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3.
Arch Argent Pediatr ; 120(3): e132-e136, 2022 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-35533126

RESUMO

The ring-sling complex is an association between pulmonary artery sling and congenital tracheal stenosis. Pulmonary artery sling is a rare form of vascular ring in congenital heart disease. The clinical case of a child with inspiratory laryngeal stridor associated with respiratory distress is presented, evaluated in another center where respiratory endoscopy was performed, observing extrinsic tracheal compression. Given the clinical suspicion of a vascular ring, CT angiography was requested, confirming the diagnosis of pulmonary artery sling. He was referred to our hospital and during the surgical intervention a new respiratory endoscopy and tracheobronchography were performed, reaching the diagnosis of congenital tracheal stenosis, right accessory bronchus (pig bronchus) and complete vascular rings, both repaired in the same surgical act.


El complejo ring-sling es una asociación entre el sling de la arteria pulmonar y la estenosis traqueal congénita por anillos traqueales completos. El sling de la arteria pulmonar es una forma rara de anillo vascular dentro de las cardiopatías congénitas. Se presenta el caso clínico de un niño con estridor laríngeo asociado a dificultad respiratoria evaluado en otro centro, donde se realizó endoscopia respiratoria y se observó compresión traqueal extrínseca. Ante la sospecha clínica de anillo vascular, se solicitó angiotomografía computada (angioTC) y se confirmó diagnóstico de sling de arteria pulmonar. Fue derivado a nuestro hospital y durante la intervención quirúrgica se realizó nueva endoscopia respiratoria y traqueobroncografía. Se llegó al diagnóstico de estenosis traqueal congénita con bronquio derecho accesorio (pig bronchus) y anillos vasculares completos, ambos reparados en el mismo acto quirúrgico.


Assuntos
Broncopatias , Cardiopatias Congênitas , Doenças da Traqueia , Estenose Traqueal , Malformações Vasculares , Anel Vascular , Animais , Brônquios/anormalidades , Brônquios/cirurgia , Broncopatias/cirurgia , Criança , Constrição Patológica , Cardiopatias Congênitas/complicações , Humanos , Lactente , Masculino , Artéria Pulmonar/anormalidades , Suínos , Traqueia/anormalidades , Estenose Traqueal/diagnóstico , Estenose Traqueal/cirurgia , Malformações Vasculares/complicações , Anel Vascular/complicações
4.
Neurocirugia (Astur : Engl Ed) ; 33(3): 135-140, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35526944

RESUMO

Skull vault hemangiomas are benign vascular tumours of the calvaria that are usually asymptomatic or present as firm, painless lumps. We present a case of a 59-year-old female with a giant intraosseous calvarial hemangioma that was admitted in our department with a palpable mass over the left frontoparietal region, personality changes and impaired emotional and cognitive functions. The patient was treated with a two-step approach involving endovascular and surgical treatment, and suffered two rare, but recognized complications, a contrecoup intracerebral haemorrhage and valproate-induced stupor and parkinsonism. At the 6-month follow-up, the patient had complete recovery with a good neurological outcome.


Assuntos
Hemangioma Cavernoso , Hemangioma , Neoplasias Cranianas , Feminino , Hemangioma/complicações , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Hemangioma Cavernoso/patologia , Hemangioma Cavernoso/cirurgia , Humanos , Pessoa de Meia-Idade , Crânio/anormalidades , Crânio/diagnóstico por imagem , Crânio/patologia , Crânio/cirurgia , Neoplasias Cranianas/diagnóstico por imagem , Neoplasias Cranianas/patologia , Neoplasias Cranianas/cirurgia , Coluna Vertebral/anormalidades , Malformações Vasculares
5.
BMJ Case Rep ; 15(5)2022 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-35523517

