RESUMO
Orthognathic surgery is the surgical procedure that makes correcting deformities of the bones in the region of the maxilla and mandible a reality in the Brazilian dentistry. However, this type of surgery usually involves paresthesia in the postoperative period, concerning the surgeons who perform them and generating discomfort to patients. This study aimed at evaluating the effect of infrared laser (830 nm) in the prevention and treatment of paresthesias after orthognathic surgery. Six patients underwent orthognathic surgery: the experimental group composed of 4 patients and the control group that did not receive laser therapy composed of 2 patients. The experimental group received laser applications during the transoperative and 12 postoperative sessions. Tests for mechanical (deep and shallow) and thermal (cold) sensitivity were performed in the preoperative and postoperative period (during 12 sessions) in the lip and chin areas by the same operator. The paresthesia was classified into 1, strong; 2, moderate; 3, mild; and 4, absent, through the patient's response to stimuli. The results showed that all patients had no disturbance of sensitivity in the preoperative period, but paresthesia was presented at various levels in the postoperative period. Both groups showed recovery of deep mechanical sensitivity within a shorter time interval compared with the superficial mechanical and thermal sensitivity. However, at the 12th assessment, patients who underwent the laser therapy showed better reduction in the level of paresthesia or even complete regression of this. The laser, therefore, brought benefits to the treatment of paresthesia, accelerating the return of neurosensorial sensitivity.
Assuntos
Lasers Semicondutores/uso terapêutico , Terapia com Luz de Baixa Intensidade/métodos , Procedimentos Cirúrgicos Ortognáticos/métodos , Parestesia/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Adulto , Queixo/patologia , Feminino , Mentoplastia/métodos , Humanos , Doenças Labiais/prevenção & controle , Doenças Labiais/terapia , Masculino , Mandíbula/cirurgia , Maxila/cirurgia , Osteotomia/métodos , Osteotomia de Le Fort/métodos , Osteotomia Sagital do Ramo Mandibular/métodos , Parestesia/terapia , Complicações Pós-Operatórias/terapia , Sensação Térmica/fisiologia , Tato/fisiologia , Resultado do Tratamento , Adulto JovemRESUMO
Angioneurotic oedema is an acute swelling involving the submucosal or subcutaneous tissues; it is most often located in the oral and maxillofacial region, which can result in upper airway obstruction. Its aetiology is frequently associated with immunoglobulin-mediated hypersensitivity reactions that elicit a heightened inflammatory response. The objective of this study was to report the case of a patient who developed an episode of angioneurotic oedema following combined orthognathic surgery. Pharmacological and nonpharmacological interventions used in the treatment of this important clinical condition are described and discussed.
Assuntos
Angioedema/terapia , Procedimentos Cirúrgicos Ortognáticos , Complicações Pós-Operatórias , Angioedema/etiologia , Anti-Inflamatórios/uso terapêutico , Epinefrina/uso terapêutico , Face , Assimetria Facial/cirurgia , Feminino , Seguimentos , Humanos , Hidrocortisona/uso terapêutico , Doenças Labiais/etiologia , Doenças Labiais/terapia , Mandíbula/cirurgia , Procedimentos Cirúrgicos Ortognáticos/efeitos adversos , Osteotomia/efeitos adversos , Osteotomia/métodos , Piroxicam/análogos & derivados , Piroxicam/uso terapêutico , Vasoconstritores/uso terapêutico , Adulto JovemRESUMO
Hymenoptera order includes bees, which have a stinging apparatus at the tail capable of delivering venom to the affected tissues. Myocardial infarction, acute renal failure, Necrotizing fasciitis, fatal infection and hemifacial asymmetry, are some of the unusual reactions reported following hymenoptera stings. This paper reports a case of bee sting in the right floor of the nose that mimicked an odontogenic infection affecting the upper lip, canine space and nasal cavity such as in cases of infection secondary to pulpal or periodontal pathology of the anterior teeth. After a thorough clinical and radiographic examination, odontogenic infection was discarded and the diagnosis of floor of the nose mucosal lysis and lip abscess secondary to a bee sting was made. This case was successfully managed with adequate incision, drainage and antibiotics without any further complication. There are several reports of unusual reactions following hymenoptera stings. However, just a few of them referred to infections of local reactions and none of them related to the anatomic location affected in the patient of the present case. Early diagnosis and treatment prevented infection dissemination and the likelihood of tissue necrosis as in previously reported cases of Necrotizing fasciitis.
Assuntos
Abscesso/patologia , Fístula Dentária/patologia , Mordeduras e Picadas de Insetos/complicações , Doenças Labiais/patologia , Mucosa Nasal/patologia , Abscesso/etiologia , Abscesso/terapia , Adulto , Animais , Venenos de Abelha/efeitos adversos , Abelhas , Desbridamento , Fístula Dentária/etiologia , Fístula Dentária/terapia , Diagnóstico Diferencial , Drenagem , Humanos , Doenças Labiais/etiologia , Doenças Labiais/terapia , Masculino , Doenças Dentárias/patologia , Resultado do TratamentoRESUMO
Hymenoptera order includes bees, which have a stinging apparatus at the tail capable of delivering venom to the affected tissues. Myocardial infarction, acute renal failure, Necrotizing fasciitis, fatal infection and hemifacial asymmetry, are some of the unusual reactions reported following hymenoptera stings. This paper reports a case of bee sting in the right floor of the nose that mimicked an odontogenic infection affecting the upper lip, canine space and nasal cavity such as in cases of infection secondary to pulpal or periodontal pathology of the anterior teeth. After a thorough clinical and radiographic examination, odontogenic infection was discarded and the diagnosis of floor of the nose mucosal lysis and lip abscess secondary to a bee sting was made. This case was successfully managed with adequate incision, drainage and antibiotics without any further complication. There are several reports of unusual reactions following hymenoptera stings. However, just a few of them referred to infections of local reactions and none of them related to the anatomic location affected in the patient of the present case. Early diagnosis and treatment prevented infection dissemination and the likelihood of tissue necrosis as in previously reported cases of Necrotizing fasciitis.
