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1.
J Oral Maxillofac Surg ; 80(1): 101-112, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34653372

RESUMO

PURPOSE: Secretory carcinoma (SC) of the salivary gland, formerly known as mammary analogue secretory carcinoma, is an uncommon and fairly newly described low grade malignant neoplasm of the salivary gland. Given the small number of cases reported in the literature to date, treatment guidelines are scarce. This study aimed to describe the clinical characteristics of SC, discuss prior management strategies, and provide recommendations for future treatment. METHODS: We performed a systematic review of all the cases of SC reported in the literature since it was first recognized in 2010. Using Pubmed, Crossref, and Google Scholar, we identified all articles reporting cases of SC. RESULTS: We identified 657 cases of SC in 109 articles. In addition, we provided 2 new cases, for a total of 659 cases in 110 articles. To our knowledge, this is the largest review of cases of SC in the literature to date. We summarized the clinical characteristics of SC, as well as the nodal status, clinical management, recurrence rate, and death rate. CONCLUSIONS: SC occurs on average in middle age (with a large age range), presents most often initially as localized disease without metastasis, and has a low but not insignificant recurrence rate. Deaths have been reported. The generalized recommendations for treatment of SC are in line with those of other low-grade salivary gland malignancies.


Assuntos
Neoplasias da Mama , Carcinoma , Carcinoma Secretor Análogo ao Mamário , Neoplasias das Glândulas Salivares , Feminino , Humanos , Pessoa de Meia-Idade , Glândulas Salivares
2.
N Y State Dent J ; 79(3): 43-5, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23767400

RESUMO

Desmoplastic fibroma (DF) is a benign but aggressive intraosseous tumor. These lesions are categorized as central tumors of bone. They are composed of small fibroblasts in a setting of abundant extracellular material, which is rich in collagen. DF represents fewer than 0.1% of all bony tumors. They can be found in any part of the skeleton. Based upon on our literature review, we believe this is the second reported case of desmoplastic fibroma occurring in the zygoma area.


Assuntos
Fibroma Desmoplásico/patologia , Neoplasias Cranianas/patologia , Zigoma/patologia , Adulto , Diagnóstico Diferencial , Fibroma Desmoplásico/complicações , Fibroma Desmoplásico/cirurgia , Fibrossarcoma/diagnóstico , Humanos , Masculino , Fraturas Orbitárias/complicações , Implantes Orbitários , Neoplasias Cranianas/complicações , Neoplasias Cranianas/cirurgia , Zigoma/cirurgia
3.
J Oral Maxillofac Surg ; 75(5): 884-885, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28238820

Assuntos
Cirurgiões
5.
N Y State Dent J ; 71(6): 36-41, 2005 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16447544

RESUMO

In the 21st century, most orofacial infections are routinely managed with proper clinical assessment, selective diagnostic imaging, appropriate antibiotic therapy and timely surgical intervention. A thorough understanding of contemporary microbiology, pharmacology and surgical anatomy will enable the clinician to minimize the morbidity and mortality of orofacial infections.


Assuntos
Infecções Bacterianas , Infecção Focal Dentária , Antibacterianos/uso terapêutico , Bactérias Anaeróbias/patogenicidade , Infecções Bacterianas/complicações , Infecções Bacterianas/microbiologia , Infecções Bacterianas/terapia , Abscesso Encefálico/etiologia , Abscesso Encefálico/cirurgia , Trombose do Corpo Cavernoso/etiologia , Trombose do Corpo Cavernoso/cirurgia , Fasciite Necrosante/etiologia , Fasciite Necrosante/cirurgia , Infecção Focal Dentária/complicações , Infecção Focal Dentária/microbiologia , Infecção Focal Dentária/terapia , Cocos Gram-Positivos/patogenicidade , Humanos , Angina de Ludwig/etiologia , Angina de Ludwig/cirurgia , Mediastinite/etiologia , Mediastinite/cirurgia
7.
N Y State Dent J ; 69(10): 28-30, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14974190

RESUMO

Infectious mediastinitis of odontogenic etiology is a rare occurrence in the United States. The mortality associated with descending necrotizing mediastinitis is estimated at 40% to 50%, even with advances made in management of such serious infections. The early diagnosis and aggressive treatment of odontogenic infections has made this entity relatively obsolete, but we have not been able to eliminate the disease process altogether. We report on a case that was managed successfully, albeit with a long, protracted course.


