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Pesquisa : A01.456.505.750 [Categoria DeCS]
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[PMID]:27929599
[Au] Autor:Poletti AM; Dubey SP; Colombo G; Cugini G
[Ad] Endereço:Department of Otorhinolaryngology, Saudi German Hospital Dubai, Hessa St. 331 West, PO Box 391093, Dubai, UAE. arturomario.poletti@gmail.com.
[Ti] Título:Surgical management of parapharyngeal space tumors: The role of cervical and lateral skull base approaches.
[So] Source:Ear Nose Throat J;95(12):E1-E6, 2016 Dec.
[Is] ISSN:1942-7522
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We conducted a retrospective study to analyze the role of the cervical and lateral skull base approaches in the surgical excision of parapharyngeal space (PPS) tumors. Our study population was made up of 34 patients-15 males and 19 females, aged 13 to 73 years (mean: 50.6)-who had presented to us with a PPS tumor during a 9-year period. The 34 cases included 23 benign tumors and 11 malignancies. The 23 benign tumors consisted of 11 pleomorphic adenomas, 5 schwannomas, 2 paragangliomas, 2 Warthin tumors, 1 oncocytoma, 1 hamartoma, and 1 osteochondroma. The 11 malignancies included 3 cases of recurrent nasopharyngeal carcinoma, 2 cases of mucoepidermoid carcinomas, and 1 case each of carcinoma ex pleomorphic adenoma, liposarcoma, lymph node metastasis from nasopharyngeal carcinoma, lymph node metastasis from follicular thyroid carcinoma, rhabdomyosarcoma, and cranial nerve (CN) X neurofibrosarcoma. Among the benign tumors, 14 were removed via the transparotid approach, 3 via the transcervical approach, 3 via the transcervical-transparotid approach, 2 via the petro-occipital-trans-sigmoid approach, and 1 via the Fisch type A infratemporal fossa approach. During postoperative follow-up, 5 of the 23 patients with a benign tumor exhibited facial nerve paresis, 2 developed CN IX to XII palsy, and 1 each developed Frey syndrome and CN X palsy. In the malignant tumor group, 4 of the 11 patients were treated via the transcervical-transparotid approach, 3 via the Fisch type C infratemporal fossa approach, 3 via the transcervical-transmandibular approach, and 1 via the transcervical-lateral petrosectomy approach. The neural deficits observed during the postoperative period were more extensive among the patients with a malignant tumor. We conclude that the transparotid and transcervical approaches were adequate for excising most benign tumors. For malignant tumors, large tumors, and tumors with skull base involvement and transcranial extension, the transparotid-transcervical, transcervical-transmandibular, infratemporal fossa, and petro-occipital-trans-sigmoid approaches were necessary.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Otorrinolaringológicos/métodos
Neoplasias Faríngeas/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Pescoço/cirurgia
Região Parotídea/cirurgia
Neoplasias Faríngeas/patologia
Faringe/patologia
Faringe/cirurgia
Complicações Pós-Operatórias/etiologia
Estudos Retrospectivos
Base do Crânio/cirurgia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170412
[Lr] Data última revisão:
170412
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE


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[PMID]:26994046
[Au] Autor:Tao MJ; Roche-Nagle G
[Ad] Endereço:Toronto General Hospital, Toronto, Ontario, Canada.
[Ti] Título:First bite syndrome: a complication of carotid endarterectomy.
[So] Source:BMJ Case Rep;2016, 2016 Mar 18.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:First bite syndrome (FBS) is an uncommon pain syndrome characterised by severe cramping or spasm in the parotid region with the first bite of each meal. The proposed pathogenesis is sympathetic denervation of the parotid gland secondary to iatrogenic injury with resultant cross-stimulatory parasympathetic hypersensitivity response. FBS is a potential sequela of surgeries involving the infratemporal fossa, parapharyngeal space and/or deep lobe of the parotid gland, however, only four cases of FBS secondary to carotid endarterectomy have been documented to date. We present a case and management of a 77-year-old man who developed FBS after an ipsilateral carotid endarterectomy, to raise awareness of this complication among surgeons who operate in the neck region.
[Mh] Termos MeSH primário: Endarterectomia das Carótidas/efeitos adversos
Mastigação
Cãibra Muscular
Dor/etiologia
Glândula Parótida/inervação
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Dor/cirurgia
Glândula Parótida/cirurgia
Região Parotídea
Complicações Pós-Operatórias/cirurgia
Espasmo/complicações
Sistema Nervoso Simpático/lesões
Síndrome
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170112
[Lr] Data última revisão:
170112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160320
[St] Status:MEDLINE


