KeywordsMyxoma; giant cell tumors; mitral valve stenosis; adolescent.The echocardiogram of a twenty-year-old man, previously healthy, suffering from paroxysmal nocturnal dyspnea and fatigue after moderate exertion that intensified over a period of about ten days, showed the left atrium myxoma working as severe mitral stenosis. A physical examination revealed blood pressure of 110X70 mmHg, regular two-beat heart rhythm, systolic murmur in mitral area and without any changes in the rest of the physical examination. The electrocardiogram revealed a right bundle branch block. The echocardiogram showed a large mass that occupied almost the entire left atrium (4.3 x 8.0 cm in size). This mass was stuck to the posterior superior wall of the left atrium. The diameter of the left atrium was 5.6 cm and the estimated volume was 98 cm³. Part of the mass protruded through the mitral valve to the left ventricle during the atrial systole (the estimated valve area was 1 cm²), causing a restriction of the mitral flow that was compatible with severe stenosis (severe mitral stenosis). Then, surgery was indicated for removal of the tumor.
Giant Atrial Myxoma Mimicking Severe Mitral Stenosis in Young PatientIn preoperative examinations, the only change found was microcytic and hypochromic anemia. Then, the exeresis of the tumor was performed with resection of the fossa ovalis and atrioseptoplasty was performed with the use of bovine pericardium. The histopathology of the specimen confirmed the diagnosis of left atrial myxoma. There were no complications in the postoperative period and the patient was discharged five days after surgery.
Dermoid account for 0.04?0.06% of intracranial tumors. The rupture of these slow-growing lesions are a rare event, generally taking place spontaneously. Their presentation are clinically variable according to cyst topography and integrity. Surgery remains the first-line therapy and gross total resection should be attempted if feasible. We report on a case of a 22-year-old male with a 2-year history of seizures and cognitive impairment and a temporal mesial dermoid cyst successfully treated with gross total resection microsurgery.
Objective: To evaluate the efficacy of total reconstruction of temporomandibular joint with alloplastic prostheses through a systematic literature review, focusing on pain, mouth opening and postoperative complications.Method: This is a systematic review of the scientific production of the PubMed indexer. A combination of the terms "tmj reconstruction" and / or "temporomandibular joint prosthesis" and / or "tmj replacement" and / or "alloplastic prostheses" was used. We excluded studies with follow-up time of less than 2 years, studies published outside the current decade, case reports, animal studies and reviews. Clinical trials and prospective and retrospective observational studies that had preoperative and postoperative information on mouth openness, pain, incidence of complications and recurrence were included.Results: We analyzed nine studies, all of them in the English. The mean follow-up ranged from 2 to 21 years. In total, 438 patients were evaluated, the majority being female. sssss Conclusion: All articles presented positive data regarding improvements in pain and mouth opening in the postoperative period. The most frequent post-surgical complications were facial nerve injuries.
ResumeAlloplastic TMJ prostheses are considered viable alternatives for the reconstruction of compromised Temporomandibular Joints and can bring important benefits to patients with advanced TMJ diseases. However, it has been observed that it is very difficult to predict many of the interactions between prosthesis and patient, and only with the results of clinical experiments and research is it possible to assess the success and failures in the use of these devices.
Goal:To evaluate the effectiveness of total reconstruction of the temporomandibular joint with alloplastic prostheses through a systematic literature review, focusing on the variables pain, mouth opening and post-surgical complications.Method: This is a systematic bibliographic review of the scientific production of the PubMed index. A combination of the terms: "tmj reconstruction" and / or
OBJECTIVE: This study aimed to analyze parameters such as the presence of trismus, facial swelling, postoperative pain, paresthesia of the inferior alveolar and lingual nerve, alveolitis, late bleeding and correct use of prescribed medications. Relating the complication rates with age, gender and proper use of medications prescribed.METHODS: This study evaluated 20 patients who have gone through removal of third molars, using questionnaires applied by researchers in the postoperative period of seven days in the graduate and professional qualifications Pós-Doc center from April to May/2015.RESULTS: It was observed that 45% of the patients had pain, 45% had trismus, 15% had paresthesia, 85% had late light bleeding, 5% had fever, malaise or discharge from the surgical site and 45% had facial swelling.CONCLUSION: The more frequent complications found were pain and late bleeding, with no association between pain and gender and pain and age.
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