RESUMO

Müllerian anomalies such as Robert's uterus, which was first described by the French gynaecologist Dr Helene Robert in 1969, are rare clinical entities and have been reported in <3% of the female population. Robert's uterus is a rare phenomenon with a relative dearth of reported cases. Affected individuals may present with pelvic pain and dysmenorrhoea that intensifies near menses or acutely, with severe abdominal pain to the emergency department. They are also associated with adverse pregnancy outcomes, abnormal fetal presentation, preterm labour, recurrent pregnancy loss and infertility. Although ultrasound has a role in its initial assessment, MRI is the best modality to further delineate its anatomy. It is typically managed via laparotomy and total horn resection, endometrectomy of the blind cavity or abdominal metroplasty. The authors present the case of a 40-year-old woman at 19+3 weeks gestation with acute onset of left-sided abdominal pain. A transvaginal ultrasound and MRI of the pelvis confirmed a Robert's uterus with a viable pregnancy in the upper left horn. She developed a ruptured horn with significant haemoperitoneum. An emergency laparotomy was performed and a non-viable fetus was evident. Only a few cases of pregnancy in the blind hemicavity have been reported so far. This case also highlights the importance of considering this diagnosis in young females presenting with dysmenorrhoea and normal menstrual flow. It is imperative to render a prompt diagnosis, as minimally invasive procedures may be more effective if detected before the formation of adnexal endometriomas.


Assuntos
Dismenorreia , Ductos Paramesonéfricos , Dor Abdominal , Adulto , Dismenorreia/etiologia , Feminino , Humanos , Recém-Nascido , Ductos Paramesonéfricos/anormalidades , Ductos Paramesonéfricos/cirurgia , Pelve , Gravidez , Útero/anormalidades , Útero/diagnóstico por imagem , Útero/cirurgia
6.
Am J Case Rep ; 23: e935537, 2022 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-35502126

RESUMO

BACKGROUND Gerbode defect is a defect that communicates the left ventricle (LV) to the right atrium (RA). Although it was originally identified as a congenital defect, it is becoming more common accepted that the lesion has either an iatrogenic or non-iatrogenic origin. In this article, the author presents an unusual diverticulated appearance of direct Gerbode defect in an adult patient without any prior history of cardiac pathology and the surgical technique used, hoping to increase awareness of similar cases. CASE REPORT A 46-year-old man presented with worsening shortness of breath and fatigue for 2 years. The patient's medical history was only significant for high blood pressure, with no previous cardiac abnormalities. No other metabolic syndrome was identified in this patient. There was no family history of congenital heart disease. Echocardiography showed a Gerbode defect with left-to-right shunt from LV to RA. The author found a diverticulated lesion around the area of the Gerbode defect intraoperatively, which raised a suspicion that the diverticulum may have initiated the Gerbode defect. CONCLUSIONS Congenital heart disease is currently one of the most common congenital diseases which require surgical intervention. The vast spectrum of severity in many congenital heart diseases makes the diagnosis and early recognition challenging, so many patients live with the condition undiagnosed until adulthood. Any abnormality which causes left-to-right shunting must be identified as early as possible to prevent further complications such as congestive heart failure.


Assuntos
Insuficiência Cardíaca , Comunicação Interventricular , Adulto , Ecocardiografia , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/cirurgia , Insuficiência Cardíaca/complicações , Comunicação Interventricular/diagnóstico por imagem , Comunicação Interventricular/cirurgia , Ventrículos do Coração/anormalidades , Humanos , Masculino , Pessoa de Meia-Idade
7.
Radiologia (Engl Ed) ; 64(2): 156-163, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35504681

RESUMO

Small-bowel atresias are among the most common causes of intestinal obstruction in newborns, and they often require urgent surgical treatment. Imaging techniques play a very important role in their diagnosis, which is often suspected on prenatal obstetric ultrasound and confirmed on postnatal plain-film X-rays. Abdominal ultrasound's lack of ionizing radiation, wide availability, low cost, and high resolution is making this technique increasingly important in confirming atresias and in detecting possible complications in newborns. This review analyzes a series of cases seen at our center. It summarizes the different types of small-bowel atresias, focusing on the clinical presentation, imaging findings on different modalities, presence of associated disease, management, clinical course, and outcomes.


Assuntos
Atresia Intestinal , Obstrução Intestinal , Feminino , Humanos , Recém-Nascido , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/etiologia , Intestino Delgado/anormalidades , Intestino Delgado/diagnóstico por imagem , Gravidez , Pesquisa
8.
Ugeskr Laeger ; 184(18)2022 May 02.
Artigo em Dinamarquês | MEDLINE | ID: mdl-35506621

RESUMO

Transmesenteric hernia (TMH) is a rare cause of small bowel obstruction. If left untreated, mortality rates are high. In this case report, the authors describe a case of TMH in a preterm neonate born at gestational age 36 + 1 with abdominal distention, subumbilical discolouration and difficulty breathing at birth. The neonate died shortly post-partum due to respiratory failure. Subsequent autopsy showed TMH with small bowel obstruction, distention, and necrosis. High-standing diaphragm with small lungs was the cause of death.


