Pub Date : 2021-01-01DOI: 10.20986/RECOM.2021.1160/2020
Blanca Laso, F. A. Parra, Alberto Haddad Riesgo, J. A. Sanz
Introduction: Thyroid ectopy is described as the presence of thyroid tissue in a location that is different from that of its usual in the lower anterior neck. It has very low prevalence and it finds its origin in disruptions in the descent from the base of the tongue to its final position during gland embriogenesis. The diagnosis is based on imaging tests and histologic studies, the treatment varies according to its location, symptoms and hormonal functionality. Double thyroid ectopy is a very rare finding, with approximately 40 cases described in the literature. Case presentation: We present a 39 year old female patient who was under follow up because of a double thyroid ectopic tissue: in the tongue base and left submandibular locations. She was derived to our Department after a growth of the submandibular subunit in the last year was detected in the computed tomography scan (CT). She was asymptomatic and thyroid functionality tests were normal. Surgical treatment of the submandibular thyroid tissue was consensuated, with a modified Risdon like approach, and monitoring of the nodule at the base of the tongue. Discussion: Thyroid ectopic tissue is a very infrequent finding and even rarer is a double ectopy. We present a patient in which a surgical approach was decided after observing a growth in one of the ectopia nodules even though she was in a euthyroidism hormonal state.
{"title":"Ectopia tiroidea doble: a propósito de un caso","authors":"Blanca Laso, F. A. Parra, Alberto Haddad Riesgo, J. A. Sanz","doi":"10.20986/RECOM.2021.1160/2020","DOIUrl":"https://doi.org/10.20986/RECOM.2021.1160/2020","url":null,"abstract":"Introduction: Thyroid ectopy is described as the presence of thyroid tissue in a location that is different from that of its usual in the lower anterior neck. It has very low prevalence and it finds its origin in disruptions in the descent from the base of the tongue to its final position during gland embriogenesis. The diagnosis is based on imaging tests and histologic studies, the treatment varies according to its location, symptoms and hormonal functionality. Double thyroid ectopy is a very rare finding, with approximately 40 cases described in the literature. Case presentation: We present a 39 year old female patient who was under follow up because of a double thyroid ectopic tissue: in the tongue base and left submandibular locations. She was derived to our Department after a growth of the submandibular subunit in the last year was detected in the computed tomography scan (CT). She was asymptomatic and thyroid functionality tests were normal. Surgical treatment of the submandibular thyroid tissue was consensuated, with a modified Risdon like approach, and monitoring of the nodule at the base of the tongue. Discussion: Thyroid ectopic tissue is a very infrequent finding and even rarer is a double ectopy. We present a patient in which a surgical approach was decided after observing a growth in one of the ectopia nodules even though she was in a euthyroidism hormonal state.","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":"68150619","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.2021.1303/2021
Camilo Alberto Eslava Jácome, Maria Camila ARTEAGA ARTEAGA, Laura Estefanía Montenegro Santofimio, Daniela Marulanda Grajales
The careful planning of surgical treatment is essential to correct facial asymmetry in patients with hemifacial microsomia, leading to a favorable result in functional and aesthetic stability. In the present article reports a clinical case of hemifacial microsomia in a 28-year-old female patient with previous orthognathic surgery, which did not meet the aesthetic and functional objectives. With virtual planning, the design of a temporomandibular joint prosthesis is carried out that includes the reconstruction of the zygomatic arch up to the mastoid region concomitant with orthognathic surgery, achieving facial harmony and long-term skeletal stability.
