Pub Date : 2021-01-01DOI: 10.20986/recom.2021.1228/2020
Celia Sánchez Gallego-Albertos, Jose Juan Pozo Kreilinger, Nicómedes Fernández-Baillo Gallego de la Sacristana, J. Carretero
Acinic cell carcinoma is an uncommon salivary gland neoplasm that is generally indolent. Most cases arise in the major salivary glands, mainly the parotid. Generally, they are low-grade neoplasms with a 20░% rate of local recurrences and about 10░% rate of metastases which may appear many years after the initial presentation of the original tumour. The most frequent locations of the metastasis are the cervical lymph nodes, liver, and lungs. Metastases at the level of the spine are extremely rare. In this article, we report a case of a patient with an acinic cell carcinoma of the right parotid gland, who presented a distant metastasis at the level of the sacrum 8 years after surgical treatment of the initial tumour.
{"title":"Metástasis sacra de un carcinoma de células acinares de bajo grado de glándula parótida","authors":"Celia Sánchez Gallego-Albertos, Jose Juan Pozo Kreilinger, Nicómedes Fernández-Baillo Gallego de la Sacristana, J. Carretero","doi":"10.20986/recom.2021.1228/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1228/2020","url":null,"abstract":"Acinic cell carcinoma is an uncommon salivary gland neoplasm that is generally indolent. Most cases arise in the major salivary glands, mainly the parotid. Generally, they are low-grade neoplasms with a 20░% rate of local recurrences and about 10░% rate of metastases which may appear many years after the initial presentation of the original tumour. The most frequent locations of the metastasis are the cervical lymph nodes, liver, and lungs. Metastases at the level of the spine are extremely rare. In this article, we report a case of a patient with an acinic cell carcinoma of the right parotid gland, who presented a distant metastasis at the level of the sacrum 8 years after surgical treatment of the initial tumour.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68152021","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 : 2021-01-01DOI: 10.20986/RECOM.2021.1193/2020
M. Fernández-Ferro, J. Fernández-Sanromán, Aroa Gaspar-Barredo, A. Costas-López, Annahys López-Betancourt, Pablo López-Fernández, Veronica Fernández-González, Maria Loreto Vidal-Castro
{"title":"Estudio descriptivo de las principales comorbilidades asociadas al dolor crónico en pacientes intervenidos mediante artroscopia de disfunción temporomandib","authors":"M. Fernández-Ferro, J. Fernández-Sanromán, Aroa Gaspar-Barredo, A. Costas-López, Annahys López-Betancourt, Pablo López-Fernández, Veronica Fernández-González, Maria Loreto Vidal-Castro","doi":"10.20986/RECOM.2021.1193/2020","DOIUrl":"https://doi.org/10.20986/RECOM.2021.1193/2020","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68150404","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}
The odontogenic myxoma or myxofibroma (OM), is considered within the group of benign tumors with mesenchyme with or without odontogenic epithelium. It represents about 3-9░% of all odontogenic tumors, with an incidence of 0.07/1,000,000 inhabitants per year. The third decade is the most prevalent, with greater incidence in women than men, having a predilection in the posterior region of the jaw. This tumor has slow growth and is locally aggressive, without presenting symptoms in most cases. The standard surgical treatment according to the literature is resection with safety margin. However, there are reports of conservative treatments (enucleation and curettage) in young pediatric patients with low recurrence rates. The purpose of this case report is to present a 3-year-old male patient with an MO in the body area of the jaw, treated with complete hysteresis of the lesion plus perilesional curettage. Clinical and radiographic follow-up was performed at 2, 4 and 10 months post surgery, then annually until 5 years post surgery without signs of recurrence. According to publications regarding the MO in children, it is pointed out that this should be considered a unique pathology due to its clinical characteristics different from those of the adult and the report of low recurrence rate with conservative surgical treatments. Whereas the literature regarding pediatric OM is not abundant. The fact that background information is provided regarding a rare location and a conservative treatment without relapse of the MO in a 3-year-old patient and with 5 years of follow-up, allows to deliver a hope of non-aggressive surgeries in future pediatric patients under 4 years old with OM
