Injuries to the face represent a significant risk to the health of the individual, mainly because of its significance, both functional, because it houses sensory organs and part of the respiratory and digestive systems, as well as esthetic. In this scenario, gunshot wounds in this location cause great concern on account of the magnitude of the damage, and the Oral and Maxillofacial Surgery and Traumatology team must act so that the treatment enables the rehabilitation of the patient in the shortest possible time, with a minimum of complications and sequelae. The objective of this study is to report a clinical case of a 19-year-old female patient with a comminuted fracture of the mandible body caused by a firearm projectile, treated immediately with stable internal fixation using the 2.00 mm plate-screw system for simplification of the fracture and a 2.4 mm reconstruction locking-plate on the bone gap. Relevant aspects of the surgical technique and tactics are reviewed and long-term follow-up of the patient is presented.
Peripheral odontoma is a very rare odontogenic hamartoma arising in soft tissues. Here, we report a case of peripheral odontoma in a pediatric patient and review the cases published in the literature. An 11‐year‐old male patient presented a nodular lesion in the anterior region of the palate for over 1 year. Under the clinical hypothesis of fibroma, an excisional biopsy was performed. Histopathological examination revealed the presence of tooth‐like structures, formed by enamel, and dentin matrix, occasionally associated with the dental papilla and surrounding pulp tissue, thus, the histopathological diagnosis of peripheral odontoma was established. The patient has been undergoing follow‐up for 6 months without any signs of lesion recurrence. Peripheral odontomas are uncommon lesions that usually affect young patients and display a preference for the maxilla and limited growth potential. The recognition of the clinical and histopathological features of the peripheral odontoma is indispensable for the establishment of its diagnosis.
Introdução: Corpos estranhos intraoculares são a maior causa de lesões traumáticas em órbita, possuem características diversas, que abrangem do edema palpebral ao trauma órbito craniano, resultando em sequelas graves e algumas vezes fatais. Objetivo: O objetivo do presente estudo é apresentar uma série de casos de trauma por corpo estranho penetrante na órbita ocular associado a uma revisão da literatura sobre o tema. Desenho: Estudo retrospectivo de casos. Metodologia: Revisão de acordo com a declaração PRISMA, por meio das bases de dados PubMed, Science Direct e SciELO, além dos relatos de casos e análise retrospectiva de 12 pacientes submetidos à diferentes manejos. Resultados: A idade média dos pacientes foi de 31,16 anos, sendo 91,6% dos pacientes do sexo masculino, a etiologia em 50% dos casos foi por material de madeira, em 41,7% foi por metal e em 8,3% por vidro. A tomografia computadorizada foi utilizada em todos os casos fornecendo resultados altamente efetivos. Em 58,3% dos casos ocorreram na órbita esquerda. Cinquenta por cento dos casos tratados evoluíram sem sequelas. Conclusão: O diagnóstico precoce e manejo imediato de lesões orbitárias são imprescindíveis para um prognóstico positivo, assim como exames de imagem adequados. A tomografia computadorizada, a ressonância magnética e a angiografia por tomografia computadorizada são modalidades de imagem frequentemente utilizadas e eficazes.
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