Pub Date : 2023-01-01DOI: 10.20986/recom.2023.1420/2023
Raúl González García
{"title":"Células madre en cirugía mínimamente invasiva de la articulación temporomandibular","authors":"Raúl González García","doi":"10.20986/recom.2023.1420/2023","DOIUrl":"https://doi.org/10.20986/recom.2023.1420/2023","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68158130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.20986/recom.2023.1448/2023
Sergio Gutiérrez, Pablo Navarro Wike, F. Donoso-Hofer
Malignant neoplasms of lymphoid origin correspond to a complex group of diseases whose diagnosis is difficult since it requires the application of immunohistochemical tests, an exhaustive analysis by the histopathological team as well as a representative sample of the tissue to be examined. We present the case of a patient previously diagnosed with non-Hodgkin's lymphoma type T, with clinical manifestation in the oral cavity, who presented a poor response to the initial chemotherapeutic scheme. Due to the therapeutic failure, new biopsies and immunohistochemical analysis were requested, being the oral cavity sample the one that confirmed the diagnosis, this time correctly, of T-cell lymphoblastic lymphoma, thus modifying the initial therapeutic scheme to one of greater intensity, achieving a favorable evolution of the disease. The present article corresponds to the first case of T-cell lymphoblastic lymphoma with maxillary location reported in the literature. It emphasizes the diagnostic difficulty of the different types of lymphomas and highlights the importance of complementary examinations to achieve a correct diagnosis and management of this pathology.
{"title":"Manifestación oral de Linfoma Linfoblástico de Células-T: Un caso inusual y desafiante.","authors":"Sergio Gutiérrez, Pablo Navarro Wike, F. Donoso-Hofer","doi":"10.20986/recom.2023.1448/2023","DOIUrl":"https://doi.org/10.20986/recom.2023.1448/2023","url":null,"abstract":"Malignant neoplasms of lymphoid origin correspond to a complex group of diseases whose diagnosis is difficult since it requires the application of immunohistochemical tests, an exhaustive analysis by the histopathological team as well as a representative sample of the tissue to be examined. We present the case of a patient previously diagnosed with non-Hodgkin's lymphoma type T, with clinical manifestation in the oral cavity, who presented a poor response to the initial chemotherapeutic scheme. Due to the therapeutic failure, new biopsies and immunohistochemical analysis were requested, being the oral cavity sample the one that confirmed the diagnosis, this time correctly, of T-cell lymphoblastic lymphoma, thus modifying the initial therapeutic scheme to one of greater intensity, achieving a favorable evolution of the disease. The present article corresponds to the first case of T-cell lymphoblastic lymphoma with maxillary location reported in the literature. It emphasizes the diagnostic difficulty of the different types of lymphomas and highlights the importance of complementary examinations to achieve a correct diagnosis and management of this pathology.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68158547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.20986/recom.2023.1457/2023
Pablo Cea Arestín, Arturo Bilbao Alonso, J. A. Antúnez López, J. Seoane Lestón
{"title":"Glomus tumour of the masticatory space mimicking mandibular pathology","authors":"Pablo Cea Arestín, Arturo Bilbao Alonso, J. A. Antúnez López, J. Seoane Lestón","doi":"10.20986/recom.2023.1457/2023","DOIUrl":"https://doi.org/10.20986/recom.2023.1457/2023","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68158637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.20986/recom.2023.1442/2023
Raúl González García
{"title":"Complicaciones de la artroscopia de la articulación temporomandibular","authors":"Raúl González García","doi":"10.20986/recom.2023.1442/2023","DOIUrl":"https://doi.org/10.20986/recom.2023.1442/2023","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68158616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.20986/recom.2022.1296/2021
Mandeep Sharma, A. George, Prasanna Kumar, S. Kulkarni, V. Patil, Jacob JOHN PLACKAL
Introduction: patients encountered in practice and exodontia procedures. Possibility of cardiovascular complications can be anticipated in these patients. This study compares blood pressure, heart rate, and peripheral capillary oxygen saturation, in normotensive and hypertensive patients prior to, during and after dental extractions. Patients and methods: A prospective comparative study was carried out in 100 (N = 100) patients between the age group of 40-70 years. 50 patients diagnosed with Stage I hypertension and 50 patients who were normotensives, requiring extraction of tooth were recruited. They were further divided into four groups namely, A, B, C and D, each consisting of 25 (n = 25). Group A included patients with controlled hypertension who were administered local anesthesia with epinephrine, while Group B had patients with controlled hypertension who were administered local anesthesia without epinephrine. Group C had normotensive patients who were administered local anesthesia with epinephrine and normotensive patients who were administered local anesthesia without epinephrine were under group D. The patients were evaluated at preoperative, intra operatively and post-operative interval for blood pressure, heart rate and peripheral oxygen saturation. Results: The sample consisted of 42 males and 58 females with a mean age of 42.6, 49.9, 40.6 and 31.6 years in group A, B, C and D respectively. Both systolic and diastolic blood pressure was increased after administration of anesthetic in all four group and decreased lower than baseline level after the surgical procedure. Heart rate was also found to be increased in all groups. A significant difference in peripheral oxygen saturation levels between group A and group B was observed post operatively. Conclusion: The use of epinephrine in local anesthetics have no significant role in altering the blood pressure and heart rate of hypertensive as well as normotensive patients .