{"title":"Mixoma mandibular en paciente de 3 años, una entidad específica. Tratamiento quirúrgico conservador. Caso clínico y revisión de la literatura","authors":"Pedro Tapia Contreras, Sebastián Mordoh Cucurella, Benjamín Rosenberg, Vesna Lolas Marinovic","doi":"10.20986/recom.2021.1111/2019","DOIUrl":"https://doi.org/10.20986/recom.2021.1111/2019","url":null,"abstract":"The odontogenic myxoma or myxofibroma (OM), is considered within the group of benign tumors with mesenchyme with or without odontogenic epithelium. It represents about 3-9░% of all odontogenic tumors, with an incidence of 0.07/1,000,000 inhabitants per year. The third decade is the most prevalent, with greater incidence in women than men, having a predilection in the posterior region of the jaw. This tumor has slow growth and is locally aggressive, without presenting symptoms in most cases. The standard surgical treatment according to the literature is resection with safety margin. However, there are reports of conservative treatments (enucleation and curettage) in young pediatric patients with low recurrence rates. The purpose of this case report is to present a 3-year-old male patient with an MO in the body area of the jaw, treated with complete hysteresis of the lesion plus perilesional curettage. Clinical and radiographic follow-up was performed at 2, 4 and 10 months post surgery, then annually until 5 years post surgery without signs of recurrence. According to publications regarding the MO in children, it is pointed out that this should be considered a unique pathology due to its clinical characteristics different from those of the adult and the report of low recurrence rate with conservative surgical treatments. Whereas the literature regarding pediatric OM is not abundant. The fact that background information is provided regarding a rare location and a conservative treatment without relapse of the MO in a 3-year-old patient and with 5 years of follow-up, allows to deliver a hope of non-aggressive surgeries in future pediatric patients under 4 years old with OM","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68150562","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 : 2021-01-01DOI: 10.20986/recom.2021.1157/2020
E. P. Fernández, Carlos Prol Teijeiro, Conrado Andrés Ros, Ignacio Díaz de Lezcano Manrique de Lara
{"title":"Carcinoma Cuniculatum de mucosa yugal","authors":"E. P. Fernández, Carlos Prol Teijeiro, Conrado Andrés Ros, Ignacio Díaz de Lezcano Manrique de Lara","doi":"10.20986/recom.2021.1157/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1157/2020","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68150604","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 : 2021-01-01DOI: 10.20986/recom.2021.1163/2020
Mario Santás Alegret, Marta Redondo Alamillos, Francisco Merino Domingo, A. García, I. G. Recuero, G. S. Aniceto
Fourth branchial cleft anomalies are extremely rare and usually present as asymptomatic cervical masses or recurrent neck infections. Diagnosis is made with an adequate anamnesis, physical examination and imaging tests. Complete surgical resection of the mass is the gold standard treatment to minimize the chance of recurrence. We report a case of a newborn with a fourth branchial cleft cyst presented as an asymptomatic left-sided neck mass. Diagnosis was made with ultrasonography and mangnetic resonance imaging and confirmed histologically after the patient was surgically treated.
{"title":"Quiste de la cuarta hendidura branquial. Caso clínico y revisión de la literatura","authors":"Mario Santás Alegret, Marta Redondo Alamillos, Francisco Merino Domingo, A. García, I. G. Recuero, G. S. Aniceto","doi":"10.20986/recom.2021.1163/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1163/2020","url":null,"abstract":"Fourth branchial cleft anomalies are extremely rare and usually present as asymptomatic cervical masses or recurrent neck infections. Diagnosis is made with an adequate anamnesis, physical examination and imaging tests. Complete surgical resection of the mass is the gold standard treatment to minimize the chance of recurrence. We report a case of a newborn with a fourth branchial cleft cyst presented as an asymptomatic left-sided neck mass. Diagnosis was made with ultrasonography and mangnetic resonance imaging and confirmed histologically after the patient was surgically treated.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68150708","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 : 2021-01-01DOI: 10.20986/recom.2021.1227/2020
C. A. C. Rueda, Ilan Vinitzky
Condylar hyperplasia is a developmental malformation that causes abnormal growth of the mandibular condyle, it is a generic term that describes conditions that cause excessive growth and elongation of the mandibular condyle, altering the occlusion and indirectly affecting the maxilla. The usual treatment for this pathology consists of a condylectomy through an extraoral approach. The objective of this work is to present the case of an active unilateral condylar hyperplasia, which was treated by low condylectomy with an intraoral approach and orthognathic surgery. The intraoral approach to a condylectomy has been poorly documented; however it offers numerous advantages and can be performed safely.
