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Ribeiro, Marcia Gonçalves

[PMID]: 29513872
[Au] Autor:Coça KL; Bergmann A; Ferman S; Angelis EC; Ribeiro MG
[Ad] Address:Setor de Fonoaudiologia, Instituto Nacional de Câncer José de Alencar Gomes da Silva - INCA - Rio de Janeiro (RJ), Brasil.
[Ti] Title:Prevalência de distúrbios da comunicação, deglutição e motricidade orofacial em crianças e adolescentes no momento da matrícula em um hospital oncológico. Prevalence of communication, swallowing and orofacial myofunctional disorders in children and adolescents at the time of admission at a cancer hospital.
[So] Source:Codas;30(1):e20170123, 2018 Mar 01.
[Is] ISSN:2317-1782
[Cp] Country of publication:Brazil
[La] Language:por; eng
[Ab] Abstract:PURPOSE: Describe the prevalence of communication, swallowing and orofacial myofunctional disorders in a group of children and adolescents at the time of registration at a cancer hospital. METHODS: A cross-sectional study conducted with children aged ≥2 and adolescents, of both genders, admitted to the Pediatric Oncology Section of the Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA) from March 2014 to April 2015 for investigation and/or treatment of solid tumors. A protocol was used to record the sociodemographic and clinical information and findings of the speech-language pathology clinical evaluation, which included aspects of the oral sensorimotor system, swallowing, speech, language, voice, and hearing. RESULTS: Eighty-eight children/adolescents (41.3%) presented some type of speech-language disorder. The most frequent speech-language disorders were orofacial myofunctional disorder, dysphonia, and language impairments, whereas the less frequent ones were dysacusis, tongue paralysis, and trismus. Site of the lesion was the clinical variable that presented statistically significant correlation with presence of speech-language disorders. CONCLUSION: High prevalence of speech-language disorders was observed in children and adolescents at the time of admission at a cancer hospital. Occurrence of speech-language disorders was higher in participants with lesions in the central nervous system and in the head and neck region.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:In-Process

  2 / 2469 MEDLINE  
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[PMID]: 28449768
[Au] Autor:Brignardello-Petersen R
[Ti] Title:Submucosal dexamethasone reduces pain, swelling, and trismus after impacted third-molar extraction.
[So] Source:J Am Dent Assoc;148(5):e64, 2017 05.
[Is] ISSN:1943-4723
[Cp] Country of publication:England
[La] Language:eng
[Pt] Publication type:REVIEW; COMMENT
[Em] Entry month:1704
[Cu] Class update date: 180306
[Lr] Last revision date:180306
[St] Status:In-Process

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[PMID]: 29405430
[Au] Autor:Arakeri G; Thomas D; Aljabab AS; Hunasgi S; Rai KK; Hale B; Fonseca FP; Gomez RS; Rahimi S; Merkx MAW; Brennan PA
[Ad] Address:Department of Oral and Maxillofacial Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.
[Ti] Title:TFM classification and staging of oral submucous fibrosis: A new proposal.
[So] Source:J Oral Pathol Med;, 2018 Feb 05.
[Is] ISSN:1600-0714
[Cp] Country of publication:Denmark
[La] Language:eng
[Ab] Abstract:BACKGROUND: We have evaluated the rationale of existing grading and staging schemes of oral submucous fibrosis (OSMF) based on how they are categorized. A novel classification and staging scheme is proposed. METHODS: A total of 300 OSMF patients were evaluated for agreement between functional, clinical, and histopathological staging. Bilateral biopsies were assessed in 25 patients to evaluate for any differences in histopathological staging of OSMF in the same mouth. Extent of clinician agreement for categorized staging data was evaluated using Cohen's weighted kappa analysis. Cross-tabulation was performed on categorical grading data to understand the intercorrelation, and the unweighted kappa analysis was used to assess the bilateral grade agreement. Probabilities of less than 0.05 were considered significant. Data were analyzed using SPSS Statistics (version 25.0, IBM, USA). RESULTS: A low agreement was found between all the stages depicting the independent nature of trismus, clinical features, and histopathological components (K = 0.312, 0.167, 0.152) in OSMF. Following analysis, a three-component classification scheme (TFM classification) was developed that describes the severity of each independently, grouping them using a novel three-tier staging scheme as a guide to the treatment plan. CONCLUSION: The proposed classification and staging could be useful for effective communication, categorization, and for recording data and prognosis, and for guiding treatment plans. Furthermore, the classification considers OSMF malignant transformation in detail.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180303
[Lr] Last revision date:180303
[St] Status:Publisher
[do] DOI:10.1111/jop.12689