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[PMID]:26915301
[Au] Autor:Dulguerov N; Makni A; Dulguerov P
[Ad] Endereço:Department of Oto-Rhino-Laryngology Head and Neck Surgery, Geneva University Hospital, Geneva, Switzerland.
[Ti] Título:The superficial musculoaponeurotic system flap in the prevention of Frey syndrome: A meta-analysis.
[So] Source:Laryngoscope;126(7):1581-4, 2016 07.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: Evaluate the difference of the incidence in clinical Frey syndrome in studies comparing classical parotidectomy and parotidectomy with superficial musculoaponeurotic system (SMAS) flap elevation and suturing through meta-analysis methodology. STUDY DESIGN: Meta-analysis of controlled studies with and without SMAS flap. METHODS: Database search with the following key word combination: "Frey syndrome" and "SMAS." INCLUSION CRITERIA: parotidectomy, SMAS flap and control groups, minimal follow-up of 1 year. The outcome was the presence of clinical Frey syndrome. RESULTS: Eleven studies, mostly retrospective and not randomized. According to the fixed-effect model, SMAS technique is associated with a decrease of clinical Frey syndrome with an odds ratio (OR) of 0.42 (confidence interval [CI] 0.32-0.56). With the random-effect model, the difference remains significant (P = 0.006) with an OR of 0.25 (CI 0.09-0.66). The heterogeneity index I(2) is very high (85%). CONCLUSION: The use of SMAS flap and suturing is associated with a decreased incidence of Frey syndrome. Laryngoscope, 126:1581-1584, 2016.
[Mh] Termos MeSH primário: Complicações Pós-Operatórias/prevenção & controle
Procedimentos Cirúrgicos Reconstrutivos/métodos
Sistema Musculoaponeurótico Superficial/transplante
Retalhos Cirúrgicos/cirurgia
Sudorese Gustativa/prevenção & controle
[Mh] Termos MeSH secundário: Estudos Clínicos como Assunto
Seres Humanos
Doenças Parotídeas/cirurgia
Região Parotídea/cirurgia
Complicações Pós-Operatórias/etiologia
Sudorese Gustativa/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160227
[St] Status:MEDLINE
[do] DOI:10.1002/lary.25895


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[PMID]:26749559
[Au] Autor:Bulut OC; Plinkert P; Federspil PA
[Ad] Endereço:Department of Otolaryngology, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.
[Ti] Título:Modified facelift incision for partial parotidectomy versus bayonet-shaped incision: a comparison using visual analog scale.
[So] Source:Eur Arch Otorhinolaryngol;273(10):3269-75, 2016 Oct.
[Is] ISSN:1434-4726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The aim of this study is to show differences between a modified facelift incision (MFI) for partial parotidectomy versus a bayonet-shaped incision (BSI). 24 patients presenting with a parotid tumor were surgically treated with a partial parotidectomy using a MFI. We generated a "matched pair control group" regarding age, tumor size and gender, who received a BSI. A questionnaire was sent to all patients and relevant data reviewed. The cosmetic satisfaction on a VAS with a MFI was 9.74 (±0.47) compared to BSI with 7.63 (±2.44, p = 0.004). The scoring in the two subgroups "visible scar" and "people noticed my surgery" was significantly better in the MFI group The postoperative skin numbness, skin depression, facial nerve function postoperatively showed no statistical differences. The MFI for parotid tumors has a better outcome than the BSI regarding cosmetic satisfaction and visible scarring.
[Mh] Termos MeSH primário: Adenoma
Cicatriz
Neoplasias Parotídeas
Complicações Pós-Operatórias
Ritidoplastia
[Mh] Termos MeSH secundário: Adenoma/patologia
Adenoma/cirurgia
Adulto
Cicatriz/etiologia
Cicatriz/prevenção & controle
Cicatriz/psicologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estadiamento de Neoplasias
Avaliação de Processos e Resultados (Cuidados de Saúde)
Glândula Parótida/patologia
Glândula Parótida/cirurgia
Neoplasias Parotídeas/patologia
Neoplasias Parotídeas/cirurgia
Região Parotídea/cirurgia
Satisfação do Paciente
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/prevenção & controle
Complicações Pós-Operatórias/psicologia
Projetos de Pesquisa
Ritidoplastia/efeitos adversos
Ritidoplastia/métodos
Escala Visual Analógica
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160111
[St] Status:MEDLINE
[do] DOI:10.1007/s00405-015-3878-0