Assuntos
Obstrução Intestinal , Morte Perinatal , Adulto , Feminino , Humanos , Recém-Nascido , Hérnia Interna , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Intestino Delgado , Mesentério/anormalidades , Morte Perinatal/etiologia
9.
Andes Pediatr ; 93(1): 78-85, 2022 Feb.
Artigo em Espanhol | MEDLINE | ID: mdl-35506779

RESUMO

The presence of fetal megacystis in a renal ultrasound may suggest a mechanical or functional bladder outlet obstruction, an uncommon condition with a poor outcome. OBJECTIVE: To determine prog nostic factors in fetuses with prenatal diagnosis of megacystis. PATIENTS AND METHOD: Retrospective study carried out between 2003 and 2018 in the Orient Perinatal Reference Center (CERPO), Uni versity of Chile. Prenatal and postnatal data were analyzed, as well as etiology, pulmonary hypoplasia, medical and surgical treatment, mortality, renal function, and need for renal replacement therapy. The primary variable analyzed was survival at one year, and the secondary ones were renal function and predictors of survival. Statistical analysis was performed using the Mann-Whitney U tests or Fisher test, and a p < 0.05 was considered statistically significant. RESULTS: Twenty-five fetuses with prenatal diagnosis of megacystis were included. 52% of them presented oligohydramnios and 84% showed renal anomalies. Vesicocentesis was performed in 15 fetuses and vesicoamniotic shunt was performed in 5 cases. There were 6 intrauterine fetal deaths (24%) and, among the 19 live births, 9 died soon after birth (36%) and 1 died in the post-neonatal period due to a non-nephron-urological cause. Nine newborns survived by one year of age (36%), seven of them with associated nephron- urological anomaly, and two were healthy patients. Two patients developed chronic kidney disease. The presence of pulmonary hypoplasia was the only factor associated with increased perinatal mor tality (p<0.05) secondary to oligohydramnios in all cases. Oligohydramnios was not identified as a prognostic factor in this study. CONCLUSIONS: The prenatal diagnosis of megacystis comprises a wide spectrum of pathologies including conditions with a high perinatal mortality rate to healthy fetuses with transient enlarged bladder without nephron-urological pathology. The only factor associated with increased perinatal mortality was pulmonary hypoplasia.


Assuntos
Oligo-Hidrâmnio , Morte Perinatal , Anormalidades Urogenitais , Duodeno/anormalidades , Feminino , Doenças Fetais , Feto , Humanos , Recém-Nascido , Masculino , Oligo-Hidrâmnio/diagnóstico por imagem , Gravidez , Diagnóstico Pré-Natal , Estudos Retrospectivos , Bexiga Urinária/anormalidades
10.
Indian J Ophthalmol ; 70(5): 1612-1616, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35502037

RESUMO

Purpose: To determine the effect of depth of scleral tunnel incision measured by anterior segment OCT on postoperative corneal astigmatism by comparing the change of magnitude of corneal astigmatism between superficial and deep sclerocorneal tunnel incision in manual small-incision cataract surgery (SICS). Methods: Depths of sclerocorneal incision of 72 eyes of patients undergoing uncomplicated manual SICS and attending regular follow-up schedule were assessed with anterior segment OCT at 6-week post-op follow-up. Results: The overall mean ± standard deviation (SD) change of astigmatism for superficial incision, that is, ≤399 µm, was 0.44 ± 0.30 and that for deeper, that is, ≥400 µm, was 0.13 ± 0.48 and the change was significantly higher in ≤399 µm group than in ≥400 µm group (P = 0.003). In both superior and temporal incision locations, the mean ± SD change of astigmatism for ≤399 µm incision was 0.48 ± 0.29 and 0.40 ± 0.30, respectively, and that for ≥400 µm was 0.03 ± 0.34 and 0.23 ± 0.57, respectively. The change of astigmatism was significantly higher in ≤399 µm incision group overall (P = 0.003) and also higher in both superior and temporal incision location groups (P = 0.001 and P = 0.479, respectively). Conclusion: The depth of sclerocorneal incision had a statistically significant effect on the change of astigmatism following manual SICS, with superficial incision (≤399 µm) causing a higher change than deeper incision (≥ 400 µm).