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[PMID]: 28858550
[Au] Autor:Falci SGM; Lima TC; Martins CC; Santos CRRD; Pinheiro MLP
[Ad] Address:Oral and Maxillofacial Surgery Professor, Department of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil.
[Ti] Title:Preemptive Effect of Dexamethasone in Third-Molar Surgery: A Meta-Analysis.
[So] Source:Anesth Prog;64(3):136-143, 2017.
[Is] ISSN:0003-3006
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The aim of the present study was to assess the effectiveness of preemptive dexamethasone in surgery of the lower third molars and to compare it with other oral anti-inflammatories. An electronic search was conducted for preemptive effects related to lower third-molar surgery in 3 separate databases. The variables pain, swelling, and trismus were assessed. Meta-analysis was used to calculate the pooled effect measures for mean and standard deviation values (95% confidence interval [CI]). Seven split-mouth clinical trials were selected. Two studies were included in the meta-analysis. Three studies showed a low risk of bias; 2 studies exhibited a moderate risk and 2 a high risk of bias. Dexamethasone was better than nonsteroidal anti-inflammatories for preemptive effectiveness. Meta-analysis for swelling confirmed better results for dexamethasone than for methylprednisolone after 2 days (95% CI = -1.28 to -0.38), 4 days (95% CI = -1.65 to -0.71), 7 days (95% CI = -1.42 to -0.71), and overall (95% CI = -1.25 to -0.72). Dexamethasone was better than methylprednisolone for mouth opening after 4 days (95% CI = 0.18 to 1.07). There is insufficient evidence through meta-analysis to conclude that dexamethasone is better than other nonsteroidal anti-inflammatories or methylprednisolone as a preemptive analgesic. The results of this meta-analysis suggest that dexamethasone is more effective than methylprednisolone for swelling and trismus.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[St] Status:In-Process
[do] DOI:10.2344/anpr-64-05-08

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[PMID]: 29455674
[Au] Autor:Munakomi S
[Ad] Address:Nobel Teaching Hospital, Kachanbari, Biratnagar, Nepal. sunilmunakomi@gmail.com.
[Ti] Title:Aggressive fibromatosis in the infratemporal fossa presenting as trismus: a case report.
[So] Source:J Med Case Rep;12(1):41, 2018 Feb 19.
[Is] ISSN:1752-1947
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Here we report a very rare entity of an infratemporal region aggressive fibromatosis in a 23-year-old Tharu man who had presented with the symptoms of painless but progressive trismus. CASE PRESENTATION: We describe a case of aggressive fibromatosis in a 23-year-old Tharu man. Radiological imaging as well as an immunohistochemistry panel from a biopsy indicated a diagnosis of an aggressive fibromatosis. Since there was no aggravation in his trismus following surgery and because of his poor socioeconomic status, he was advised to attend regular follow-up visits without any adjuvant therapy. CONCLUSIONS: This case report adds to the notion of keeping the differential diagnosis of an aggressive fibromatosis in all patients presenting with progressive but painless trismus. The characteristic imaging findings as well an immunohistochemistry panel will help us clinch the correct diagnosis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180227
[Lr] Last revision date:180227
[St] Status:In-Process
[do] DOI:10.1186/s13256-018-1577-3

  6 / 2469 MEDLINE  
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[PMID]: 29473974
[Au] Autor:Arakeri G; Brennan PA
[Ad] Address:Department of Oral and Maxillofacial Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.
[Ti] Title:TFM classification and Staging of oral submucous fibrosis: A new proposal.
[So] Source:J Oral Pathol Med;, 2018 Feb 23.
[Is] ISSN:1600-0714
[Cp] Country of publication:Denmark
[La] Language:eng
[Ab] Abstract:Dr Rai states that the burning sensation has only been included in the F1 category when it is present in both early and advanced cases, and therefore suggests including it in all the stages. There is evidence in the literature that the burning sensation is a specific parameter of onset of OSMF. However, its significance as an indicator of severity of fibrosis is not well established since advanced fibrosis and the associate trismus restrict dietary intake and patients may avoid any food which causes burning mucosa. This article is protected by copyright. All rights reserved.
[Pt] Publication type:LETTER
[Em] Entry month:1802
[Cu] Class update date: 180223
[Lr] Last revision date:180223
[St] Status:Publisher
[do] DOI:10.1111/jop.12700