{"title":"Hemodynamic changes during exodontia in hypertensive and normotensive patients following injection of local anesthetics with and without epinephrine: a prospective comparative study","authors":"Mandeep Sharma, A. George, Prasanna Kumar, S. Kulkarni, V. Patil, Jacob JOHN PLACKAL","doi":"10.20986/recom.2022.1296/2021","DOIUrl":"https://doi.org/10.20986/recom.2022.1296/2021","url":null,"abstract":"Introduction: patients encountered in practice and exodontia procedures. Possibility of cardiovascular complications can be anticipated in these patients. This study compares blood pressure, heart rate, and peripheral capillary oxygen saturation, in normotensive and hypertensive patients prior to, during and after dental extractions. Patients and methods: A prospective comparative study was carried out in 100 (N = 100) patients between the age group of 40-70 years. 50 patients diagnosed with Stage I hypertension and 50 patients who were normotensives, requiring extraction of tooth were recruited. They were further divided into four groups namely, A, B, C and D, each consisting of 25 (n = 25). Group A included patients with controlled hypertension who were administered local anesthesia with epinephrine, while Group B had patients with controlled hypertension who were administered local anesthesia without epinephrine. Group C had normotensive patients who were administered local anesthesia with epinephrine and normotensive patients who were administered local anesthesia without epinephrine were under group D. The patients were evaluated at preoperative, intra operatively and post-operative interval for blood pressure, heart rate and peripheral oxygen saturation. Results: The sample consisted of 42 males and 58 females with a mean age of 42.6, 49.9, 40.6 and 31.6 years in group A, B, C and D respectively. Both systolic and diastolic blood pressure was increased after administration of anesthetic in all four group and decreased lower than baseline level after the surgical procedure. Heart rate was also found to be increased in all groups. A significant difference in peripheral oxygen saturation levels between group A and group B was observed post operatively. Conclusion: The use of epinephrine in local anesthetics have no significant role in altering the blood pressure and heart rate of hypertensive as well as normotensive patients .","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68155056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.20986/recom.2022.1360/2022
Daniel Briones Sindermann, Carlos Ulloa Luchsinger, Juan Pablo Deramond Diaz, Maria Antonieta Inostroza Herrera
Presentamos un paciente de 66 años en tratamiento por múltiples episodios hemorrágicos digestivos, derivada al Servicio de Cirugía Oral y Maxilofacial del Hospital de Carabineros de Santiago de Chile debido a la presencia de lesiones vasculares intraorales. Se diagnostican inicialmente como lesiones metastásicas de un tumor estromal gastrointestinal, siendo el diagnóstico histopatológico final de un angiosarcoma agresivo y diseminado. La presentación clínica de este tipo de lesiones dificulta el diagnóstico definitivo y, en consecuencia, el manejo de este tipo de pacientes. Palabras ABSTRACT Oral angiosarcoma is a rare endothelial tumour that requires to be included as a differential diagnosis of several similar lesions due to its clinical presentation. We present a 66-year-old patient undergoing treatment for multiple digestive bleeding episodes, referred to the oral and maxillofacial surgery service of the Hospital de Carabineros de Santiago de Chile due to the presence of intraoral vascular lesions initially diagnosed as metastatic lesions of a gastrointestinal stromal tumour, with the final histopathological diagnosis being an aggressive and disseminated angiosarcoma. The clinical presentation of these lesions makes the diagnosis and, consequently, the management of this type of patient difficult.