A ordem das himenópteras inclui abelhas, que possuem um ferrão na cauda capaz de de injetar veneno nos tecidos afetados. Fasciite necrosante, infecção fatal e assimetria hemifacial são algumas das reações incomuns relatadas após picada de himenópteras. Este estudo relata um caso de picada de abelha no assoalho da narina direita que simulou uma infecção odontogênica atingindo o lábio superior, o espaço canino e a cavidade nasal, como observado nos casos de infecção secundária após patologia pulpar ou periodontal dos dentes anteriores. Após completo exame clínico e radiográfico, foi descartada a hipótese de infecção odontogênica e foi estabelecido o diagnóstico de lise da mucosa do assoalho da narina e abscesso do lábio, após picada de abelha. Este caso foi tratado com sucesso com adequada incisão, drenagem e administração de antibióticos, sem outras complicações. Há vários relatos de reações incomuns resultantes de picada de himenópteras, porém poucos são relativos a infecções locais e nenhum se refere à localização anatômica afetada no paciente do caso aqui relatado. Diagnóstico e tratamento precoces preveniram a disseminação da infecção e a possibilidade de necrose tecidual, como já relatado em casos de fasciite necrosante.
Assuntos
Adulto , Animais , Humanos , Masculino , Abscesso/patologia , Fístula Dentária/patologia , Mordeduras e Picadas de Insetos/complicações , Doenças Labiais/patologia , Mucosa Nasal/patologia , Abscesso/etiologia , Abscesso/terapia , Abelhas , Venenos de Abelha/efeitos adversos , Desbridamento , Diagnóstico Diferencial , Drenagem , Fístula Dentária/etiologia , Fístula Dentária/terapia , Doenças Labiais/etiologia , Doenças Labiais/terapia , Resultado do Tratamento , Doenças Dentárias/patologiaRESUMO
O objetivo desta pesquisa foi o de fazer um levantamento da prevalência dos diferentes tipos de frênulos labiais superiores, além de suas inserções em escolares de Teresina - PI. Para tanto, foram realizados exames clínicos em 300 escolares com idades entre 7 e 10 anos. As crianças foram escolhidas ao acaso, e o exame consistiu na distensão do lábio superior com o auxílio dos dedos de um único examinador, envoltos por gaze,sendo os achados anotados em ficha padronizada. Foi utilizada a classificação dos frênulos labiais superiores proposta por Sewerin (1971) e das inserções proposta por Placek et al. (1974). Os dados foram processados através do programa de computação SPSS, sendo a análise estatística do tipo descritiva. O frênulo labial de maior prevalência foi o simples, seguido do teto-labial persistente, simples com nódulo, coincidência de duasou mais variações ou anormalidades, simples com apêndice, com recesso, bífido e duplo. O tipo de inserção mais prevalente foi a inserção na mucosa alveolar, seguida da gengiva inserida, papila interdental e penetrantena papila
The objective of this paper was to estimate the prevalence and attachment of different kinds of upper lip frenulum in students from Teresina - PI. A sample of 300 students aged 7 to 10 years were clinicallyexamined. The children were chosen at random and the examiner distended their upper lip just using his fingers wrapped up in gauze. The findings were recorded on a standard chart. The classification for upperlabial frenulum proposed by Sewerin (1971) and that of the attachments proposed by Placek et al. (1974) were used The data were processed using the computation program SPSS and descriptive statistical analysis. The simple upper labial frenulum showed the largest prevalence, followed by the persistent tectolabial, simple with nodule, coincidence of two or more variations or abnormalities, simple with appendix, with recess, bifid and double. The attachment to alveolar mucous was the most prevalent, followed by inserted gum, interdental papilla and penetrating in the papilla attachments.
Assuntos
Criança , Doenças Labiais/diagnóstico , Doenças Labiais/terapia , Freio LabialRESUMO
Oral Myiasis is a rare pathology in humans and is associated with poor oral hygiene, alcoholism, senility, suppurating lesions, severe halitosis and others conditions. The treatment is a mechanical removal of the maggots one by one but a systemic treatment with Ivermectin, a semi-synthetic macrolide antibiotic, have been used for treatment for oral myiasis. We present a case report of a 32-year-old man indigent, alcohol-dependent with an extensive necrotic area and acute swelling in upper lip and fetid odor. The patient's management included topic use of gentian violet, oral therapy with ivermectin (6 mg orally), surgical exploration to remove the larvae and necrotic tissue. After the complete larvae removal the swelling and the wounds were healing normally, the patients was referred to plastic surgery to repair tissue damage. The prevention of human myiasis is by education, but unfortunately in the developing countries some people live in low social condition, predisposing the occurrence of the infestation.
Assuntos
Doenças Labiais/parasitologia , Doenças Labiais/terapia , Miíase/terapia , Adulto , Humanos , MasculinoRESUMO
Se hace una revisión de la literatura concerniente a la lesión conocida como mácula melanotica labial, en donde se destacan los aspectos más importantes de la misma: definición, características clínicas e histopatológicas, diagnóstico diferencial, pronóstico y tratamiento. Se hace la presentación de un caso clínico y se establecen conclusiones