  7 / 2469 MEDLINE  
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[PMID]: 29254306
[Au] Autor:Lin Q; Hong XY; Zhang D; Jin HJ
[Ad] Address:Department of Plastic and Reconstructive Surgery, the First Hospital of Jilin University, Changchun, China.
[Ti] Title:Preoperative evaluation and surgical technique of functional and cosmetic aspects in zygomatic complex fracture patients.
[So] Source:J Biol Regul Homeost Agents;31(4):1005-1012, 2017 Oct-Dec.
[Is] ISSN:0393-974X
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:The zygomatico-maxillary complex functions as the principle buttress of the face and is the cornerstone to an individual’s aesthetic appearance. Its fracture not only creates cosmetic deformities owing to its position and facial contour, but can also cause disruption of ocular and mandibular functions. The aim of this study was to evaluate the quality, efficacy and impact of internal fixation of zygomatic complex fractures on functional and cosmetic outcomes. A prospective study was carried out on 100 patients who were divided according to the classification and the severity of injury. Subjective evaluation was submitted based on the patient’s perception of signs and symptoms in the preoperative and postoperative periods. Intraoperative and postoperative assessment of bone reduction quality was made according to the type of the fracture and related difficulties; also, the difference between these groups was observed as functional and esthetic outcome. To optimize the treatment of zygomatic bone fractures, a pre-designed questionnaire was used for subjective evaluation of symptoms and treatment outcome. In 70% of cases, ophthalmologic consultation was taken and was most common in type VII fractures (100% cases). Neurosensory disturbance was the most common finding (60%), followed by diplopia (56R%), pain upon mouth opening (54%) and malar depression (50%). Out of all possible 400 fracture sites in 100 patients of zygomatic complex fractures, 266 (66.5%) fractures were detected by clinical examination, in contrast to 330 (82.5%) on radiological examination, which were highest at zygomatic-maxillary buttress (93%) followed by infraorbital rim (91%) and almost equal among fronto-zygomatic site (72%) and zygomatic arch (74%). The scores from the questionnaire for annoyance were significantly higher for paraesthesia (23%) than for trismus (10%), pain (8.5%), or deformity (8.25%). Residual deformity and pain significantly influenced the total satisfaction. Conclusively, there are many treatment modalities available for zygomatic complex fractures, and the preferred methods should be selected on the basis of fracture type, fracture severity, pre-operative signs and symptoms. Regarding the requirements of fracture site exposure and actual fixation, one priority should be to minimize postoperative complications, morbidity and residual deformities.
[Mh] MeSH terms primary: Fracture Fixation, Internal/methods
Postoperative Complications/physiopathology
Surgery, Plastic/methods
Zygoma/surgery
Zygomatic Fractures/surgery
[Mh] MeSH terms secundary: Adult
Diagnostic Techniques, Ophthalmological
Diplopia/etiology
Diplopia/pathology
Diplopia/physiopathology
Diplopia/psychology
Female
Humans
Male
Middle Aged
Pain/etiology
Pain/pathology
Pain/physiopathology
Pain/psychology
Paresthesia/etiology
Paresthesia/pathology
Paresthesia/physiopathology
Paresthesia/psychology
Patient Satisfaction/statistics & numerical data
Postoperative Complications/pathology
Postoperative Complications/psychology
Prospective Studies
Surveys and Questionnaires
Trauma Severity Indices
Treatment Outcome
Trismus/etiology
Trismus/pathology
Trismus/physiopathology
Trismus/psychology
Zygoma/injuries
Zygoma/physiopathology
Zygomatic Fractures/pathology
Zygomatic Fractures/physiopathology
Zygomatic Fractures/psychology
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180222
[Lr] Last revision date:180222
[Js] Journal subset:IM
[Da] Date of entry for processing:171220
[St] Status:MEDLINE