{"title":"Corrección de microsomía hemifacial con prótesis de articulación temporomandibular con extensión a arco cigomático y cirugía ortognática","authors":"Camilo Alberto Eslava Jácome, Maria Camila ARTEAGA ARTEAGA, Laura Estefanía Montenegro Santofimio, Daniela Marulanda Grajales","doi":"10.20986/recom.2021.1303/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1303/2021","url":null,"abstract":"The careful planning of surgical treatment is essential to correct facial asymmetry in patients with hemifacial microsomia, leading to a favorable result in functional and aesthetic stability. In the present article reports a clinical case of hemifacial microsomia in a 28-year-old female patient with previous orthognathic surgery, which did not meet the aesthetic and functional objectives. With virtual planning, the design of a temporomandibular joint prosthesis is carried out that includes the reconstruction of the zygomatic arch up to the mastoid region concomitant with orthognathic surgery, achieving facial harmony and long-term skeletal stability.","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":"68153372","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.2021.1293/2021
Manuel Chamorro Pons, Javier Arias Gallo, Luis Margarit Pérez, Gastón Demaría Martínez, Ángel Cidad Vicario
Introduction: Customized subperiosteal implants are presented as an alternative in the implant-supported rehabilitation of patients with severe bone atrophy. This article describes our experience in their use for complete maxillary rehabilitation. Patients and methods: A retrospective study of 8 edentulous patients with severe maxillary bone atrophy treated with customized titanium frameworks designed and manufactured in conjunction with Avinent Digital Health (Barcelona, Spain) is presented. The frameworks are designed based on a thin-slice maxillomandibular CT scan. A full acrylic prosthesis with radio-opaque markings is used as a reference guide. The structures are designed in two or three pieces to favor their insertion and adaptation to the bone contours. The surgery is performed under general anesthesia, and includes bilateral buccal fat pad flap prior to mucosal closure. Immediately after surgery an implant-supported temporary fixed prosthesis is placed, which is replaced by a fixed ceramic or hybrid prosthesis after 8-12 weeks. Results: All patients are currently wearing the final fixed prosthesis, with a follow-up time of 4 to 36 months. In no case has it been necessary to remove or trim the implant. All patients are asymptomatic. Conclusion: Although this is a preliminary study, the results indicate that this technique should be considered as a treatment alternative in severe maxillary atrophy.
介绍:定制骨膜下种植体是重度骨萎缩患者种植体支持康复的一种选择。这篇文章描述了我们在上颌完全康复中使用它们的经验。患者和方法:对8名无牙患者进行回顾性研究，并与Avinent Digital Health (Barcelona, Spain)联合设计和制造定制钛框架治疗严重上颌骨萎缩。框架是基于上颌骨CT薄层扫描设计的。一个带有放射性不透明标记的全丙烯酸假体被用作参考指南。这些结构被设计成两到三块，以便于它们的插入和适应骨骼的轮廓。手术在全身麻醉下进行，包括在粘膜关闭之前进行双侧颊脂肪垫皮瓣。手术后立即放置种植体支持的临时固定假体，8-12周后用固定陶瓷假体或混合假体代替。结果:所有患者目前均佩戴最终固定假体，随访时间4 ~ 36个月。在任何情况下都不需要切除或修剪种植体。所有患者均无症状。结论:虽然这是一项初步研究，但结果表明该技术应被视为治疗严重上颌萎缩的一种替代方法。
{"title":"Implantes subperiósticos personalizados para la rehabilitación completa del maxilar superior atrófico. Revisión de una serie clínica de 8 casos","authors":"Manuel Chamorro Pons, Javier Arias Gallo, Luis Margarit Pérez, Gastón Demaría Martínez, Ángel Cidad Vicario","doi":"10.20986/recom.2021.1293/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1293/2021","url":null,"abstract":"Introduction: Customized subperiosteal implants are presented as an alternative in the implant-supported rehabilitation of patients with severe bone atrophy. This article describes our experience in their use for complete maxillary rehabilitation. Patients and methods: A retrospective study of 8 edentulous patients with severe maxillary bone atrophy treated with customized titanium frameworks designed and manufactured in conjunction with Avinent Digital Health (Barcelona, Spain) is presented. The frameworks are designed based on a thin-slice maxillomandibular CT scan. A full acrylic prosthesis with radio-opaque markings is used as a reference guide. The structures are designed in two or three pieces to favor their insertion and adaptation to the bone contours. The surgery is performed under general anesthesia, and includes bilateral buccal fat pad flap prior to mucosal closure. Immediately after surgery an implant-supported temporary fixed prosthesis is placed, which is replaced by a fixed ceramic or hybrid prosthesis after 8-12 weeks. Results: All patients are currently wearing the final fixed prosthesis, with a follow-up time of 4 to 36 months. In no case has it been necessary to remove or trim the implant. All patients are asymptomatic. Conclusion: Although this is a preliminary study, the results indicate that this technique should be considered as a treatment alternative in severe maxillary atrophy.","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":"68153445","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.2021.1319/2021
A. Cinza González, Patricia Martínez Artal, P. Simón silva, Alberto Cuevas Queipo de Llano, Henry Augusto Amado Duarte, Raúl González García