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[PMID]:26518528
[Au] Autor:Alwanni N; Altay MA; Baur DA; Quereshy FA
[Ad] Endereço:Research Fellow, Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Case Western Reserve University, Cleveland, OH.
[Ti] Título:First Bite Syndrome After Bilateral Temporomandibular Joint Replacement: Case Report.
[So] Source:J Oral Maxillofac Surg;74(3):480-8, 2016 Mar.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:First bite syndrome (FBS) refers to intense pain in the parotid region, which coincides with the first bite of every meal, gradually subsides over the next several bites, but returns with the first bite of the next meal. The definitive diagnosis can be readily established by the characteristic onset of pain after the first bite of every meal. Pain is typically most intense at the first meal of the day, although some patients experience symptoms when thinking of food or salivating. FBS is a recognized complication of surgery within the parapharyngeal space; however, other surgical procedures involving the upper neck have been associated with this syndrome. The extreme rarity of FBS complicates a thorough understanding of its pathophysiology. Various medical agents have been used, with variable success, for the management of patients with FBS. Although proved effective, more radical treatment modalities are commonly reserved for persistent or refractory cases, because there is potential of spontaneous decrease in the severity of symptoms with time. This report describes the case of a patient presenting with symptoms of FBS after bilateral temporomandibular joint replacement. To the authors' knowledge, this is the first case of FBS in the literature occurring after temporomandibular joint replacement.
[Mh] Termos MeSH primário: Artroplastia de Substituição/métodos
Dor Facial/etiologia
Mastigação/fisiologia
Articulação Temporomandibular/cirurgia
[Mh] Termos MeSH secundário: Adulto
Aminas/uso terapêutico
Analgésicos/uso terapêutico
Ácidos Cicloexanocarboxílicos/uso terapêutico
Feminino
Seguimentos
Seres Humanos
Prótese Articular
Dor Pós-Operatória/etiologia
Região Parotídea
Retalhos Cirúrgicos/transplante
Músculo Temporal/transplante
Disco da Articulação Temporomandibular/cirurgia
Transtornos da Articulação Temporomandibular/cirurgia
Ácido gama-Aminobutírico/uso terapêutico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Amines); 0 (Analgesics); 0 (Cyclohexanecarboxylic Acids); 56-12-2 (gamma-Aminobutyric Acid); 6CW7F3G59X (gabapentin)
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161128
[Lr] Data última revisão:
161128
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:151101
[St] Status:MEDLINE