Assuntos
Astigmatismo , Extração de Catarata , Catarata , Astigmatismo/diagnóstico , Astigmatismo/etiologia , Astigmatismo/cirurgia , Catarata/complicações , Catarata/diagnóstico , Extração de Catarata/efeitos adversos , Córnea/anormalidades , Córnea/cirurgia , Doenças da Córnea , Humanos
11.
Rom J Ophthalmol ; 66(1): 101-108, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35531449

RESUMO

Objective: The aim of this report was to present a rare case of apparently unilateral Peters anomaly and describe the clinical characteristics, surgical approach, and visual prognosis. Methods: We presented the case of a 7-year-old female patient with posterior corneal defect due to kerato-lenticular adhesions along with anterior dislocation and opacification of the lens in the left eye and a history of post-traumatic evisceration of the right eye. Systemic associations included mental underdevelopment, left torticollis and scoliosis. No family history of acquired or inherited diseases were determined. We performed cataract extraction in the left eye and opted for aphakia. Results: Based on clinical findings, we considered unilateral Peters anomaly type II. Cataract surgery slightly improved the visual acuity from hand moving to 20/ 400 UCVA (uncorrected visual acuity) and 20/ 100 with +10.0 diopters at 1 month postoperative. No enlargement of the corneal opacity was observed. Conclusions: In this case, we were able to diagnose Peters anomaly only in one eye. The diagnosis required long follow-up with periodic measurement of intraocular pressure (IOP) to early detect glaucoma. The complexity and uniqueness of the case relied on the difficult approach made by the cloudy cornea and anterior lens dislocation. We applied a combination of techniques including adhesiolysis, cataract extraction and anterior vitrectomy. Further interventions such as secondary IOL (intraocular lens) implantation or PKP (penetrating keratoplasty) will be taken into consideration after six-month and one-year postoperative follow-up. Abbreviations: PA = Peters anomaly, DM = Descemet's membrane, IOL = intraocular lens, VA = visual acuity, OVDs = ophthalmic viscosurgical devices, IOP = intraocular pression, PKP = penetrating keratoplasty, BCVA = best corrected visual acuity, UCVA = uncorrected visual acuity.


Assuntos
Opacidade da Córnea , Anormalidades do Olho , Segmento Anterior do Olho/anormalidades , Segmento Anterior do Olho/diagnóstico por imagem , Segmento Anterior do Olho/cirurgia , Criança , Opacidade da Córnea/diagnóstico , Opacidade da Córnea/cirurgia , Anormalidades do Olho/diagnóstico , Anormalidades do Olho/cirurgia , Feminino , Humanos , Estudos Retrospectivos
12.
Respir Res ; 23(1): 107, 2022 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-35501913

RESUMO

BACKGROUND: Pulmonary arteriovenous malformations (PAVMs) are rare but cause various manifestations. Although the diameter of feeding arteries has been linked to treatment decisions, relationships among the characteristics of PAVMs, clinical symptoms, and treatment effect remain unclear. The present study was performed to investigate how collective characteristics of PAVMs relate to clinical symptoms and to provide proper treatment recommendations for patients with PAVMs. METHODS: We retrospectively analysed 838,447 patients' radiographic data and medical records from January 2018 to December 2020. Patients were included if a PAVM was radiographically detected for the first time in our hospital. Ordered multivariable logistic regression and hierarchical multiple regression were performed to analyse the relationships between characteristics of PAVMs and various clinical symptoms. We investigated the management of PAVMs in four tertiary university hospitals. RESULTS: Detection rate of PAVMs was 0.025% (207/838,447), and 37.6% of patients (78/207) also had hereditary haemorrhagic telangiectasia. Eight patients were diagnosed with bilateral diffuse PAVMs. Two hundred thirty-six lesions were detected in 199 patients, and the mean diameter of the feeding artery was 4.13 ± 1.92 mm. Most PAVMs were the simple type and located in the peripheral pulmonary area. In total, 34.3% of patients (71/207) were symptom-free; remaining patients showed various manifestations, and respiratory symptoms were most common (dyspnoea on exertion, 47.8%). The diameter of the feeding artery and the type and the number of PAVMs were correlated with hypoxaemia (P < 0.001, P < 0.001, and P = 0.037, respectively). The collective characteristics of PAVMs were not related to the severity of central nervous system symptoms (largest diameter of feeding artery, P = 0.8; largest diameter of sac, P = 0.42; number of PAVMs, P = 0.35; type of PAVMs, P = 0.99). Various symptoms were greatly relieved after treatment. The hospital investigation showed that management of PAVMs was not generally appreciated in clinical practice. CONCLUSIONS: Our study revealed a low detection rate of PAVMs and a low degree of association with hereditary haemorrhagic telangiectasia in the general population. Considering the connection between collective characteristics of PAVMs and various clinical symptoms, clinicians should consider the type and number of PAVMs, the largest diameter of the feeding artery, and clinical symptoms when managing patients with PAVMs.


