Lesiones en Mucosa Oral Pesquisadas en un Servicio de Urgencia Hospitalario

J. Vázquez, A. Secchi, Felipe Astorga, Jorge Moreno, Pablo Amorín
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Abstract

: Multiple lesions and conditions that are far from normal can be expressed in the oral mucosa, which should be the subject of study and management in order to improve the prognosis of patients and their quality of life, sometimes being a reason for consultation in emergency services. A retrospective observational study was carried out with the emergency care data from the Barros Luco Trudeau Hospital, incorporating the consultations resulting from findings in the oral mucosa. Data from 121 patients, 54 men and 67 women between 12 and 84 years old, average 45 years old, were evaluated. Suspicion of malignant tumors grouped 24,8 % of the sample, being the lesions in tissues adjacent to the hard palate the most frequent within this subgroup, followed by pictures of Stomatitis and Gingivitis (21.5 %), Granulomas (20.7 %) and Hyperplasias and Fibrosis (14.9 %). The most affected tissues were the gingival with 47 cases (38.9 %) and the palatal with 39 cases (32.2 %). Our results are consistent with what is expressed in the literature where, in the adult population, findings associated with chronic tissue damage tend to be identified, with constant low intensity mechanical stimuli and association with base pathologies, while in first and second patients In the decade, traumatic and virus-associated injuries are more frequent. It is critical that professionals know the most frequent injuries to identify in the population, knowing their etiology and proper management, along with having a continuous work network, monitoring the case throughout the diagnostic process.
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在医院急诊服务中调查的口腔黏膜病变
口腔黏膜可以表现出多种病变和远不正常的状况,应成为研究和管理的主题,以改善患者的预后和生活质量,有时也应成为急诊咨询的理由。利用Barros Luco Trudeau医院的急诊护理数据进行了一项回顾性观察研究,并纳入了口腔黏膜检查结果的咨询。对121例患者的数据进行了评估,其中男性54例,女性67例,年龄在12 - 84岁之间,平均年龄45岁。疑似恶性肿瘤占24.8%,其中以硬腭附近组织病变最为常见,其次为口腔炎和牙龈炎(21.5%)、肉芽肿(20.7%)和增生和纤维化(14.9%)。以龈部(47例,38.9%)和腭部(39例,32.2%)为最。我们的结果与文献中所表达的一致,在成人人群中,与慢性组织损伤相关的发现往往被确定,持续的低强度机械刺激和与基础病理相关,而在第一次和第二次患者中,创伤性和病毒相关的损伤更常见。至关重要的是,专业人员要知道人群中最常见的伤害,了解其病因和适当的管理,同时要有一个连续的工作网络,在整个诊断过程中监测病例。
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