Edwaldo Dourado

Odontogenic tumors: clinical and pathology study of 238 cases

UNLABELLED Odontogenic tumors are neoplasms that develops exclusively in the gnathic bones; they originate from odontogenic tissues, by epithelial or mesenchymal proliferation, or both. AIM To evaluate the incidence of odontogenic tumors in a specific institution, and to compare these findings with other studies in the literature. STUDY FORMAT: A cross-sectional cohort retrospective study. MATERIAL AND METHOD The sample was obtained from the files of patients with odontogenic tumors diagnosed between January 1992 and March 2007 (15 years). Cases in which the diagnosis could be adapted to the new World Health Organization (WHO) of 2005 were included. Data such as gender, age, anatomical site, histological type and symptomatology were analyzed. RESULTS Odontogenic tumors were 4.76% of all biopsied lesions within the studied period. The mean age was 30.7 years; 57% of the patients were male. The keratocystic odontogenic tumor was the most prevalent histological type (30%), followed by the ameloblastoma (23,7%). The rate of asymptomatic cases was 75.7%. CONCLUSION Odontogenic tumors occurred more frequently in females, in the second and third decades of life, and more commonly in the mandible; most cases were asymptomatic.

Tumores odontogênicos: estudo clínico-patológico de 238 casos

Os tumores odontogenicos sao neoplasias que se desenvolvem exclusivamente nos ossos gnaticos, originando-se dos tecidos odontogenicos por proliferacao de tecido epitelial, mesenquimal ou ambos. OBJETIVO: Avaliar a incidencia de tumores odontogenicos em determinada instituicao e comparar com outros estudos da literatura mundial. FORMA DE ESTUDO: Estudo de coorte transversal. MATERIAL E METODO: O material do estudo foi levantado a partir dos registros de pacientes com tumores odontogenicos, no periodo de janeiro de 1992 a marco de 2007 (15 anos). Foram incluidos os casos de pacientes que se enquadravam na Classificacao Histologica da Organizacao Mundial de Saude (OMS) de 2005. Foram analisados os indicadores genero, faixa etaria, localizacao anatomica, tipo histologico e presenca de sintomatologia. RESULTADOS: Os tumores odontogenicos constituiram 4,76% dentre todas as lesoes biopsiadas dentro do periodo estudado. A idade media dos pacientes foi de 30,7 anos, 57% dos pacientes eram do genero masculino. O tumor odontogenico ceratocistico foi o tipo histologico mais prevalente (30%), seguido do ameloblastoma (23,7%). Quanto a presenca de sintomatologia, 75,7% dos casos apresentaram-se assintomaticos. CONCLUSAO: Os tumores odontogenicos parecem ter discreta predilecao pelo genero feminino, segunda e terceira decadas de vida, sendo mais frequentes na mandibula e, na maioria dos casos apresentam-se assintomaticos.

Current Approach in the Management of Patients With Foreign Bodies in the Maxillofacial Region

The aim of the present study was to describe and discuss the gamut of current diagnostic and therapeutic modalities regarding impacted foreign bodies in the head and neck region, addressing xeroradiography, magnetic resonance imaging, computed tomography, and ultrasonography as diagnostic aids and stressing the importance of a multidisciplinary team in the treatment of such injuries. Considerations are also offered on the different types and forms of presentation of foreign bodies that may be impacted in the maxillofacial region and specific treatment methods.

Impacted foreign bodies in orbital region: review of nine cases

Orbital injuries with a foreign body may result in severe structural and functional damage to the eye or orbital contents. Management and prognosis depend on the composition and location of the foreign body and whether there is secondary infection. Metallic objects and glass are the most frequently encountered and well-tolerated, whereas organic foreign bodies can elicit an inflammatory reaction and lead to serious complications. Despite the modern imaging methods, it is often difficult to identify and locate organic intraorbital foreign bodies. This paper presents a review of nine cases of impacted foreign bodies in the orbital region and discusses the diagnosis and treatment of this kind of injury. The following data were collected: age, gender, etiology of injury, occurrence of fracture, anatomical location of fracture, type of object, signs and symptoms, type of imaging exam used, approach, transoperative complication and occurrence of death. Foreign body injuries in the orbital region can be treated with a combination of clinical suspicion, basic knowledge and diagnostic tests and depend on the skill and experience of the surgeon, thereby decreasing the surgical risk of iatrogenic injury in relation to the inherent risk of retaining an organic intraorbital foreign body.

Influence of helmet use in facial trauma and moderate traumatic brain injury victims of motorcycle accidents

Objective The objective of this research was to study the influence of the use of helmet in facial trauma victims of motorcycle accidents with moderate traumatic brain injury. Methods We retrospectively reviewed the incidence of facial injuries in helmeted and nonhelmeted victims with moderate traumatic brain injury at a referral trauma hospital. Results The sample consisted of 272 patients predominantly men (94.5%) and between 21 and 40 years old (62.9%). The majority of patients were using helmet (80.1%). The occurrence of facial fractures was most frequent for zygomatic bone (51.8%), followed by mandible (18.8%) and nasal bones (9.2%). Conclusions Individuals in the most productive age group are most affected, which causes a great loss to financial and labor systems. It is important to take measures to alert the public regarding the severity of injuries likely to occur in motorcycle-related accidents and ways to prevent them.

Tooth embedded in tongue following firearm trauma: report of two cases

Injuries caused by projectiles from firearms involve diverse patterns of dentoalveolar trauma due to the different types of wound and extent of tissue damage. This article reports two cases in which tooth fragments were embedded in the tongue following aggression from a firearm projectile in the facial region. Radiographs confirmed the presence of foreign bodies, which were surgically removed under local anesthesia. When dentoalveolar trauma occurs in facial injuries, both hard and soft tissues must be carefully examined to avoid overlooking embedded tooth fragments not located immediately in the soft tissue.

Horizontal maxillary osteotomy approach for resection of juvenile nasopharyngeal angiofibroma.

Juvenile angiofibroma is a benign fibroangiomatous tumor of relatively rare occurrence, developing most frequently in male adolescents. It has local characteristics of aggressiveness and expansion. The treatment of choice is surgical excision. In this article, the advantages and disadvantages of the surgical technique using the Le Fort I osteotomy are described, and the literature correlated with 2 case reports.

Snake bite envenomation in tongue.

Abstract Snake bite envenomation has considerable medical importance because of its frequency and severity. An updated standardization of diagnosis and treatment conduct is essential. At no time did the patient develop respiratory insufficiency, neurotoxicity, or renal failure. Tongue damage rapidly resolved after early and aggressive treatment. The preserved tongue remained well perfused and viable, and tongue mobility was good. The aim of the present study was to describe a rare case of snake bite envenomation in the tongue, emphasizing risk factors, the patient’s clinical evolution, and the importance of early, multidisciplinary treatment.