本文介绍了一名66岁的患者，由于口腔内血管病变的存在，在智利圣地亚哥Carabineros医院的口腔颌面外科转诊。它们最初被诊断为胃肠道间质肿瘤的转移性病变，最终的组织病理学诊断为侵袭性和弥漫性血管肉瘤。这种类型的病变的临床表现阻碍了明确的诊断，从而阻碍了这类患者的管理。口腔血管肉瘤是一种罕见的内皮肿瘤，由于其临床表现，需要将其作为几个类似病变的鉴别诊断。我们目前a 66-year-old patient undergoing待遇for multiple digestive bleeding⑵,提到to the口语及maxillofacial surgery service of the武警医院智利圣地亚哥因在场口内血管lesions initially所指as metastatic lesions of a胃肠道stromal tumour, with the final histopathological being an发布and诊断从而angiosarcoma。= =地理= =根据美国人口普查，这个县的总面积为，其中土地和(2.641平方公里)水。
{"title":"Angiosarcoma metastásico de la cavidad oral: A propósito de un caso.","authors":"Daniel Briones Sindermann, Carlos Ulloa Luchsinger, Juan Pablo Deramond Diaz, Maria Antonieta Inostroza Herrera","doi":"10.20986/recom.2022.1360/2022","DOIUrl":"https://doi.org/10.20986/recom.2022.1360/2022","url":null,"abstract":"Presentamos un paciente de 66 años en tratamiento por múltiples episodios hemorrágicos digestivos, derivada al Servicio de Cirugía Oral y Maxilofacial del Hospital de Carabineros de Santiago de Chile debido a la presencia de lesiones vasculares intraorales. Se diagnostican inicialmente como lesiones metastásicas de un tumor estromal gastrointestinal, siendo el diagnóstico histopatológico final de un angiosarcoma agresivo y diseminado. La presentación clínica de este tipo de lesiones dificulta el diagnóstico definitivo y, en consecuencia, el manejo de este tipo de pacientes. Palabras ABSTRACT Oral angiosarcoma is a rare endothelial tumour that requires to be included as a differential diagnosis of several similar lesions due to its clinical presentation. We present a 66-year-old patient undergoing treatment for multiple digestive bleeding episodes, referred to the oral and maxillofacial surgery service of the Hospital de Carabineros de Santiago de Chile due to the presence of intraoral vascular lesions initially diagnosed as metastatic lesions of a gastrointestinal stromal tumour, with the final histopathological diagnosis being an aggressive and disseminated angiosarcoma. The clinical presentation of these lesions makes the diagnosis and, consequently, the management of this type of patient difficult.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68156340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.20986/recom.2022.1329/2021
Cynthia Lana Esteban, Miren de las Fuentes Monreal, Mario Fernando Muñoz Guerra, Verónica Escorial Hernández
Introduction: We present the reconstruction of the temporomandibular joint (TMJ) with Walter-Lorenz prosthesis (Zimmer Biomet Inc., Biomet Microfixation, Jacksonville, FL) performing 3D virtual surgical planning and cutting guides with computer-aided-manufacturing technology (CAD / CAM). Clinical case: A 66-year-old female patient who had a history of multiple TMJ surgeries complained of functional worsening and pain in the left TMJ, with Walter-Lorenz prosthesis in the right TMJ. Intervention was performed to place another Walter-Lorenz prosthesis in the left TMJ with virtual 3D surgical planning of the osteotomies of the fossa and the ramus, and surgical guides fabricated with CAD/CAM technology. Surgery was carried out according to surgical planning. In the subsequent revisions, the mouth opening was stable and the pain was reduced. Conclusion: TMJ reconstruction with 3D virtual surgical planning of Walter-Lorenz stock prosthesis allows to increase the precision in its placement and simplify the surgical intervention.
