefully informed of its possible recurrence, especially when it is found on the ventral surface of the tongue or in a younger population.


Assuntos
Mucocele/diagnóstico , Mucocele/patologia , Adolescente , Adulto , Biópsia , Criança , Feminino , Humanos , Terapia a Laser , Lábio/patologia , Masculino , Mucosa Bucal/patologia , Recidiva , Estudos Retrospectivos , Doenças das Glândulas Salivares/diagnóstico , Doenças das Glândulas Salivares/patologia , Doenças das Glândulas Salivares/cirurgia , Glândulas Salivares Menores/patologia , Língua/patologia , Doenças da Língua/patologia , Adulto Jovem
13.
Am J Case Rep ; 20: 78-82, 2019 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-30659166

RESUMO

BACKGROUND Left-sided acute appendicitis, although well described in the literature, is still an easily missed diagnosis. Midgut malrotation and situs inversus are 2 known leading conditions that contribute to misdiagnosis of appendicitis. CASE REPORT Here is the case of a 27-year-old male without any previous medical history, who presented with left lower quadrant tenderness and was misdiagnosed with gastroenteritis as an outpatient and sent home; the patient presented the next day to the emergency department where he was found to have acute appendicitis with situs inversus. He underwent laparoscopic appendectomy where a phlegmon was identified. Pathology came back as peri-appendiceal mucocele with no signs of malignancy. CONCLUSIONS This case report aimed to revisit the idea of left-sided acute appendicitis and discuss the management of a perforated appendiceal mucocele contained by a phlegmon.


Assuntos
Dor Abdominal/etiologia , Apendicite/diagnóstico , Situs Inversus/diagnóstico , Adulto , Erros de Diagnóstico , Gastroenterite/diagnóstico , Humanos , Masculino , Mucocele/diagnóstico
14.
Emerg Med Clin North Am ; 37(1): 55-68, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30454780

RESUMO

Soft tissue disorders of the mouth encompass a wide expanse of pathophysiology. This article focuses on the identification, etiology, management, and complications of common infectious processes (candidiasis, dental caries, and herpes labialis), inflammatory lesions (sialolithiasis, oral lichen planus, and aphthous ulcer), and benign entities (bony tori and mucocele).


Assuntos
Doenças da Boca/diagnóstico , Candidíase Bucal/diagnóstico , Candidíase Bucal/tratamento farmacológico , Cárie Dentária/diagnóstico , Cárie Dentária/terapia , Emergências , Herpes Labial/diagnóstico , Herpes Labial/tratamento farmacológico , Humanos , Leucoplasia Oral/diagnóstico , Leucoplasia Oral/terapia , Líquen Plano Bucal/diagnóstico , Líquen Plano Bucal/terapia , Doenças da Boca/terapia , Mucocele/diagnóstico , Mucocele/terapia , Cálculos das Glândulas Salivares/diagnóstico , Cálculos das Glândulas Salivares/terapia , Estomatite Aftosa/diagnóstico , Estomatite Aftosa/terapia
16.
J Small Anim Pract ; 60(1): 58-61, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29235670

RESUMO

A 10-year-old neutered female soft-coated wheaten terrier and a 10-year-old, entire female Pomeranian were presented for vomiting and anorexia. Using ultrasound, an oval structure with a stellate, kiwifruit-like appearance typical of a gall bladder mucocoele was observed in the caudal abdomen of the soft-coated wheaten terrier and adjacent to the liver in the Pomeranian. There was also a moderate volume of abdominal effusion in both dogs. Cytology of the peritoneal fluid indicated a sterile exudative process but varied between the two dogs, with an absence of bile pigment in the soft-coated wheaten terrier and marked bile peritonitis in the Pomeranian. An entire free-floating ectopic mucocoele was confirmed via exploratory laparotomy with concomitant gall bladder rupture and common bile duct obstruction. Both dogs recovered completely after surgery. This is the first report of cases of gall bladder rupture with entire free-floating gall bladder mucocoeles in dogs.


Assuntos
Doenças da Vesícula Biliar/veterinária , Vesícula Biliar/patologia , Mucocele/cirurgia , Ruptura/veterinária , Animais , Doenças do Cão/diagnóstico , Doenças do Cão/cirurgia , Cães , Feminino , Vesícula Biliar/cirurgia , Doenças da Vesícula Biliar/diagnóstico , Doenças da Vesícula Biliar/cirurgia , Mucocele/diagnóstico , Peritonite/veterinária , Ruptura/cirurgia , Ultrassonografia/veterinária
17.
J Cancer Res Ther ; 14(6): 1355-1360, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30488856