Assuntos
Infecção Focal Dentária/complicações , Mediastinite/etiologia , Dente Molar/cirurgia , Extração Dentária , Abscesso/etiologia , Feminino , Humanos , Doenças do Mediastino/etiologia , Pessoa de Meia-Idade , Derrame Pleural/etiologia , Abscesso Retrofaríngeo/etiologia
8.
Artigo em Inglês | MEDLINE | ID: mdl-22921447

RESUMO

PURPOSE: In this study, a 2.5-mm resorbable plating system (Inion CPS, Tampere Finland) was assessed for the fixation of mandibular fractures with 3 weeks of maxillomandibular fixation. PATIENTS AND METHODS: Fifty mandibular fractures in 34 patients (32 males, 2 females) with a mean of 20.8 days of maxillomandibular fixation (MMF) were included in this study. The 2.5-mm resorbable plates were adapted along Champy's line of ideal osteosynthesis and secured with four 8 × 2.5 mm monocortical resorbable screws. All patients were followed for a minimum of 6 weeks with an average long-term follow-up of 10 months. The incidence of soft tissue infection, nonunion, malunion, malocclusion, osteomyelitis, nerve injury, and tooth damage was prospectively assessed. RESULTS: Primary bone healing was achieved in 100% of cases. Ten minor complications (20%) were observed: 5 soft tissue infections (10%), 4 plate dehiscences (8%), and 1 malocclusion (2%). No evidence of malunion, nonunion, osteomyelitis, plate fracture, or iatrogenic dental or nerve injury was noted; no readmission or reoperation was necessary. CONCLUSION: The Inion 2.5-mm resorbable plating system along Champy's line of ideal osteosynthesis plus 3 weeks of MMF is a viable option for the treatment of mandible fractures.


Assuntos
Implantes Absorvíveis , Placas Ósseas , Fixação Interna de Fraturas/instrumentação , Técnicas de Fixação da Arcada Osseodentária , Fraturas Mandibulares/cirurgia , Adulto , Feminino , Consolidação da Fratura , Humanos , Masculino , Complicações Pós-Operatórias , Estudos Prospectivos , Radiografia Panorâmica , Resultado do Tratamento
9.
Oral Maxillofac Surg Clin North Am ; 23(4): 569-78, vii, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21982610

RESUMO

In the post-World War I antibiotic era, the prevalence of central nervous system (CNS) infections is estimated to be 1 per 100,000 population. The literature is replete with anecdotal case reports of CNS infections of apparent dental etiology. Conversely, it is widely cited that the incidence of CNS infection of dental etiology is only in the range of 1% to 2%. We seek to answer the question if dental infections really cause CNS infections. In this article, we focus on septic cavernous sinus thrombosis and brain abscess and if it is a diagnosis of exclusion or evidence-based.


Assuntos
Infecções Bacterianas do Sistema Nervoso Central/microbiologia , Infecção Focal Dentária/microbiologia , Antibacterianos/uso terapêutico , Abscesso Encefálico/microbiologia , Artéria Carótida Interna/anatomia & histologia , Seio Cavernoso/anatomia & histologia , Seio Cavernoso/inervação , Trombose do Corpo Cavernoso/microbiologia , Coinfecção/diagnóstico , Diagnóstico por Imagem , Drenagem , Encefalite/microbiologia , Humanos , Fatores de Risco , Infecções Estafilocócicas/diagnóstico , Técnicas Estereotáxicas , Infecções Estreptocócicas/diagnóstico
10.
J Oral Maxillofac Surg ; 63(12): 1737-41, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16297694

RESUMO

PURPOSE: In this study, a 2.0-mm locking miniplate (LMP)/screw system was assessed in the treatment of mandibular fractures with a 1-week period of maxillomandibular fixation (MMF). PATIENTS AND METHODS: Fifty mandibular fractures in 34 patients with a mean of 6.97 days of MMF were included in the study. The 2.0-mm LMPs were adapted along Champy's line of ideal osteosynthesis and secured with four 8.0-mm locking monocortical screws. All patients were followed for a minimum of 6 weeks. The incidence of soft tissue infections, nonunion, malunion, malocclusion, osteomyelitis, nerve injury, and tooth damage was prospectively assessed. RESULTS: Primary bone healing was achieved in 98% of cases. Three complications (6%) were observed. Two minor complications of intraoral wound dehiscence and malocclusion were noted. A fibrous nonunion requiring 3 additional weeks of MMF was noted. No evidence of malunion, osteomyelitis, plate fracture, iatrogenic nerve injuries, or dental injuries was noted. CONCLUSIONS: A single 2.0-mm LMP placed along Champy's line of ideal osteosynthesis with four 8-mm monocortical locking screws plus 1 week of MMF fixation is a reliable and effective treatment modality for mandibular fractures.


Assuntos
Placas Ósseas , Fixação Interna de Fraturas/instrumentação , Técnicas de Fixação da Arcada Osseodentária/instrumentação , Fraturas Mandibulares/cirurgia , Adolescente , Adulto , Parafusos Ósseos , Criança , Desenho de Equipamento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos
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