  8 / 2469 MEDLINE  
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[PMID]: 29457320
[Au] Autor:Kapetanakos M; Wisniewski S; Golden M; Randazzo J
[Ad] Address:Department of Prosthodontics, Tufts University School of Dental Medicine, Boston, MA.
[Ti] Title:Restoration of Facial Form and Lip Competence in a Patient with a Midfacial Defect.
[So] Source:J Prosthodont;, 2018 Feb 18.
[Is] ISSN:1532-849X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Squamous cell carcinoma (SCC) of the head and neck can be treated with a combination of modalities. There is an esthetic and functional compromise with midfacial defects secondary to ablative surgery and adjuvant therapies for SCC. Osteoradionecrosis, tissue contracture, and trismus, are all negative side effects of treatment and can impact a patient's function and possibly their nutrition. In this report, we describe a procedure for fabrication of a prosthesis that provides cosmetic improvement and labial competence to maintain caloric intake.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180219
[Lr] Last revision date:180219
[St] Status:Publisher
[do] DOI:10.1111/jopr.12758

  9 / 2469 MEDLINE  
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[PMID]: 29446368
[Au] Autor:Pokharel M; Shrestha I; Dhakal A; Amatya RC
[Ad] Address:Department of Otorhinolaryngology and Head and Neck Surgery, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel Hospital, Kavre, Nepal.
[Ti] Title:Awareness and Knowledge of Oral Cancer among Medical Students in Kathmandu University School of Medical Sciences.
[So] Source:Kathmandu Univ Med J (KUMJ);15(57):75-77, 2017 Jan.-Mar..
[Is] ISSN:1812-2078
[Cp] Country of publication:Nepal
[La] Language:eng
[Ab] Abstract:Background Oral cancer is a major public health problem worldwide. It has high mortality rates and chances of survival is relatively superior when detected early. Lack of knowledge and awareness about oral cancer among medical students may contribute to delay in diagnosis and treatment. Objective To assess awareness and knowledge of oral cancer among medical students. Method A cross-sectional study conducted among 286 students by Department of Otorhinolaryngology and Head & Neck surgery, Kathmandu University School of Medical sciences between July to August 2016. A questionnaire with questions on socio-demographic profile, awareness and knowledge of oral cancer was used. Independent sample t test and Pearson Chi-square tests were used for statistical analysis. Result Out of 329 students approached, 286 participated in the study yielding a response rate of 86.9%. Symptoms of oral cancer as reported were ulceration in mouth (92.3%), oral bleeding (85.0%),whitish or reddish patch (84.3%), halitosis (75.5%) and swelling in neck (74.5%), trismus (69.2%), numbness (67.1%), loosening of teeth (49.3%) and tooth sensitivity (41.6%). The perceived risk factors were smoking (97.2%), tobacco chewing (96.5%), chronic irritation (86.7%), immunodeficiency (83.9%), poor oral hygiene (88.5%), human papilloma virus infection (82.5%), dietary factors (81.1%), alcohol (79.4%), ill-fitting dentures (72.4%), hot spicy food (65.4%) and hot beverages (58.0%). Significant differences were found between pre-clinical and clinical students for knowledge of risk factors, signs and symptoms of oral cancer (p<0.001). Conclusion There is deficiency of knowledge among medical students about some aspects of oral cancer. Active involvement while examining patients and taking biopsies of malignant and premalignant lesions may help in improving students' knowledge about oral cancer.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180215
[Lr] Last revision date:180215
[St] Status:In-Process

  10 / 2469 MEDLINE  
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[PMID]: 29440480
[Au] Autor:Malek N; Damian M
[Ad] Address:Department of Neurology, Ipswich Hospital NHS Trust, Ipswich, UK.
[Ti] Title:Trismus caused by paraneoplastic brainstem encephalitis.
[So] Source:Pract Neurol;, 2018 Feb 13.
[Is] ISSN:1474-7766
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:We discuss the assessment and differential diagnoses of a middle-aged man who presented with trismus, double vision and behavioural problems. MRI scan of the brain was initially normal, but a month later showed high signal in the hippocampal region on fluid attenuated inversion recovery sequence (FLAIR) imaging. We suspected a paraneoplastic brainstem encephalitis because of his smoking history, rapidly progressive symptoms and abnormal brainstem signs. A positron emission tomography-CT scan identified abnormal subcarinal nodes, shown on biopsy to be metastatic small cell lung cancer. He is currently undergoing treatment with chemotherapy and radiotherapy.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180214
[Lr] Last revision date:180214
[St] Status:Publisher


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