Introduction: Locorregional recurrent disease (LRD) represents the most common cause of mortality in patients with oral squamous cell carcinoma (OSCC). Salvage surgery has been reported as the primary option for these patients. However, some groups have proposed it may be considered as therapeutic obstinacy, specially in advanced stages. This study wants to determine if salvage surgery is the most suitable treatment for LRD in advanced OSCC. Patients and methods: A retrospective cohorts study was designed including patients diagnosed with recurrent OSCC between May 2012 and December 2015 (n = 32). Patients were divided in two groups depending on whether salvage surgery was performed or not. Patients were followed-up for five years. Results: No differences were found between both groups according to sex, age, Charlson comorbidity index, initial TNM, stage, localization and treatment, recurrent TNM, stage and localization or time until recurrence. Statistically significant differences (p < 0.001) were found in disease free survival and overall survival between both groups, even when stratified in early and advanced stages. Discussion and conclusion: According to our results, salvage surgery provides both disease free survival and overall survival to patients with recurrent oral scamous cell carcinoma, even in advanced stages. However, it is true that salvage surgery is very likely to produce important comorbidities. We consider that these results should be explained to the patient in a comprehensive and compassionate talk and he or she should decide whether to go through this process or not.
{"title":"Management of advanced recurrent oral squamous cell carcinoma: Is still salvage surgery indicated?","authors":"A. Cinza González, Patricia Martínez Artal, P. Simón silva, Alberto Cuevas Queipo de Llano, Henry Augusto Amado Duarte, Raúl González García","doi":"10.20986/recom.2021.1319/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1319/2021","url":null,"abstract":"Introduction: Locorregional recurrent disease (LRD) represents the most common cause of mortality in patients with oral squamous cell carcinoma (OSCC). Salvage surgery has been reported as the primary option for these patients. However, some groups have proposed it may be considered as therapeutic obstinacy, specially in advanced stages. This study wants to determine if salvage surgery is the most suitable treatment for LRD in advanced OSCC. Patients and methods: A retrospective cohorts study was designed including patients diagnosed with recurrent OSCC between May 2012 and December 2015 (n = 32). Patients were divided in two groups depending on whether salvage surgery was performed or not. Patients were followed-up for five years. Results: No differences were found between both groups according to sex, age, Charlson comorbidity index, initial TNM, stage, localization and treatment, recurrent TNM, stage and localization or time until recurrence. Statistically significant differences (p < 0.001) were found in disease free survival and overall survival between both groups, even when stratified in early and advanced stages. Discussion and conclusion: According to our results, salvage surgery provides both disease free survival and overall survival to patients with recurrent oral scamous cell carcinoma, even in advanced stages. However, it is true that salvage surgery is very likely to produce important comorbidities. We consider that these results should be explained to the patient in a comprehensive and compassionate talk and he or she should decide whether to go through this process or not.","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":"68153287","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.2021.1226/2020
Christian Droguett Tidy, J. Millard, Constanza Martínez
Neuropathic pain is originated as a direct consequence of an injury or disease that affects the somatosensory system, which is a chronic, debilitating condition that affects a significant number of patients. The causes of neuropathic pain are diverse, and trauma is one of them. In this article the Painful Traumatic Trigeminal Neuropathy (PTTN) is reviewed. Two clinical cases are presented. The first is a 43-year-old female with PTTN, who was diagnosed nine months after reduction and osteosynthesis of a left zygomatomaxillary fracture. The second case corresponds to a 62-year-old male who presented with a left suborbital PTTN also after a zygomatomaxillary fracture and its reduction and osteosynthesis surgery. In the first case, the patient achieved a 70 % of reduction in pain after 6 months of treatment using multimodal analgesia with pregabalin, carbamazepine and amitriptyline. The second patient achieved complete resolution of pain with multimodal therapy using carbamazepine, amitriptyline, and lidocaine patches after two months of treatment. Therapy through multimodal analgesic scheme provides a favorable prognosis, however achieving a total resolution of the patient’s pain is a difficult objective to achieve, and a significant reduction of 30% or more in the patient´s VAS is considered a success of the effectiveness of the therapy.