{"title":"Condilectomía baja intraoral para el tratamiento de Hiperplasia Condilar Reporte de un caso","authors":"C. A. C. Rueda, Ilan Vinitzky","doi":"10.20986/recom.2021.1227/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1227/2020","url":null,"abstract":"Condylar hyperplasia is a developmental malformation that causes abnormal growth of the mandibular condyle, it is a generic term that describes conditions that cause excessive growth and elongation of the mandibular condyle, altering the occlusion and indirectly affecting the maxilla. The usual treatment for this pathology consists of a condylectomy through an extraoral approach. The objective of this work is to present the case of an active unilateral condylar hyperplasia, which was treated by low condylectomy with an intraoral approach and orthognathic surgery. The intraoral approach to a condylectomy has been poorly documented; however it offers numerous advantages and can be performed safely.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68152120","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 : 2021-01-01DOI: 10.20986/RECOM.2021.1241/2021
Mario Santás Alegret, I. Z. Rodríguez, Víctor Zafra Vallejo, A. Fernandez, Antonio Fernández García, G. S. Aniceto
{"title":"Parálisis facial secundaria a absceso parotídeo. Revisión de la literatura a propósito de un caso.","authors":"Mario Santás Alegret, I. Z. Rodríguez, Víctor Zafra Vallejo, A. Fernandez, Antonio Fernández García, G. S. Aniceto","doi":"10.20986/RECOM.2021.1241/2021","DOIUrl":"https://doi.org/10.20986/RECOM.2021.1241/2021","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68151831","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 : 2021-01-01DOI: 10.20986/RECOM.2021.1181/2020
Paula Astorga Jélvez, Marcela Garrido, Emilio Moreno Apablaza
Introduction: The objective of the present study is to carry out an updated review on the methods of manual reduction of acute mandibular dislocation to propose a management sequence in the emergency department. Material and methods: The review included studies on manual techniques for reducing acute mandibular dislocations. The search was performed in Spanish and English in june 2020 and included the electronic databases PubMed and Scielo, complemented by cross-references. Articles on surgical treatment of recurrent, chronic and reduced dislocations under general anesthesia were excluded. Results: The search yielded 334 results, finally 29 studies were included. To date, 13 manual reduction techniques different from the conventional method have been described. The effectiveness of the conventional method is close to 86 %, the wrist pivot method 96.7 % and the extraoral method is less effective with a success rate between 55.2 and 66.7 %. A treatment sequence is proposed including the most relevant aspects found in the literature. Conclusion: The best manual reduction technique is one that provides greater comfort to the professional, produces less pain and is associated with a higher success rate. Studies comparing different techniques with a trained operator are lacking considering patient, technique and operator comfort variables. It is essential to know the techniques presented, this allows them to be used in cases where other techniques fail, minimizing the use of adjuvants and more complex maneuvers, such as regional blocks or general anesthesia. Acute mandibular luxation: manual reduction techniques and management sequence in the emergency department
{"title":"Luxación mandibular aguda: técnicas de reducción manual y secuencia de manejo en el Servicio de Urgencia","authors":"Paula Astorga Jélvez, Marcela Garrido, Emilio Moreno Apablaza","doi":"10.20986/RECOM.2021.1181/2020","DOIUrl":"https://doi.org/10.20986/RECOM.2021.1181/2020","url":null,"abstract":"Introduction: The objective of the present study is to carry out an updated review on the methods of manual reduction of acute mandibular dislocation to propose a management sequence in the emergency department. Material and methods: The review included studies on manual techniques for reducing acute mandibular dislocations. The search was performed in Spanish and English in june 2020 and included the electronic databases PubMed and Scielo, complemented by cross-references. Articles on surgical treatment of recurrent, chronic and reduced dislocations under general anesthesia were excluded. Results: The search yielded 334 results, finally 29 studies were included. To date, 13 manual reduction techniques different from the conventional