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[PMID]:26372603
[Au] Autor:Ghosh A; Mirza N
[Ad] Endereço:Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
[Ti] Título:First bite syndrome: Our experience with intraparotid injections with botulinum toxin type A.
[So] Source:Laryngoscope;126(1):104-7, 2016 Jan.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: First bite syndrome is the sudden onset of acute and severe pain in the parotid region at the initiation of mastication. Although it generally lasts less than a minute, it is disabling for these individuals and leads to a fear of oral intake. It is typically seen after parapharyngeal or deep parotid space surgery. Intraparotid injection of botulinum toxin A (BTA) has been suggested as a treatment for this condition, but there is little supporting literature to this effect. The purpose of this study is to document our experience using this treatment method for first bite syndrome. STUDY DESIGN: Retrospective case review. METHODS: Five patients with first bite syndrome, developed after parapharyngeal space surgery, were treated by multisite injection of BTA into the parotid gland. Between 17.5 and 50 total U of BTA were injected into four or more sites in the parotid region. The patients were then followed up every 4 months. RESULTS: Three of five patients reported a significant improvement in symptoms at the 4-month follow-up visit, although complete resolution was not reported. One patient reported only moderate improvement, and despite two series of injections there was no improvement in one patient, leading us to question our initial diagnosis. CONCLUSIONS: Unilateral BTA injection into the affected parotid gland produces a decrease in the severity of symptoms. It is a safe and viable noninvasive treatment for this difficult to treat condition and may lead to permanent resolution of symptoms in some patients.
[Mh] Termos MeSH primário: Toxinas Botulínicas Tipo A/uso terapêutico
Fármacos Neuromusculares/uso terapêutico
Dor/tratamento farmacológico
Doenças Parotídeas/tratamento farmacológico
Região Parotídea
[Mh] Termos MeSH secundário: Adulto
Idoso
Toxinas Botulínicas Tipo A/administração & dosagem
Feminino
Seres Humanos
Injeções Intralesionais
Masculino
Mastigação
Meia-Idade
Fármacos Neuromusculares/administração & dosagem
Dor/etiologia
Medição da Dor
Doenças Parotídeas/etiologia
Estudos Retrospectivos
Índice de Gravidade de Doença
Síndrome
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Neuromuscular Agents); EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160115
[Lr] Data última revisão:
160115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150916
[St] Status:MEDLINE
[do] DOI:10.1002/lary.25571


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[PMID]:26192031
[Au] Autor:Fernández Olarte H; Gómez-Delgado A; Rivera-Guzmán A
[Ad] Endereço:*Oral and Maxillofacial Surgery Residency Program at Universidad El Bosque, Oral and Maxillofacial Surgery Department at Clínica El Bosque, Cranio-Maxillofacial Surgery Department at Hospital Simón Bolívar †Department of Oral and Maxillofacial Surgery and Publications Committee at Universidad El Bosque ‡Department of Oral and Maxillofacial Surgery, Universidad El Bosque, Bogotá, Colombia.
[Ti] Título:Modification of Blair Approach With a Modified Endaural Component to Access the Parotid Region.
[So] Source:J Craniofac Surg;26(6):1972-4, 2015 Sep.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study is to present our experience with a modification of the Blair approach to the parotid area, by means of a modified endaural component, which provides both excellent exposure and optimal functional and esthetic results, mainly over the preauricular area. PATIENTS AND METHODS: A retrospective case series study was performed. It included surgical cases of patients who were operated on the parotid region in which the mentioned approach was indicated. The information was collected from the database available at the Universidad El Bosque Oral and Maxillofacial Surgery Department in Bogota, Colombia from 2008 to 2013. RESULTS: The sample consisted of 12 patients, with ages ranging from 23 to 56 years and a mean age of 38 years. A total of 8 patients were women and 4 patients were men. Parotid pathologies included salivary gland tumor (10 patients) and cranial base tumor (2 patients). Procedures executed were: superficial lobe and total parotidectomy resection, pharynx extended and cranial base tumor resections. CONCLUSIONS: This investigation presents our experience with a modified approach to the parotid region. This approach gives an extended and safe exposure to the region with excellent cosmetic outcomes.
[Mh] Termos MeSH primário: Região Parotídea/cirurgia
[Mh] Termos MeSH secundário: Adulto
Dissecação/instrumentação
Dissecação/métodos
Estética
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Glândula Parótida/cirurgia
Neoplasias Parotídeas/cirurgia
Faringe/cirurgia
Estudos Retrospectivos
Neoplasias da Base do Crânio/cirurgia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:150911
[Lr] Data última revisão:
150911
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:150721
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000001917