{"title":"Painful traumatic trigeminal neurpathy; diagnosis and treatment: about two clinical cases","authors":"Christian Droguett Tidy, J. Millard, Constanza Martínez","doi":"10.20986/recom.2021.1226/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1226/2020","url":null,"abstract":"Neuropathic pain is originated as a direct consequence of an injury or disease that affects the somatosensory system, which is a chronic, debilitating condition that affects a significant number of patients. The causes of neuropathic pain are diverse, and trauma is one of them. In this article the Painful Traumatic Trigeminal Neuropathy (PTTN) is reviewed. Two clinical cases are presented. The first is a 43-year-old female with PTTN, who was diagnosed nine months after reduction and osteosynthesis of a left zygomatomaxillary fracture. The second case corresponds to a 62-year-old male who presented with a left suborbital PTTN also after a zygomatomaxillary fracture and its reduction and osteosynthesis surgery. In the first case, the patient achieved a 70 % of reduction in pain after 6 months of treatment using multimodal analgesia with pregabalin, carbamazepine and amitriptyline. The second patient achieved complete resolution of pain with multimodal therapy using carbamazepine, amitriptyline, and lidocaine patches after two months of treatment. Therapy through multimodal analgesic scheme provides a favorable prognosis, however achieving a total resolution of the patient’s pain is a difficult objective to achieve, and a significant reduction of 30% or more in the patient´s VAS is considered a success of the effectiveness of the therapy.","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":"68152049","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.2021.1304/2021
Hernán Ramírez Skinner, Shuheng Lai Guerrero, Camila Foncea Riquelme de la Barrera, Antonieta Solar Gonzalez, Ignacio Goñi Espíldora, Alex Vargas Díaz
Purpose: Odontogenic keratocyst (OKC) is a benign intraosseous lesion of the jaws. Management of these lesions includes enucleation and surface treatment, which ensures less recurrence. Some authors have proposed the use of fast intraoperatory biopsy (or frozen section biopsy (FSB)) as a tool to guide the management of this type of lesions in just one procedure thus reducing treatment period and associated costs. The purpose of this study was to assess the correlation between findings of intraoperative FSB and those of deferred histopathological reports of cystic jaw lesions with findings suggesting OKC. Methods: A descriptive retrospective study was performed at the Surgical Oncology and Maxillofacial Surgery Department of all patients undergoing enucleation of jaw lesions with FSB performed due to suspicion of OKC in the period July 2011 to December 2018. Results: A total of 22 patients required FSB due to suspicion of OKC. The final histopathological diagnosis, after enucleation of the cystic lesion, was OKC in 11 cases (50 %), 10 cases of which (90.9 %) were classified as OKC according to the FSB. When compared to histological findings of a postoperative biopsy analysis, sensitivity, specificity, positive predictive value, and negative predictive value of the histopathological diagnosis using FSB were 91 %, 100 %, 100 %, and 92 % respectively. Conclusion: It is possible to suggest that there is a considerable correlation between FSB findings and the final histopathological study of OKC. FSB can be a useful complement in treating cystic jaw lesions with clinical signs suggesting OKC in just one surgery. Correlation between histopathological findings in intraoperative frozen section biopsy and postoperative biopsy in surgical treatment of keratocyst
{"title":"Correlación entre los hallazgos de la biopsia intraoperatoria y el estudio histopatológico definitivo en el manejo quirúrgico de los queratoquistes","authors":"Hernán Ramírez Skinner, Shuheng Lai Guerrero, Camila Foncea Riquelme de la Barrera, Antonieta Solar Gonzalez, Ignacio Goñi Espíldora, Alex Vargas Díaz","doi":"10.20986/recom.2021.1304/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1304/2021","url":null,"abstract":"Purpose: Odontogenic keratocyst (OKC) is a benign intraosseous lesion of the jaws. Management of these lesions includes enucleation and surface treatment, which ensures less recurrence. Some authors have proposed the use of fast intraoperatory biopsy (or frozen section biopsy (FSB)) as a tool to guide the management of this type of lesions in just one procedure thus reducing treatment period and associated costs. The purpose of this study was to assess the correlation between findings of intraoperative FSB and those of deferred histopathological reports of cystic jaw lesions with findings suggesting OKC. Methods: A descriptive retrospective study was performed at the Surgical Oncology and Maxillofacial Surgery Department of all patients undergoing enucleation of jaw lesions with FSB performed due to suspicion of OKC in the period July 2011 to December 2018. Results: A total of 22 patients required FSB due to suspicion of OKC. The final histopathological diagnosis, after enucleation of the cystic