RESUMO

A Hipertrofia do músculo masseter é uma condição rara e pouco descrita na literatura, apresentando-se como um aumento volumétrico excessivo em região posterior de mandíbula. É de etiologia incerta, provocando alterações funcionais, desconforto estético, e prejuízo psicossociais aos pacientes. Por ter seu crescimento assintomático na maioria dos casos, tem grande importância no diagnóstico diferencial de outras patologias que provocam aumento de volume na região da cabeça e pescoço. Os tratamentos são variados, indo desde o uso de substâncias farmacológicas até o tratamento cirúrgico. O presente artigo relata um caso de hipertrofia do músculo masseter, tratado cirurgicamente, através de incisão intraoral, obtendo resultado estético e funcional satisfatório.

The hypertrophy of the masseter muscle is arare and poorly described in the literature, presenting itself as an excessive increase in volume in the posterior mandible, is of uncertain etiology, causing functional changes, aesthetic discomfort, and psychosocial harm to patients. By having your growth asymptomatic in most cases, is of great importance in the differential diagnostic of other masses of the head and neck. The treatments are varied, ranging from the use of pharmacological substances to surgical treatment. This article reports a case of hypertrophy of the masseter muscle, treated surgically, through oral incision, obtaining satisfactory aesthetic and functional result.

Assuntos

RESUMO

Craniofacial defects represent alterations in the anatomy and morphology of the cranial vault and the facial bones that potentially affect an individual's psychological and social well-being. Although a variety of techniques and restorative procedures have been described for the reconstruction of the affected area, polymethyl methacrylate (PMMA), a biocompatible and nondegradable acrylic resin-based implant, is the most widely used alloplastic material for such craniomaxillofacial reconstruction. The aim of this study was to describe a technique for aesthetic and functional preoperative customized reconstruction of craniofacial bone defects from a small series of patients offered by the Brazilian public health system. Three adult male patients attended consultation with chief complaints directly related to their individual craniofacial bone defects. With the aid of multislice computed tomography scans and subsequent fabrication of the three-dimensional craniofacial prototype, custom-made PMMA implants were fabricated preoperatively. Under general anesthesia, with access to the craniofacial defects with a coronal approach, the PMMA implants were adapted and fixated to the facial skeleton with titanium plates and screws. Postoperative evaluation demonstrated uneventful recovery and an excellent aesthetic result. Customized prefabricated PMMA implants manufactured over the rapid prototyping models proved to be effective and feasible.

RESUMO

Traumatic lacerations to the skin are problems frequently seen and treated by emergency centers around the world. Among all wounds, dog and cat bites are commonly seen. As in many mammals, different species of microorganisms are found in dog and cat mouths with a potential pathological effect to humans, as represented by rabies. The injuries have disfiguration effect with possible psychological repercussion to the patient. This article aimed presenting up to date considerations regarding the management of animal bite injuries to the face, exemplified by a case report that should be the interest of all professions that deal with facial tissues, as dentists do. How to cite this article: Simao NR, Borba AM, da Silva ALF, Vieira EMM, Carvalhosa AA, Bandeca MC, Borges AH. Animal bite injuries to the face: A Case Report. J Int Oral Health 2013; 5(4):68-72.