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[PMID]:26183433
[Au] Autor:Hubbard EW; Winkler M; Davis T
[Ad] Endereço:Department of Pathology, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee.
[Ti] Título:Amylase crystalloids in nonneoplastic salivary gland: A distinct finding.
[So] Source:Diagn Cytopathol;43(10):835-7, 2015 Oct.
[Is] ISSN:1097-0339
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Amilases/análise
Candida glabrata/isolamento & purificação
Candidíase/diagnóstico
Soluções Isotônicas/análise
Glândulas Salivares/patologia
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Antifúngicos/uso terapêutico
Biópsia por Agulha Fina
Candidíase/tratamento farmacológico
Feminino
Seres Humanos
Região Parotídea/microbiologia
Região Parotídea/patologia
Glândulas Salivares/microbiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antifungal Agents); 0 (Isotonic Solutions); 0 (crystalloid solutions); EC 3.2.1.- (Amylases)
[Em] Mês de entrada:1606
[Cu] Atualização por classe:150910
[Lr] Data última revisão:
150910
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150718
[St] Status:MEDLINE
[do] DOI:10.1002/dc.23295


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[PMID]:25950527
[Au] Autor:Curi MM; Cardoso CL; Curra C; Koga D; Benini MB
[Ad] Endereço:*Department of Stomatology, Hospital Santa Catarina †Department of Oral Surgery, University Sagrado Coração, Sao Paulo, Brazil.
[Ti] Título:Late-onset adverse reactions related to hyaluronic Acid dermal filler for aesthetic soft tissue augmentation.
[So] Source:J Craniofac Surg;26(3):782-4, 2015 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hyaluronic acid (HA) fillers have been the choice material for soft tissue augmentation in the last decade. Although they are considered safe, there could be adverse reactions in the subsequent months or years to the treatment. However, these reactions have hardly ever been reported in the literature. This article considers 2 cases of delayed adverse reactions related to HA dermal filler for soft tissue augmentation with oral manifestation. It should be, before all, emphasized that HA filler is a safe and well-recognized treatment for soft tissue augmentation, despite the fact that delayed adverse effects may later occur after treatment, and clinicians should be aware of it when establishing a definitive oral diagnosis.
[Mh] Termos MeSH primário: Materiais Biocompatíveis/efeitos adversos
Preenchedores Dérmicos/efeitos adversos
Ácido Hialurônico/efeitos adversos
Lábio/cirurgia
Cirurgia Plástica/efeitos adversos
Cirurgia Plástica/métodos
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Materiais Biocompatíveis/administração & dosagem
Preenchedores Dérmicos/administração & dosagem
Feminino
Corpos Estranhos/cirurgia
Seres Humanos
Ácido Hialurônico/administração & dosagem
Ácido Hialurônico/análogos & derivados
Hialuronoglucosaminidase/administração & dosagem
Injeções Subcutâneas
Região Parotídea/cirurgia
Complicações Pós-Operatórias/cirurgia
Reoperação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biocompatible Materials); 0 (Dermal Fillers); 9004-61-9 (Hyaluronic Acid); EC 3.2.1.35 (Hyaluronoglucosaminidase); S270N0TRQY (Restylane)
[Em] Mês de entrada:1512
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:150508
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000001358


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[PMID]:25872310
[Au] Autor:Ting S; Lina Z; Ning G; Yaling T; Danqing Q; Dongping R; Yu C
[Ti] Título:[Soft tissue chondrosarcoma occurred in the left parotid region: a case report].
[So] Source:Hua Xi Kou Qiang Yi Xue Za Zhi;33(1):104-6, 2015 Feb.
[Is] ISSN:1000-1182
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Chondrosarcoma is extremely rare in maxillofacial soft tissue. A case diagnosed as well-differentiated chon- drosarcoma in the left parotid region was reported. The clinic pathological features, diagnosis, treatment, and prognosis were discussed with the literature review.
[Mh] Termos MeSH primário: Condrossarcoma
Neoplasias Parotídeas
[Mh] Termos MeSH secundário: Neoplasias Ósseas
Seres Humanos
Região Parotídea
[Pt] Tipo de publicação:CASE REPORTS; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1506
[Cu] Atualização por classe:150415
[Lr] Data última revisão:
150415
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:150416
[St] Status:MEDLINE



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