lesion, was OKC in 11 cases (50 %), 10 cases of which (90.9 %) were classified as OKC according to the FSB. When compared to histological findings of a postoperative biopsy analysis, sensitivity, specificity, positive predictive value, and negative predictive value of the histopathological diagnosis using FSB were 91 %, 100 %, 100 %, and 92 % respectively. Conclusion: It is possible to suggest that there is a considerable correlation between FSB findings and the final histopathological study of OKC. FSB can be a useful complement in treating cystic jaw lesions with clinical signs suggesting OKC in just one surgery. Correlation between histopathological findings in intraoperative frozen section biopsy and postoperative biopsy in surgical treatment of keratocyst","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":"68153571","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.2021.1198/2020
C. Mateus, Pedro Gomes de Oliveira, P. Santos, Paulo Jorge Valejo Coelho
A B S T R A C T Metastatic disease of the oral cavity is rare and constitutes 1 % of all oral cavity malignancies. Lung cancer is the most common primary site metastasizing to the jaws, especially in man, and the mandible is more affected than the maxilla. We present the case of a 64 year-old-female patient who was admitted to hospital complaining of pain and swelling located to the left mandibular ascending ramus and angle, with 7 month duration. The first differential diagnosis was between primary malignances of the oral cavity, but the biopsy revealed a carcinoma of unknown origin. Further investigation revealed an advanced stage primary adenocarcinoma of the lung. Oral metastasis are usually evidence of a widespread disease and indicate a poor prognosis. As consequence, the treatment modalities for these patients are palliative in most cases. The clinical case of a 41-year-old male evaluated for a tumor in the attached gingiva with previous periodontal treatment and a history of kidney transplantation is described. Excisional biopsy was performed with a diagnosis of KS, which after completing the study confirmed disseminated iatrogenic-type KS requiring a change in immunosuppressive medication and 6 cycles of chemotherapy treatment with complete response.
A B S T R A C T口腔转移性疾病是罕见的，占所有口腔恶性肿瘤的1%。肺癌是最常见的转移到颌骨的原发部位，尤其是在男性中，下颌骨比上颌骨更容易受到影响。我们报告一名64岁女性患者，因左侧下颌升支和下颌角疼痛和肿胀而入院，持续时间为7个月。第一次鉴别诊断是口腔的原发性恶性肿瘤，但活检显示不明来源的癌。进一步的检查显示为晚期原发性肺腺癌。口腔转移通常是疾病广泛传播的证据，预示预后不良。因此，在大多数情况下，这些患者的治疗方式是姑息性的。临床病例41岁男性评估肿瘤在附着龈与以前的牙周治疗和肾移植的历史是描述。切除活检诊断为KS，在完成研究后确认弥散性医源性KS，需要改变免疫抑制药物和6个周期的化疗治疗完全缓解。
{"title":"Jaw metastasis as first presentation of lung adenocarcinoma - a case report","authors":"C. Mateus, Pedro Gomes de Oliveira, P. Santos, Paulo Jorge Valejo Coelho","doi":"10.20986/recom.2021.1198/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1198/2020","url":null,"abstract":"A B S T R A C T Metastatic disease of the oral cavity is rare and constitutes 1 % of all oral cavity malignancies. Lung cancer is the most common primary site metastasizing to the jaws, especially in man, and the mandible is more affected than the maxilla. We present the case of a 64 year-old-female patient who was admitted to hospital complaining of pain and swelling located to the left mandibular ascending ramus and angle, with 7 month duration. The first differential diagnosis was between primary malignances of the oral cavity, but the biopsy revealed a carcinoma of unknown origin. Further investigation revealed an advanced stage primary adenocarcinoma of the lung. Oral metastasis are usually evidence of a widespread disease and indicate a poor prognosis. As consequence, the treatment modalities for these patients are palliative in most cases. The clinical case of a 41-year-old male evaluated for a tumor in the attached gingiva with previous periodontal treatment and a history of kidney transplantation is described. Excisional biopsy was performed with a diagnosis of KS, which after completing the study confirmed disseminated iatrogenic-type KS requiring a change in immunosuppressive medication and 6 cycles of chemotherapy treatment with complete response.","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":"68151644","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.2021.1332/2021
F. Monje Gil
{"title":"El futuro y Groucho Marx","authors":"F. Monje Gil","doi":"10.20986/recom.2021.1332/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1332/2021","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":"68153335","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.2021.1310/2021
María Barajas Blanco, Jorge Noguera Tomás, Álvaro Damián Moreiras Sánchez, Juan Pablo Rodríguez Arias, José Luis del Castillo de Vera, J.L. Cebrián Carretero
Instrucciones de citación para el artículo / Citation instructions for the article: Barajas Blanco María, Noguera Tomás Jorge, Moreiras Sánchez Álvaro Damián, Rodríguez Arias Juan Pablo, de Vera José Luis del Castillo, Cebrián Carretero José Luis. Tuberculosis oral. Revisión de la literatura. A propósito de un caso / Oral tuberculosis. Review of the literature. A case report.. j.maxilo 2021. doi: 10.20986/recom.2021.1310/2021.