Assuntos
Malformações Arteriovenosas , Embolização Terapêutica , Telangiectasia Hemorrágica Hereditária , Fístula Arteriovenosa , Malformações Arteriovenosas/diagnóstico por imagem , Malformações Arteriovenosas/terapia , Humanos , Artéria Pulmonar/anormalidades , Artéria Pulmonar/diagnóstico por imagem , Veias Pulmonares/anormalidades , Estudos Retrospectivos , Telangiectasia Hemorrágica Hereditária/epidemiologia
13.
J Med Case Rep ; 16(1): 130, 2022 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-35365244

RESUMO

BACKGROUND: Uterine anomalies occur because of Müllerian duct maldevelopment. Few of them are associated with adverse obstetric outcome (Reyes-Muñoz et al. in Diagnostics. 2019;9:4. https://doi.org/10.3390/diagnostics9040149 ). Genital outflow tract obstructive uterine anomalies invariably present in the adolescent age group. CASE DETAILS: We report a case series of uterine anomalies. Ten such cases presented like a "cluster" within a short span of just one month. Eight of these ten cases were diagnosed intraoperatively during cesarean section. One case was diagnosed during laparoscopic sterilization, and the other case was diagnosed before doing manual vacuum aspiration. There were four cases of bicornuate uterus, two cases each of unicornuate uterus and uterine didelphys, and one case each of septate uterus and arcuate uterus. All eight babies were healthy and without any obvious congenital anomalies. To the best of the authors' knowledge, literature regarding these anomalies has been mentioned mostly as case reports (Bruand et al. in Cureus. 2020;12:3. https://doi.org/10.7759/cureus.7191 ) and a few case series (Ross et al. in BMJ Case Rep. 2018. https://doi.org/10.1136/bcr-2017-221815 ). All women were of Kannadiga ethnicity and in the age range of 19-35 years. They were from places nearby to our institute within a range of approximately 250 km. CONCLUSION: We describe herein almost all types of uterine anomalies. These rare uterine anomalies presented in a short span of just four weeks like a "cluster". This incidental finding is unusual. We need to design studies to understand the reasons for clustering of such cases in our clinical practice.


Assuntos
Cesárea , Anormalidades Urogenitais , Adolescente , Adulto , Feminino , Humanos , Ductos Paramesonéfricos/anormalidades , Gravidez , Anormalidades Urogenitais/cirurgia , Útero/anormalidades , Útero/cirurgia , Adulto Jovem
14.
Clin Podiatr Med Surg ; 39(2): 273-293, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35365326

RESUMO

Total ankle replacement (TAR) continues to increase in popularity as a motion-preserving option to ankle arthrodesis. TAR is indicated for primary, posttraumatic and inflammatory arthropathies as an alternative procedure to tibiotalar arthrodesis. Proper patient selection is paramount to a successful outcome in TAR. Contraindications to TAR include the presence of neuropathy, active infection, severe peripheral arterial disease, inadequate bone stock, and severe uncorrectable coronal plane deformity. This article is a brief overview of techniques and PEARLS on how to address a well-aligned ankle joint, varus deformity as well as valgus deformities as well as the authors' experience with single versus staging coronal plane deformities.


Assuntos
Artrite , Artroplastia de Substituição do Tornozelo , Tornozelo/cirurgia , Articulação do Tornozelo/anormalidades , Articulação do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/cirurgia , Artrite/cirurgia , Artroplastia de Substituição do Tornozelo/métodos , Humanos , Amplitude de Movimento Articular
15.
J Card Surg ; 37(6): 1720-1721, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35362156

RESUMO

We hereby present a case of tetralogy of Fallot with duplicated brachiocephalic vein having a preaortic and a subaortic component. We aim to highlight the role of computed tomography angiography in identifying these rare associations of tetralogy of Fallot.


