Base de dados : MEDLINE
Pesquisa : A14.549.441 [Categoria DeCS]
Referências encontradas : 2573 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 258 ir para página                         

  1 / 2573 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29172317
[Au] Autor:Malamos D; Scully C
[Ti] Título:Clinical Challenges Q&A 27. Soreness in the Floor of the Mouth.
[So] Source:Dent Update;44(1):80, 2017 Jan.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Queimaduras Químicas/complicações
Doenças da Boca/induzido quimicamente
Soalho Bucal
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Dor/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  2 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:27776535
[Au] Autor:Kara A; Akin S; Dos Reis Miranda D; Struijs A; Caliskan K; van Thiel RJ; Dubois EA; de Wilde W; Zijlstra F; Gommers D; Ince C
[Ad] Endereço:Department of Intensive Care, Erasmus MC, University Medical Center Rotterdam, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands. atila.kara@hacettepe.edu.tr.
[Ti] Título:Microcirculatory assessment of patients under VA-ECMO.
[So] Source:Crit Care;20(1):344, 2016 Oct 25.
[Is] ISSN:1466-609X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an effective technique for providing emergency mechanical circulatory support for patients with cardiogenic shock. VA-ECMO enables a rapid restoration of global systemic organ perfusion, but it has not been found to always show a parallel improvement in the microcirculation. We hypothesized in this study that the response of the microcirculation to the initiation of VA-ECMO might identify patients with increased chances of intensive care unit (ICU) survival. METHODS: Twenty-four patients were included in this study. Sublingual microcirculation measurements were performed using the CytoCam-IDF (incident dark field) imaging device. Microcirculatory measurements were performed at baseline, after VA-ECMO insertion (T1), 48-72 h after initiation of VA-ECMO (T2), 5-6 days after (T3), 9-10 days after (T4), and within 24 h of VA-ECMO removal. RESULTS: Of the 24 patients included in the study population, 15 survived and 9 died while on VA-ECMO. There was no significant difference between the systemic global hemodynamic variables at initiation of VA-ECMO between the survivors and non-survivors. There was, however, a significant difference in the microcirculatory parameters of both small and large vessels at all time points between the survivors and non-survivors. Perfused vessel density (PVD) at baseline (survivor versus non-survivor, 19.21 versus 13.78 mm/mm , p = 0.001) was able to predict ICU survival on initiation of VA-ECMO; the area under the receiver operating characteristic curve (ROC) was 0.908 (95 % confidence interval 0.772-1.0). CONCLUSION: PVD of the sublingual microcirculation at initiation of VA-ECMO can be used to predict ICU mortality in patients with cardiogenic shock.
[Mh] Termos MeSH primário: Oxigenação por Membrana Extracorpórea/mortalidade
Mortalidade Hospitalar/tendências
Microcirculação/fisiologia
Choque Cardiogênico/mortalidade
Choque Cardiogênico/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Oxigenação por Membrana Extracorpórea/tendências
Feminino
Seres Humanos
Masculino
Meia-Idade
Soalho Bucal/irrigação sanguínea
Choque Cardiogênico/fisiopatologia
Taxa de Sobrevida/tendências
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


  3 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28810133
[Au] Autor:Law C; Alam P; Borumandi F
[Ad] Endereço:Trust Dental Core Trainee, Oral and Maxillofacial Department, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK. Electronic address: catherine.law@nhs.net.
[Ti] Título:Floor-of-Mouth Hematoma Following Dental Implant Placement: Literature Review and Case Presentation.
[So] Source:J Oral Maxillofac Surg;75(11):2340-2346, 2017 Nov.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The authors provide a structured review of reported cases of floor-of-mouth hematoma during or after dental implantation and frequent causes and management and present a related case. MATERIALS AND METHODS: An online search of the medical literature was conducted from 1990 through 2016. The following search terms were used: floor of mouth hematoma, sublingual hematoma, dental implant hematoma, implant in mandible, and complication of dental implant. Abstracts were screened for relevance to the aims of the review. Relevant reports in the English language were included and referenced. The articles were reviewed for patient demographics, implant location, coagulopathy, pre- or postoperative imaging, airway management, treatment of the hematoma, and management of the offending implant. RESULTS: The literature search identified 25 reported cases. Hemorrhage was caused by perforation of the lingual cortex in 84% of cases (n = 21). Airway obstruction resulted in emergency intubation or tracheostomy in 68% of patients (n = 17). Most cases (n = 18; 72%) required surgical management in the hospital setting. Management of the offending implant was reported inconsistently. Of 17 reported cases, 5 implants had to be removed, 9 remained in situ, and in 3 cases implant placement was abandoned. Only 1 case involved preoperative 3-dimensional (3D) imaging before implant insertion. The authors report on an additional case with a serious floor-of-mouth hematoma that required immediate surgical evacuation and hemostasis. CONCLUSION: Serious complications, such as floor-of-mouth hematoma after dental implant insertion, can occur, which could be life-threatening. Preoperative 3D imaging helps to visualize the individual mandibular shape, which could decrease the incidence of serious complications. If injury to vessels of the floor of the mouth cannot be confidently excluded, then further assessment and treatment are recommended before the patient is discharged.
[Mh] Termos MeSH primário: Implantação Dentária/efeitos adversos
Hematoma/etiologia
Soalho Bucal
Complicações Pós-Operatórias/etiologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE


  4 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Puricelli, Edela
Ponzoni, Deise
Texto completo SciELO Brasil
[PMID]:28678954
[Au] Autor:Puricelli E; Barreiro BOB; Quevedo AS; Ponzoni D
[Ad] Endereço:Universidade Federal do Rio Grande do Sul; Irmandade da Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brasil.
[Ti] Título:Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients.
[So] Source:J Appl Oral Sci;25(3):341-345, 2017 May-Jun.
[Is] ISSN:1678-7765
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Lesions in the floor of the mouth can be a challenging diagnosis due to the variety of pathological conditions that might be found in this area. Within a broad range of lesions, attention has to be addressed to those that require specific management, such as a dermoid cyst (DC) and a ranula. Especially in pediatric patients, in whom the failure of diagnosis can postpone the correct treatment and cause sequelae later in life. DC, a developmental anomaly, is managed primarily by surgical resection. On the other hand, ranula is a pseudocyst that may be treated by marsupialization. This article reports a large and painful lesion in the floor of the mouth in a pediatric patient. With a diagnostic hypothesis of ranula, two surgical interventions were performed, but there were recurrences of the lesion. Subsequently, the patient was referred to the Oral and Maxillofacial Surgery Unit for re-evaluation. Computed tomography showed a semi-transparent image suggesting a cystic formation. Another surgical procedure was performed where the lesion was completely removed. Anatomopathological analysis confirmed the diagnosis of DC. The five-year follow-up showed no signs of recurrence. This article indicates that although DC in the floor of the mouth is rare, it should be considered in the differential diagnosis of other diseases in this area. This precaution may be particularly important in the following circumstances: 1) Similar lesions that have different therapeutic approaches and, 2) To prevent future sequelae in pediatric patients.
[Mh] Termos MeSH primário: Cisto Dermoide/patologia
Cisto Dermoide/cirurgia
Soalho Bucal/patologia
Soalho Bucal/cirurgia
Neoplasias Bucais/patologia
Neoplasias Bucais/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Cisto Dermoide/diagnóstico por imagem
Diagnóstico Diferencial
Feminino
Seres Humanos
Soalho Bucal/diagnóstico por imagem
Neoplasias Bucais/diagnóstico por imagem
Rânula/patologia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170706
[St] Status:MEDLINE


  5 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28566204
[Au] Autor:Ramella V; Bottosso S; Franchi A; Papa G; Bussani R; Arnez ZM
[Ad] Endereço:Department of Plastic and Reconstructive Surgery, Ospedale di Cattinara, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.
[Ti] Título:Is it possible to calculate surface areas of intraoral structures from preoperative CT scan?
[So] Source:J Plast Reconstr Aesthet Surg;70(8):1143-1146, 2017 Aug.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Microsurgical reconstruction of intraoral structures requires accurate planning of flap shape and dimensions. The goal of this study is to describe a method that allows to calculate surfaces of oral structures from preoperative CT-scan in order to determine a precise flap design before the surgery. We created casts of the human mouth from cadavers with a head and neck CT-scan available using an impression material. We digitalized the mouth casts and unwrapped the surfaces of the different structures of the mouth in a bi-dimensional plane in order to measure the area. Furthermore, we measured distances from pre-determined bony landmarks using the CT-scan 3D reconstruction model and we correlated the two type of measurements. We performed a simple regression analysis and afterwards a multivariate analysis using the more statistically correlated measurements. We found a statistical correlation between the surface of the tongue and the surface floor of the mouth with three bone distances that let us to create three mathematical formulas. With those formulas, we can calculate the surfaces of the tongue and the floor of the mouth using simple bony distances that can be easily measured from the head and neck preoperative CT scan. Using standard template's layouts, we can create a precise preoperative flap design in the reconstruction of the tongue and of the floor of the mouth.
[Mh] Termos MeSH primário: Soalho Bucal/anatomia & histologia
Procedimentos Cirúrgicos Reconstrutivos
Retalhos Cirúrgicos
Tomografia Computadorizada por Raios X
Língua/anatomia & histologia
[Mh] Termos MeSH secundário: Pontos de Referência Anatômicos
Cadáver
Seres Humanos
Conceitos Matemáticos
Microcirurgia
Modelos Anatômicos
Soalho Bucal/diagnóstico por imagem
Soalho Bucal/cirurgia
Planejamento de Assistência ao Paciente
Período Pré-Operatório
Software
Língua/diagnóstico por imagem
Língua/cirurgia
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE


