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  1. Article: Orthognathic surgery associated with reconstruction of the temporomandibular joint with a customized prosthesis: a case report.

    Godinho, Géssica Vasconcelos / Paz, Ana Luiza Lima Medeiros / Silva, Everton José / Volpato, Luiz Evaristo Ricci

    General dentistry

    2023  Volume 71, Issue 3, Page(s) 47–51

    Abstract: The objective of this case report is to describe the treatment of a dentofacial and temporomandibular joint (TMJ) deformity by means of reconstruction with a customized TMJ prosthesis and orthognathic surgery. The article discusses the therapeutic ... ...

    Abstract The objective of this case report is to describe the treatment of a dentofacial and temporomandibular joint (TMJ) deformity by means of reconstruction with a customized TMJ prosthesis and orthognathic surgery. The article discusses the therapeutic approach and the importance of functional and esthetic rehabilitation of the patient. A 22-year-old man displayed sequelae of osteomyelitis diagnosed at 6 years of age, including facial asymmetry, laterognathism, unsatisfactory occlusion, and mandibular retrognathism. Computed tomography revealed a deformity of the left mandibular condyle, ramus, and fossa. The patient underwent 1-stage surgery that involved bimaxillary orthognathic surgery and mentoplasty in conjunction with reconstruction of the left TMJ with a customized prosthesis. Postoperatively, substantial improvement was observed in the patient's facial pattern and masticatory function, and the beneficial changes have been maintained through 2 years of follow-up. The positive outcome in this patient suggests that TMJ reconstruction using a customized prosthesis in combination with computer-guided orthognathic surgery can be a satisfactory approach to correct a mandibular defect. The advantages of 1-stage surgery for the surgeon include shorter treatment time and more predictable results, while the benefits for the patient are good esthetic and functional results and improved quality of life.
    MeSH term(s) Male ; Humans ; Young Adult ; Adult ; Orthognathic Surgery ; Quality of Life ; Temporomandibular Joint Disorders/surgery ; Temporomandibular Joint/diagnostic imaging ; Temporomandibular Joint/surgery ; Joint Prosthesis
    Language English
    Publishing date 2023-04-21
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 603650-8
    ISSN 0363-6771
    ISSN 0363-6771
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Epidermoid cyst mimicking a thyroglossal duct cyst in a pediatric patient: a case report.

    Godinho, Géssica Vasconcelos / Da Silva, Everton José / Da Silva, Cristhiane Almeida Leite / Volpato, Luiz Evaristo Ricci

    General dentistry

    2022  Volume 70, Issue 1, Page(s) 61–64

    Abstract: This article presents a case of an epidermoid cyst that mimicked a thyroglossal duct cyst in a pediatric patient. An 8-year-old boy was referred for evaluation of a volumetric increase in the median cervical region with an evolution of about 4 years. The ...

    Abstract This article presents a case of an epidermoid cyst that mimicked a thyroglossal duct cyst in a pediatric patient. An 8-year-old boy was referred for evaluation of a volumetric increase in the median cervical region with an evolution of about 4 years. The skin in the submental region was healthy and normal colored. Palpation revealed a mobile, well-circumscribed nodular lesion of soft consistency. Computed tomography of the neck showed an expansive hypodense formation extending from the base of the tongue to the upper portion of the hyoid bone, suggesting a thyroglossal duct cyst. Considering the diagnostic hypothesis, cystic enucleation via the Sistrunk procedure was planned. However, no ductal structure was identified during the surgical procedure, and the lesion was only near, but not attached to, the hyoid bone. Simple excision of the lesion was therefore performed. At the most recent follow-up examination, about 3 months postoperatively, the patient demonstrated satisfactory clinical progress. The epidermoid cyst close to the hyoid bone presented diagnostic difficulty due to its similarity to a thyroglossal duct cyst. Computed tomography provides limited information for diagnosing this type of lesion, and ultrasonography is the preferred test. In view of the uncertain diagnosis in this case, the extent of the excision was determined during the surgery, and simple excision was a satisfactory treatment associated with a good prognosis.
    MeSH term(s) Child ; Epidermal Cyst/diagnostic imaging ; Epidermal Cyst/surgery ; Humans ; Hyoid Bone/diagnostic imaging ; Hyoid Bone/surgery ; Male ; Neck ; Thyroglossal Cyst/diagnostic imaging ; Thyroglossal Cyst/surgery ; Tongue
    Language English
    Publishing date 2022-01-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 603650-8
    ISSN 0363-6771
    ISSN 0363-6771
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  3. Article ; Online: Extensive hard palate hyperpigmentation associated with chloroquine use.

    Godinho, Géssica Vasconcelos / Paz, Ana Luiza Lima Medeiros / de Araújo Gomes, Elâine Patrícia Alves / Garcia, Cristiane Loreda / Volpato, Luiz Evaristo Ricci

    British journal of clinical pharmacology

    2020  Volume 86, Issue 11, Page(s) 2325–2327

    Abstract: A 66-year-old woman diagnosed clinical manifestation of extensive hard palate hyperpigmentation is presented. Due to historic of rheumatoid arthritis and use of chloroquine phosphate for 3 years, exogenous hyperpigmentation associated with the drug was ... ...

    Abstract A 66-year-old woman diagnosed clinical manifestation of extensive hard palate hyperpigmentation is presented. Due to historic of rheumatoid arthritis and use of chloroquine phosphate for 3 years, exogenous hyperpigmentation associated with the drug was included among the possible diagnoses. Incisional biopsy was performed and the histopathological exam confirmed exogenous hyperpigmentation compatible with chloroquine use. The patient was referred to the rheumatologist and the ophthalmologist for evaluation of the continuity of the chloroquine use. After one year of follow-up, no changes were seen in the hyperpigmentation nor other clinical changes. Hyperpigmentation of the hard palate by the use of chloroquine is one of the adverse effects of the chronic use of this drug and does not require specific treatment. The adequate anamnesis and the knowledge about the adverse effects of the drug allowed an adequate therapeutic approach in the case.
    MeSH term(s) Aged ; Arthritis, Rheumatoid/drug therapy ; Biopsy ; Chloroquine/adverse effects ; Female ; Humans ; Hyperpigmentation/chemically induced ; Hyperpigmentation/diagnosis ; Palate, Hard
    Chemical Substances Chloroquine (886U3H6UFF)
    Keywords covid19
    Language English
    Publishing date 2020-04-20
    Publishing country England
    Document type Case Reports ; Letter
    ZDB-ID 188974-6
    ISSN 1365-2125 ; 0306-5251 ; 0264-3774
    ISSN (online) 1365-2125
    ISSN 0306-5251 ; 0264-3774
    DOI 10.1111/bcp.14313
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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