人类双顶畸形:罕见先天性畸形的病例报告。

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Special Care in Dentistry Pub Date : 2024-07-01 Epub Date: 2024-03-04 DOI:10.1111/scd.12991
Maria Teresa Vasconcelos de Melo Pontes, Raiane Machado Maia, Luís Cândido Pinto da Silva, Flávio Ricardo Manzi, Izabella Lucas de Abreu Lima
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引用次数: 0

摘要

双颅骨畸形是一种先天性畸形,即颅面结构部分或完全重复。由于这种畸形非常罕见,因此死亡率很高,有关这种畸形的资料也很少。本研究描述了一例 9 岁男性的人类双颅骨畸形病例,他患有严重的中枢神经、心血管、呼吸和消化系统并发症。自出生以来,他一直在专科医院接受监护,并接受了多次手术和多学科治疗。在颅颌面方面,他的胼胝体、鼻腔底和前颅窝底发育不良,此外还有骨发育不良、眼球突出、腭裂伴鼻腔和口腔畸胎瘤。在牙齿特征方面,患者的上颌骨、下颌骨、舌头和一些牙齿都有重复。经过辅助影像学检查,发现了几颗多余的牙齿,其中一些牙齿有撞击,而且位于复杂的区域,由于存在撞击、虹吸偏位、牙根吸收以及相关囊肿或肿瘤病变的风险,因此有拔除的指征。由于并发症较多,整个团队必须具备相关知识并做好准备,才能正确处理该病例。
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Human diprosopus: Case report of a rare congenital abnormality.

Diprosopus is a congenital anomaly in which partial or complete duplication of craniofacial structures occurs. Because it is rare, the mortality rate is high, and information concerning this anomaly is scarce. This study describes a case of human diprosopus in a 9-year-old male individual, who has severe complications associated with the central nervous, cardiovascular, respiratory, and digestive systems. Since birth, he has been monitored in a specialized hospital environment, where he has undergone several surgeries and multidisciplinary treatments. Regarding the craniofacial aspects, he had agenesis of the corpus callosum, floor of the nasal cavity, and floor of the anterior cranial fossa, in addition to the presence of bone dysplasia, ocular hypertelorism and cleft palate with nasal and oral teratoma. Regarding dental characteristics, the patient has duplication of the maxilla, mandible, tongue, and some teeth. After complementary imaging exams, several supernumerary teeth were found, with some being impacted and in complex regions, with an indication for extraction due to the risks of impaction, irruptive deviation, root resorption, and associated cystic or tumoral lesions. Because of the numerous complications, knowledge, and preparation of the entire team is necessary for the correct management of the case.

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来源期刊
Special Care in Dentistry
Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.40
自引率
14.30%
发文量
120
期刊介绍: Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.
期刊最新文献
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