Patients benefit from physicians who keep the focus on them. In addition, this program stimulated the students for their accomplishment of the medical course.
A 14-year-old patient had a low-energy facial blunt trauma that evolved to right facial paralysis caused by parotid hematoma with parotid salivary gland lesion. Computed tomography and angiography demonstrated intraparotid collection without pseudoaneurysm and without radiologic signs of fracture in the face. The patient was treated with serial punctures for hematoma deflation, resolving with regression and complete remission of facial paralysis, with no late sequela. The authors discuss the relationship between facial nerve traumatic injuries associated or not with the presence of facial fractures, emphasizing the importance of early recognition and appropriate treatment of such cases.
A anestesia para procedimentos eletivos na cirurgia plástica é, geralmente, muito segura, porém, não está isenta de complicações. O conhecimento e o tratamento efetivo das intercorrências anestésicas são importantes para a segurança do paciente, pois, podem levar ao aumento da morbimortalidade. O paciente portador de fissura labiopalatina necessitará de vários procedimentos cirúrgicos para correções das deformidades e apresenta maior incidência de complicações anestésicas, principalmente respiratórias, comparadas ao paciente não fissurado. Este trabalho tem como finalidade relatar dois casos clínicos de intercorrências respiratórias associadas ao ato anestésico em pacientes fissurados e discutir sobre a importância de prever os riscos, e a necessidade do diagnóstico com tratamento imediato e eficaz.
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