文章引用说明:Barajas Blanco maria, Noguera tomas Jorge, Moreiras sanchez alvaro damian, rodriguez Arias Juan Pablo, de Vera jose Luis del Castillo, cebrian cartero jose Luis。口头结核病。这篇文章是我们2011年癌症研究综述的一部分。关于一个病例/口腔结核。他的父亲是一名律师，母亲是一名律师。这是一个案例报告。j.maxilo续约。doi: 10.20986 / recom.2021.1310/2021。
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Pub Date : 2020-06-01DOI: 10.20986/recom.2020.1162/2020
F. Monje Gil, J.L. Cebrián Carretero, José Luis López-Cedrún Cembranos, Marta Redondo Alamillos, Andrés Valdés Beltrán, Fernando Almeida Parra, Elena Gómez García, Jose Carlos Díaz-Mauriño y Garrido-Lestache, Manuel Tousidonis Rial, Luis Ruiz Laza, Jesús Sastre Pérez, Álvaro Ranz Colio, Faustino Acebal Blanco, Josep Rubio Palau, Manuel de Pedro Marina, Luis Miguel Redondo González, Amparo Pla Esparza, Pedro Infante Cossío
La pandemia por la nueva infeccion respiratoria conocida como enfermedad coronavirus 2019 (COVID-19), causada por el virus SARS-CoV-2, ha desencadenado una perturbacion sin precedentes en la actividad habitual de los servicios de cirugia oral y maxilofacial en Espana, retrasando la atencion rutinaria de pacientes e intervenciones quirurgicas programadas Los cirujanos orales y maxilofaciales son uno de los colectivos sanitarios con mayor riesgo de infeccion nosocomial por el estrecho contacto que se produce con los pacientes asintomaticos y sintomaticos con infeccion por SARS-CoV-2 a traves de la cavidad oral y orofaringe El proposito del presente documento ha sido actualizar la evidencia disponible para el manejo y tratamiento seguro y efectivo en consulta, cirugias ambulatorias, programadas y urgentes y hospitalizacion, minimizando al mismo tiempo, tanto como sea posible, el riesgo de contagio para el cirujano oral y maxilofacial, personal sanitario y pacientes Este documento pretende esclarecer los aspectos mas significativos y crear un protocolo comun de manejo de pacientes con COVID-19 en cirugia oral y maxilofacial durante la fase aguda de propagacion y de control posterior de la pandemia en nuestro pais The pandemic due to the new respiratory infection known as coronavirus 2019 disease (COVID-19), caused by the SARS-CoV-2 virus, has triggered an unprecedented disruption in the normal activity of oral and maxillofacial surgery departments in Spain, delaying routine patient care and elective surgical interventions Oral and maxillofacial surgeons are one of the healthcare groups with the highest risk of nosocomial infection because of the close contact that occurs with asymptomatic and symptomatic patients with SARS-CoV-2 infection through the oral cavity and oropharynx The purpose of this document has been to update the available evidence for the safe and effective management and treatment in outpatient clinic, ambulatory, elective and emergency surgeries, and hospitalization, while minimizing as much as possible the risk of infection for the oral and maxillofacial surgeon, health workers and patients This document aims to clarify the most significant aspects and create a common protocol for the management of patients with COVID-19 in oral and maxillofacial surgery during the acute stage of spread and subsequent control of the pandemic in our country
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