<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML /> <o:AllowPNG /> </o:OfficeDocumentSettings> </xml><![endif]--> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">A sialolitíase é uma alteração comum das glândulas salivares causada pela presença de cálculo no interior do ducto ou do próprio parênquima, sendo caracterizada por inchaço, dor e ausência de salivação da glândula afetada, a depender do tamanho do cálculo, que na maioria das vezes, não ultrapassam 1 cm de extensão. Dentre os métodos de diagnóstico estão a inspeção e a palpação, além da verificação da quantidade e qualidade da saliva secretada. O exame radiográfico é um método complementar bastante útil na confirmação da sialolitíase. A incidência da sialolitíase é maior nas glândulas submandibulares, embora também ocorra nas sublinguais, parótidas e mesmo nas salivares menores. O tratamento dos sialolitos é variável, alguns com eliminação espontânea, outros com bioestimulação e uso de antiinflamatórios ou até requerendo tratamento cirúrgico para a sua excisão. O presente trabalho tem por objetivo realizar uma breve revisão de literatura sobre a alteração patológica e relatar um caso clínico de sialolitíase da glândula sublingual. Sabe-se que o tratamento é variável de acordo com a dimensão e a localização do cálculo. Neste caso, optou-se por sua remoção cirúrgica, com posterior análise histopatológica e confirmação da patologia.</span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 10.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Sialolithiasis in sublingual gland: case report</span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">The sialolithiasis is a common salivary glands caused by the presence of the stone within the duct or parenchyma itself, characterized by swelling, pain and lack of salivary gland affected, depending on the size of the calculation, which in most cases, not greater than 1 cm in length. Among the methods of diagnosis are the inspection and palpation, and checking the quantity and quality of saliva secreted. The radiographic examination is a useful complementary method for confirmation of sialolithiasis. The incidence of sialolithiasis is higher in submandibular glands, although it also occurs in the sublingual, parotid and salivary even in the minors. The treatment of sialolitos is variable, with some spontaneous elimination, with biostimulation and other anti-inflammatory drugs, or even requiring surgical treatment for their excision. This paper aims to conduct a brief review of literature on the pathological changes and report a case of sialolithiasis sublingual gland. We know that treatment varies according to size and location of the calculation. In this case, we opted for surgical removal and subsequent histological analysis and confirmation of pathology.</span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Keywords</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">: Salivary Gland Calculi. 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ResumoObjetivo: Relatar um caso clínico de um paciente cursando com herpes labial recorrente, associado à infecção bacteriana secundária, discutindo suas manifestações clínicas, evolução e terapêutica. Descrição do caso: Paciente, gênero masculino, 24 anos, apresentando edema em lábio inferior associado a bolhas e drenagem de secreção purulenta local, além de queixa álgica. O diagnóstico clínico foi de herpes simples, e o tratamento instituído foi internamento hospitalar, associado à terapia medicamentosa e cuidados locais. No quinto dia de internamento, o paciente já apresentava melhora do seu quadro clínico, com boa cicatrização, recebendo alta hospitalar. Conclusão: Grande parte da população mundial é portadora do vírus herpes simples. O cirurgião-dentista deve diagnosticar precocemente e tratar adequadamente esta patologia, para proporcionar menor desconforto e tempo de tratamento para o seu paciente.
As celulites fasciais são infecções graves, de rápida progressão, que devem ser tratadas com imediatismo, pois podem levar o paciente a desenvolver sérias complicações, ou até mesmo, óbito. Objetivo:o objetivo do presente trabalho foi discutir a propagação das infecções odontogênicas para os espaços cervicais, e sua conduta terapêutica, através de um relato de caso clínico. Descriçãodo caso:Paciente, gênero feminino, 15 anos de idade, compareceu ao Serviço de Cirurgia e Traumatologia Bucomaxilofacial do Hospital Geral do Estado, Salvador-BA, cursando com quadro infeccioso há aproximadamente 10 dias. Clinicamente apresentava face toxêmica, trismo, disfagia, odinofagia, au- mento de volume em terço inferior de face, de consistência endurecida e sem limites definidos. Ao exame intraoral observou-se presença de resto radicular da unidade 16, com drenagem de secreção purulenta em sulco gengival. O exame imaginológico evidenciou imagem compatível com processo infeccio- so no espaço bucal e submandibular direitos, submentoniano e parafaríngeo bilateral, sem comprometimento de vias aéreas. O tratamento consistiu em antibioticoterapia intravenosa, monitoramento dos sinais vitais, hidratação, drenagem dos espaços faciais e exodontia da unidade dentária envolvida. A paciente apresentou resposta satisfatória à terapia, com regressão total do processo infeccioso. Conclusão: O protocolo de atendimento deve ser rigoroso e o mais precoce possível, baseado em quatro princípios básicos: drenagem cirúrgica eficiente, antibioticoterapia de amplo espectro, remoção do agente causal, e estabilização do paciente.
Patients who present a background of bone defects seek for harmonic facial contours through surgical rehabilitation. To facilitate the maxillofacial reconstruction, there are two groups of grafts that can be used: the bone and alloplastic materials, such as the polymethyl methacrylate (PMMA), which is one of the alloplastic materials usually used by surgeons in facial rehabilitation. The aim of this study is to present a clinical report about a frontal cranioplasty using PMMA and compare its use with other materials in the literature. A male patient, 35 years old, ASA I, had a motorcycle accident, and a physical examination showed a sinking in the frontal region, deviation of right nasal dorsum and restriction of air passage through the left nostril. At the imaging examination, it was found suggestive signs of naso-orbit-ethmoid fracture and external table fracture in the middle region of the frontal bone. The patient was submitted to a surgical procedure for reconstruction of bone defect and a PMMA graft was used in the frontal bone region. PMMA is usually used because of its ease of adaptation to the bone, reduction of time of the surgery and decrease of blood loss and possibility of infection. PMMA is an attractive alternative for maxillofacial reconstructions.
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