method have been described. The effectiveness of the conventional method is close to 86 %, the wrist pivot method 96.7 % and the extraoral method is less effective with a success rate between 55.2 and 66.7 %. A treatment sequence is proposed including the most relevant aspects found in the literature. Conclusion: The best manual reduction technique is one that provides greater comfort to the professional, produces less pain and is associated with a higher success rate. Studies comparing different techniques with a trained operator are lacking considering patient, technique and operator comfort variables. It is essential to know the techniques presented, this allows them to be used in cases where other techniques fail, minimizing the use of adjuvants and more complex maneuvers, such as regional blocks or general anesthesia. Acute mandibular luxation: manual reduction techniques and management sequence in the emergency department","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68150777","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 : 2021-01-01DOI: 10.20986/RECOM.2021.1315/2021
R. G. Garcı́a
{"title":"Cuál es la relación entre hiperplasia condílea y la disfunción temporomandibular","authors":"R. G. Garcı́a","doi":"10.20986/RECOM.2021.1315/2021","DOIUrl":"https://doi.org/10.20986/RECOM.2021.1315/2021","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153166","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 : 2021-01-01DOI: 10.20986/recom.2021.1295/2021
M. P. Pampín Martínez, Victor Dueso Delgado, E. Gómez García, J. L. Cebrián Carretero
Introduction: One of the most important surgical steps in secondary alveolar bone grafting of the repair of the nasal floor. Proper separation of the nasal and oral mucosa is of utmost importance in order to provide sufficient and adequate space for the bone graft to be placed. A “pocket” is created where the nasal mucosa represents the “roof” and the oral mucosa the “floor”. This pocket will host the bone graft which will regenerate bone in the cleft in order to offer proper bony support for future orthodontic treatment and rehabilitation. Watertight and accurate suture of the nasal mucosa is a decisive step in this surgical technique, so as to avoid prolapse of the nasal floor into the graft space which will hamper bone graft intake. Technical note: We present a technical modification where the nasal mucosa is sutured to the maxillary bone with absorbable sutures to keep the nasal floor in proper suspension and avoid prolapse into the graft. Conclusions: This is a simple technique that helps improve the symmetry of the nasal fossa and maintains the nasal floor in proper tension to avoid prolapse of soft tissue within the graft, enhancing bone formation. It is important to use this technique alongside with a membrane.
{"title":"Nasal floor suspension in secondary bone grafting in unilateral cleft repair: technical note.","authors":"M. P. Pampín Martínez, Victor Dueso Delgado, E. Gómez García, J. L. Cebrián Carretero","doi":"10.20986/recom.2021.1295/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1295/2021","url":null,"abstract":"Introduction: One of the most important surgical steps in secondary alveolar bone grafting of the repair of the nasal floor. Proper separation of the nasal and oral mucosa is of utmost importance in order to provide sufficient and adequate space for the bone graft to be placed. A “pocket” is created where the nasal mucosa represents the “roof” and the oral mucosa the “floor”. This pocket will host the bone graft which will regenerate bone in the cleft in order to offer proper bony support for future orthodontic treatment and rehabilitation. Watertight and accurate suture of the nasal mucosa is a decisive step in this surgical technique, so as to avoid prolapse of the nasal floor into the graft space which will hamper bone graft intake. Technical note: We present a technical modification where the nasal mucosa is sutured to the maxillary bone with absorbable sutures to keep the nasal floor in proper suspension and avoid prolapse into the graft. Conclusions: This is a simple technique that helps improve the symmetry of the nasal fossa and maintains the nasal floor in proper tension to avoid prolapse of soft tissue within the graft, enhancing bone formation. It is important to use this technique alongside with a membrane.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153469","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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