RESUMO

Aims: Appendiceal mucocele (AM) is a rare pathology, and its reported incidence is 0.3% in all appendectomy specimens. Here, we report a case series of AM and make a brief review of literature. Subjects and Methods: We conducted a retrospective review of a prospectively collected data of patients who diagnosed as AM by histopathological evaluation between January 2009 and June 2015 were demographic data including age and gender, intraoperative findings, and histopathological reports were recorded. All cases were followed-up by routine examination and telephone interview. Statistical Analysis Used: Definitive statistical methods (mean, standard deviation, median, frequency, and percentage) were used to evaluate the study data. Results: Twelve patients were examined in the study with diagnose of AM. The mean age was 51.8 ± 18.6 years (26-83). Female-to-male ratio was 1.4 (7/5). Indications for surgery were acute abdomen in 8 (72.7%) patients with presumptive diagnosis of acute appendicitis and were AM in four patients diagnosed by imaging. Histopathological evaluation revealed mucinous cystadenoma in eight patients, simple retention cysts in three, and borderline mucinous tumor (pseudomyxoma peritonei) in one. The neuroendocrine tumor was obtained on the remaining portion of the appendix in one of the simple retention cysts patients. None of the patients died because of the AM with an average follow-up of 43 months (range: 7-74). Conclusions: Surgical resection is the first choice therapy for AM. Precise treatment modality can remain unclear in some patients because of insufficient preoperative diagnosis. It is nonmalign AM mostly however having mucocele matters because of the significant association with synchronous tumors.


Assuntos
Apendicite/diagnóstico , Apendicite/patologia , Apêndice/patologia , Mucocele/diagnóstico , Mucocele/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Apendicectomia/métodos , Neoplasias do Apêndice/diagnóstico , Neoplasias do Apêndice/patologia , Apendicite/cirurgia , Apêndice/cirurgia , Cistadenoma Mucinoso/diagnóstico , Cistadenoma Mucinoso/patologia , Cistadenoma Mucinoso/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mucocele/cirurgia , Estudos Prospectivos , Estudos Retrospectivos
18.
Ann Otol Rhinol Laryngol ; 127(11): 864-869, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30187776

RESUMO

OBJECTIVE: Describe a novel treatment approach to a rare bony neoplasm in the frontal sinus. STUDY DESIGN: Case report. METHODS: Retrospective chart review of an osteoblastoma of the frontal sinuses complicated by a right orbital mucocle. Demographic, endoscopic, radiographic, pathologic, and surgical data were collected for synthesis and review. MEDLINE, Embase, and Cochrane databases were searched from 1977 to 2017 to review publications of surgical management of frontal sinus neoplasms. RESULTS: A single female patient with a large frontal sinus osteoblastoma was successfully treated with a bilateral transorbital and transnasal approach. The right orbital mucocele was marsupialized into the frontal sinus. Gross total resection of the tumor was achieved, with complete resolution of the presurgical morbidity. The surgery was tolerated well without iatrogenic injury or sequela. CONCLUSION: Frontal sinus osteoblastoma is a rare condition. Complete surgical excision is considered curative. Various endoscopic and open approaches have been described. Here we show the feasibility and efficacy of a multiportal strategy in the successful management of a large frontal sinus osteoblastoma complicated by a right orbital mucocele.


Assuntos
Endoscopia , Seio Frontal , Mucocele/cirurgia , Órbita , Osteoblastoma/cirurgia , Neoplasias dos Seios Paranasais/cirurgia , Feminino , Humanos , Mucocele/diagnóstico , Osteoblastoma/diagnóstico , Neoplasias dos Seios Paranasais/diagnóstico , Tomografia Computadorizada por Raios X , Adulto Jovem
19.
J Craniofac Surg ; 29(6): 1655-1656, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30015745

RESUMO

Ocular hypertelorism was introduced by Greig as an increased interpupillary distance. The paranasal sinus mucoceles are acquired lesions for various reasons; however, their behavior is progressive, capable of eroding the bone and extending to the orbital and intracranial regions. The objective is to present a clinical case of orbital hypertelorism secondary to mucocele in the paranasal sinuses. This is a 72-year-old male patient who came presenting an increase in volume in the right nasoorbitoethmoidal region. The isodense lesion occupying the maxillary and right ethmoidal sinuses was confirmed by an intimate relationship with the ipsilateral frontal and sphenoidal sinus, with osteolytic involvement of the orbit and nasal region. After incisional biopsy with mucocele results, a wide resection plus facial reconstruction was performed with autologous grafts and osteosynthesis material. Currently, the patient has 1 year of evolution, without significant functional commitment. It is important to consider giant mucoceles as part of the differential diagnoses in patients with deformities in the middle and upper third of the face.


Assuntos
Seio Etmoidal , Seio Frontal , Hipertelorismo , Mucocele , Órbita , Procedimentos Cirúrgicos Reconstrutivos/métodos , Seio Esfenoidal , Idoso , Autoenxertos/patologia , Diagnóstico Diferencial , Dissecação/métodos , Seio Etmoidal/diagnóstico por imagem , Seio Etmoidal/patologia , Seio Etmoidal/cirurgia , Feminino , Seio Frontal/diagnóstico por imagem , Seio Frontal/patologia , Seio Frontal/cirurgia , Humanos , Hipertelorismo/diagnóstico , Hipertelorismo/etiologia , Hipertelorismo/cirurgia , Masculino , Pessoa de Meia-Idade , Mucocele/complicações , Mucocele/diagnóstico , Mucocele/cirurgia , Órbita/diagnóstico por imagem , Órbita/patologia , Órbita/cirurgia , Doenças dos Seios Paranasais/cirurgia , Seios Paranasais/diagnóstico por imagem , Seios Paranasais/patologia , Seio Esfenoidal/diagnóstico por imagem , Seio Esfenoidal/patologia , Seio Esfenoidal/cirurgia , Resultado do Tratamento
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