Assuntos
Anormalidades Cardiovasculares , Tetralogia de Fallot , Anel Vascular , Angiografia , Veias Braquiocefálicas/anormalidades , Humanos , Tetralogia de Fallot/complicações , Tetralogia de Fallot/diagnóstico por imagem , Tetralogia de Fallot/cirurgia
16.
BMJ Case Rep ; 15(4)2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-35365469

RESUMO

Vitellointestinal duct anomalies, although one of the most frequent malformations to be found (2%-3% in population), they are most unlikely to cause symptoms. A persistent Vitellointestinal duct can induce abdominal pain, bowel obstruction, intestinal haemorrhage and umbilical sinus, fistula or hernia which commonly occurs in children. Patent vitellointestinal duct or persistent omphalomesenteric duct is a very unusual congenital anomaly which occurs in 2% of the population related to the embryonic yolk stalk. Similarly, urachal anomalies remain a rare finding, with the most common being a cyst or sinus followed by patent urachus and rarely a urachal diverticulum. Presenting symptoms include periumbilical discharge, pain and a palpable mass.Here, we report a case of an adult patient with patent vitellointestinal duct and urachus identified intraoperatively on diagnostic laparoscopy when being operated for umbilical hernia repair.


Assuntos
Hérnia Umbilical , Obstrução Intestinal , Divertículo Ileal , Úraco , Ducto Vitelino , Adulto , Criança , Hérnia Umbilical/complicações , Hérnia Umbilical/diagnóstico , Hérnia Umbilical/cirurgia , Humanos , Divertículo Ileal/diagnóstico , Divertículo Ileal/diagnóstico por imagem , Úraco/anormalidades , Úraco/cirurgia , Ducto Vitelino/anormalidades
17.
Salud Publica Mex ; 64(2): 209-217, 2022 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-35438930

RESUMO

OBJECTIVE: To investigate the association of high-risk hu-man papilloma virus (HR-HPV) and other risk factors with ocular surface squamous cell neoplasia (OSSN). MATERIALS AND METHODS: We obtained DNA from 22 fresh frozen OSSN tissues and 22 pterygia as controls, we used a broad-spectrum HPV DNA amplification short PCR fragment to identify HPV infection in all specimens and then genotyped HPV by a reverse hybridization line probe assay. We also obtained demographic, sun exposure, and tobacco consump-tion information. RESULTS: HR-HPV frequency was 40.9% in the OSSN group and 4.5% in the pterygia group (p=0.009). After covariate adjustment, OSSN was associated with HR-HPV (OR=16.3, 95%CI=1.2,218.1, p=0.03) and sunburn (OR=10.8, 95%CI=1.8,86.0, p=0.02). CONCLUSIONS: Ocular surface squamous cell neoplasia is a multifactorial disease. The strong association between HR-HPV and OSSN, suggests that HR-HPV could play an etiological role in OSSN development.


Assuntos
Alphapapillomavirus , Carcinoma de Células Escamosas , Neoplasias da Túnica Conjuntiva , Neoplasias Oculares , Infecções por Papillomavirus , Carcinoma de Células Escamosas/epidemiologia , Estudos de Casos e Controles , Túnica Conjuntiva/anormalidades , Neoplasias da Túnica Conjuntiva/complicações , Neoplasias da Túnica Conjuntiva/epidemiologia , Neoplasias Oculares/complicações , Neoplasias Oculares/epidemiologia , Humanos , México/epidemiologia , Infecções por Papillomavirus/complicações , Infecções por Papillomavirus/epidemiologia , Pterígio
18.
J Indian Soc Pedod Prev Dent ; 40(1): 90-93, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35439890

RESUMO

Talon's cusp, a type of dens evaginatus (DE) in a primary tooth, is a rare odontogenic anomaly which is reported sparingly in the literature. We report this case describing the presence of a talon's cusp on the right primary maxillary central incisor in a 2-year-old boy precipitating discomfort, owing to occlusal interference. The treatment plan involved pulpectomy and reduction of the lingula DE extension under general anesthesia.


Assuntos
Incisivo , Coroa do Dente , Pré-Escolar , Humanos , Incisivo/anormalidades , Incisivo/cirurgia , Masculino
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