{"title":"Planificación quirúrgica virtual en la reconstrucción de articulación temporomandibular con prótesis de stock tipo Walter-Lorenz.","authors":"Cynthia Lana Esteban, Miren de las Fuentes Monreal, Mario Fernando Muñoz Guerra, Verónica Escorial Hernández","doi":"10.20986/recom.2022.1329/2021","DOIUrl":"https://doi.org/10.20986/recom.2022.1329/2021","url":null,"abstract":"Introduction: We present the reconstruction of the temporomandibular joint (TMJ) with Walter-Lorenz prosthesis (Zimmer Biomet Inc., Biomet Microfixation, Jacksonville, FL) performing 3D virtual surgical planning and cutting guides with computer-aided-manufacturing technology (CAD / CAM). Clinical case: A 66-year-old female patient who had a history of multiple TMJ surgeries complained of functional worsening and pain in the left TMJ, with Walter-Lorenz prosthesis in the right TMJ. Intervention was performed to place another Walter-Lorenz prosthesis in the left TMJ with virtual 3D surgical planning of the osteotomies of the fossa and the ramus, and surgical guides fabricated with CAD/CAM technology. Surgery was carried out according to surgical planning. In the subsequent revisions, the mouth opening was stable and the pain was reduced. Conclusion: TMJ reconstruction with 3D virtual surgical planning of Walter-Lorenz stock prosthesis allows to increase the precision in its placement and simplify the surgical intervention.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68155070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.20986/recom.2022.1317/2021
Andrés Noah Melián Rivas, F. Donoso-Hofer, María de los Ángeles Fernández Toro, Ana Verónica Ortega Pinto, Adalberto Mosqueda Taylor
Ameloblastic carcinoma is a rare, malignant epithelial odontogenic tumor with a poor prognosis. Histopathologically it preserves an ameloblastomatous differentiation pattern but shows cytological features of malignancy. Due to its rarity, there is limited information on its biological behavior, which is recognized in the literature for being nonspecific and variable, as it may present as a lesion with characteristics compatible with a benign lesion or as a highly malignant aggressive pathological entity. The latter has been a difficulty not only in its diagnosis but also in the therapeutical planning. This article reports a case of a mandibular ameloblastic carcinoma occurring in a patient in the seventh decade of life, highlighting its variable clinical, imaging and histological characteristics that allowed us to reach a definitive diagnosis.
{"title":"Carcinoma Ameloblástico Mandibular: Un diagnóstico infrecuente y desafiante.","authors":"Andrés Noah Melián Rivas, F. Donoso-Hofer, María de los Ángeles Fernández Toro, Ana Verónica Ortega Pinto, Adalberto Mosqueda Taylor","doi":"10.20986/recom.2022.1317/2021","DOIUrl":"https://doi.org/10.20986/recom.2022.1317/2021","url":null,"abstract":"Ameloblastic carcinoma is a rare, malignant epithelial odontogenic tumor with a poor prognosis. Histopathologically it preserves an ameloblastomatous differentiation pattern but shows cytological features of malignancy. Due to its rarity, there is limited information on its biological behavior, which is recognized in the literature for being nonspecific and variable, as it may present as a lesion with characteristics compatible with a benign lesion or as a highly malignant aggressive pathological entity. The latter has been a difficulty not only in its diagnosis but also in the therapeutical planning. This article reports a case of a mandibular ameloblastic carcinoma occurring in a patient in the seventh decade of life, highlighting its variable clinical, imaging and histological characteristics that allowed us to reach a definitive diagnosis.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68155309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.20986/recom.2022.1321/2021
Ana Galdona Cabetas, Fernando Almeida Parra, Jorge Antonio Nuñez Paredes, Julio Acero Sanz
Chordomas are rare, slow-growing bone tumors derived from remnants of the notochord. They are located predominantly at the skull base and the sacrococcygeal region. The cervical spine is affected in only 6 % of cases. The treatment of choice includes resection, radiotherapy and sometimes chemotherapy. A case of a patient diagnosed with cervical chordoma without response to previous radiotherapy treatment is presented. The patient underwent surgical rescue including tumor excision, C2-C3 corpectomy and fixation with prosthetic material. He presented a surgical wound dehiscence in the oropharyngeal region in the postoperative period, with exposure of the prosthetic material. It was resolved with a pedicled supraclavicular flap to cover the defect in the posterior pharyngeal wall.
{"title":"Colgajo supraclavicular como herramienta en el manejo multidisciplinar de un cordoma cervical C2-C4. A propósito de un caso","authors":"Ana Galdona Cabetas, Fernando Almeida Parra, Jorge Antonio Nuñez Paredes, Julio Acero Sanz","doi":"10.20986/recom.2022.1321/2021","DOIUrl":"https://doi.org/10.20986/recom.2022.1321/2021","url":null,"abstract":"Chordomas are rare, slow-growing bone tumors derived from remnants of the notochord. They are located predominantly at the skull base and the sacrococcygeal region. The cervical spine is affected in only 6 % of cases. The treatment of choice includes resection, radiotherapy and sometimes chemotherapy. A case of a patient diagnosed with cervical chordoma without response to previous radiotherapy treatment is presented. The patient underwent surgical rescue including tumor excision, C2-C3 corpectomy and fixation with prosthetic material. He presented a surgical wound dehiscence in the oropharyngeal region in the postoperative period, with exposure of the prosthetic material. It was resolved with a pedicled supraclavicular flap to cover the defect in the posterior pharyngeal wall.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68155378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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