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  1. Article ; Online: Primary treatment of early fistula of parotid duct with botulinum toxin type A injection.

    Ferron, Camila / Cernea, Selma Schuartz / Almeida, Ada Regina Trindade de / Cesar, Denise Vieira Galvão

    Anais brasileiros de dermatologia

    2018  Volume 92, Issue 6, Page(s) 864–866

    Abstract: Salivary duct injury can be idiopathic, iatrogenic, or post-trauma and may result in sialocele or fistula. Most injuries regress spontaneously and botulinum toxin A is one of several therapeutic possibilities. We report a case of iatrogenic injury to the ...

    Abstract Salivary duct injury can be idiopathic, iatrogenic, or post-trauma and may result in sialocele or fistula. Most injuries regress spontaneously and botulinum toxin A is one of several therapeutic possibilities. We report a case of iatrogenic injury to the parotid duct after Mohs' micographic surgery for a squamous cell carcinoma excision in the left jaw region, treated by injection of botulinum toxin type A. Although the fistula by duct injury can be self-limiting, botulinum toxin injection by promoting the inactivity of the salivary gland allows rapid healing of the fistula.
    MeSH term(s) Aged ; Botulinum Toxins, Type A/administration & dosage ; Carcinoma, Squamous Cell/surgery ; Humans ; Injections, Intralesional ; Male ; Mandibular Neoplasms/surgery ; Mohs Surgery/adverse effects ; Neuromuscular Agents/administration & dosage ; Parotid Gland/injuries ; Parotid Gland/surgery ; Salivary Gland Fistula/drug therapy ; Salivary Gland Fistula/etiology ; Treatment Outcome
    Chemical Substances Neuromuscular Agents ; Botulinum Toxins, Type A (EC 3.4.24.69)
    Language English
    Publishing date 2018-12-04
    Publishing country Spain
    Document type Case Reports
    ZDB-ID 433655-0
    ISSN 1806-4841 ; 0365-0596
    ISSN (online) 1806-4841
    ISSN 0365-0596
    DOI 10.1590/abd1806-4841.20175848
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Indication guidelines for Mohs micrographic surgery in skin tumors.

    Cernea, Selma Schuartz / Gontijo, Gabriel / Pimentel, Eugenio Raul de Almeida / Tarlé, Roberto Gomes / Tassara, Glaysson / Ferreira, Juliana Areas de Souza Lima Beltrame / Fernandes, Victor Miguel Coutinho / Bernardo, Wanderley Marques

    Anais brasileiros de dermatologia

    2016  Volume 91, Issue 5, Page(s) 621–627

    Abstract: Mohs micrographic surgery is a technique used to excise skin tumors based on comprehensive surgical mapping, in which the surgeon removes the tumor, followed by a complete histological evaluation of the tumor's margins. The correlation of the presence of ...

    Abstract Mohs micrographic surgery is a technique used to excise skin tumors based on comprehensive surgical mapping, in which the surgeon removes the tumor, followed by a complete histological evaluation of the tumor's margins. The correlation of the presence of a tumor in histological examinations and its precise location on the surgical map result in a complete removal of the tumor with maximum normal tissue preservation. The present article seeks to provide general practitioners and healthcare specialists with guidelines regarding recommendations for Mohs micrographic surgery to treat skin tumors, based on the most reliable evidence available in medical literature on the subject. This bibliographic review of scientific articles in this line of research was conducted based on data collected from MEDLINE/PubMed. The search strategy used in this study was based on structured questions in the Patient, Intervention, Control, and Outcome (PICO) format. MeSH terms were used as descriptors. The indications of this technique are related to recurrence, histology, size, definition of tumor margins, and location of tumors. These guidelines attempt to establish the indications of Mohs surgery for different types of skin tumors.
    MeSH term(s) Carcinoma, Basal Cell/pathology ; Carcinoma, Basal Cell/surgery ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery ; Humans ; Margins of Excision ; Mohs Surgery/methods ; Mohs Surgery/standards ; Neoplasm Recurrence, Local/surgery ; Practice Guidelines as Topic ; Skin Neoplasms/pathology ; Skin Neoplasms/surgery
    Language English
    Publishing date 2016-10-25
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 433655-0
    ISSN 1806-4841 ; 0365-0596
    ISSN (online) 1806-4841
    ISSN 0365-0596
    DOI 10.1590/abd1806-4841.20164808
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Direct immunofluorescence in Lupus Erythematosus (LE)

    Roseli Svartman Isfer / José Antônio Sanches Jr. / Cyro Festa Neto / Selma Schuartz Cernea / Zilda Najjar Prado de Oliveira / Maria Apparecida Constantino Vilela / Maria Luiza Silva / Lucy Massaco Miyachi / Ligia Maria Ishimura Fukumori / Soraia Regina da Silva

    São Paulo Medical Journal, Vol 114, Iss 2, Pp 1141-1147

    Abstract: One hundred and twenty-six patients with LE were studied. They were distributed as follows: 84 with DLE, 13 with SALE and 29 with SLE. Biopsies from the skin lesions were performed and submitted to DIE Positive results were equal to 69, 61.5 and 72.4 ... ...

    Abstract One hundred and twenty-six patients with LE were studied. They were distributed as follows: 84 with DLE, 13 with SALE and 29 with SLE. Biopsies from the skin lesions were performed and submitted to DIE Positive results were equal to 69, 61.5 and 72.4 percent of the DLE, SALE and SLE cases, respectively. These data are in accordance with the literature. IgM was the most frequently found immunoglobulin, followed by the association IgM+C3.
    Keywords Direct immunofluorescence (DIF) ; Lupus erythematosus (LE) ; Discoid lupus erythematosus (DLE) ; Subacute lupus erythematosus (SALE) ; Systemic lupus erythematosus (SLE) ; Immunoglobulins (Igs) ; Medicine ; R
    Language English
    Publisher Associação Paulista de Medicina
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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