  6 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28441805
[Au] Autor:Song DJ; Li Z; Zhou X; Zhang YX; Peng XW; Zhou B; Lyu CL; Peng W; Wang X; Ou Y
[Ti] Título:[Free medial thigh chimeric myocutaneous perforator flap for the reconstruction of tongue defect after tongue carcinoma resection].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;52(4):278-282, 2017 Apr 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To investigate the application of free medial thigh chimeric myocutaneous perforator flap in the reconstruction of tongue defect after radical resection of tongue carcinoma. From June 2013 to November 2015, 17 cases with tongue carcinoma underwent radical resection and tongue and mouth floor defects after surgery were reconstructed with medial thigh chimeric myocutaneous perforator flaps at the same stage. These 17 cases included tongue carcinoma on lingual margin ( =9), ventral tongue ( =7) and mouth floor ( =1). Appearance and functional results were evaluated with follow-up. Medial thigh chimeric myocutaneous perforator flap was (9.0±0.3) cm in length, (4.5±0.3) cm in width , and (1.8±0.4) cm in thickness. The length of pedicle was (7.4±0.6) cm. All of the 17 flaps survived uneventfully, and the donor sites were closed directly in all cases. All patients were followed up for 10-28 months with satisfied esthetic and functional results in reconstructed tongue. Aside from linear scar in the donor sites, the functions of thighs were not affected. No local recurrence occurred. The free medial thigh chimeric myocutaneous perforator flap is an ideal choice to reconstruct the tongue and mouth floor defect after radical resection of tongue carcinoma.
[Mh] Termos MeSH primário: Carcinoma/cirurgia
Retalho Perfurante/transplante
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos/transplante
Neoplasias da Língua/cirurgia
Língua/cirurgia
[Mh] Termos MeSH secundário: Feminino
Glossectomia/métodos
Seres Humanos
Masculino
Soalho Bucal/cirurgia
Retalho Miocutâneo
Coxa da Perna
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2017.04.008


  7 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28126908
[Au] Autor:Gilbert-Kawai E; Coppel J; Court J; van der Kaaij J; Vercueil A; Feelisch M; Levett D; Mythen M; Grocott MP; Martin D; Xtreme Everest 2 Research Group
[Ad] Endereço:University College London Centre for Altitude, Space, and Extreme Environment Medicine, University College London Hospitals National Institute for Health Research Biomedical Research Centre, Institute of Sport and Exercise Health, London, United Kingdom; e.gilbert@ucl.ac.uk.
[Ti] Título:Sublingual microcirculatory blood flow and vessel density in Sherpas at high altitude.
[So] Source:J Appl Physiol (1985);122(4):1011-1018, 2017 Apr 01.
[Is] ISSN:1522-1601
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Anecdotal reports suggest that Sherpa highlanders demonstrate extraordinary tolerance to hypoxia at high altitude, despite exhibiting lower arterial oxygen content than acclimatized lowlanders. This study tested the hypothesis that Sherpas exposed to hypobaric hypoxia on ascent to 5,300 m develop increased microcirculatory blood flow as a means of maintaining tissue oxygen delivery. Incident dark-field imaging was used to obtain images of the sublingual microcirculation from 64 Sherpas and 69 lowlanders. Serial measurements were obtained from participants undertaking an ascent from baseline testing (35 m or 1,300 m) to Everest base camp (5,300 m) and following subsequent descent in Kathmandu (1,300 m). Microcirculatory flow index and heterogeneity index were used to provide indexes of microcirculatory flow, while capillary density was assessed using small vessel density. Sherpas demonstrated significantly greater microcirculatory blood flow at Everest base camp, but not at baseline testing or on return in Kathmandu, than lowlanders. Additionally, blood flow exhibited greater homogeneity at 5,300 and 1,300 m (descent) in Sherpas than lowlanders. Sublingual small vessel density was not different between the two cohorts at baseline testing or at 1,300 m; however, at 5,300 m, capillary density was up to 30% greater in Sherpas. These data suggest that Sherpas can maintain a significantly greater microcirculatory flow per unit time and flow per unit volume of tissue at high altitude than lowlanders. These findings support the notion that peripheral vascular factors at the microcirculatory level may be important in the process of adaptation to hypoxia. Sherpa highlanders demonstrate extraordinary tolerance to hypoxia at high altitude, yet the physiological mechanisms underlying this tolerance remain unknown. In our prospective study, conducted on healthy volunteers ascending to Everest base camp (5,300 m), we demonstrated that Sherpas have a higher sublingual microcirculatory blood flow and greater capillary density at high altitude than lowlanders. These findings support the notion that the peripheral microcirculation plays a key role in the process of long-term adaptation to hypoxia.
[Mh] Termos MeSH primário: Aclimatação/fisiologia
Altitude
Velocidade do Fluxo Sanguíneo/fisiologia
Microcirculação/fisiologia
Soalho Bucal/irrigação sanguínea
Soalho Bucal/fisiologia
[Mh] Termos MeSH secundário: Adaptação Fisiológica/fisiologia
Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Nepal/epidemiologia
Reino Unido/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE
[do] DOI:10.1152/japplphysiol.00970.2016


  8 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27635767
[Au] Autor:Tanaka S; Escudier E; Hamada S; Harrois A; Leblanc PE; Vicaut E; Duranteau J
[Ad] Endereço:1AP-HP, Departement d'Anesthésie-Réanimation, Hôpitaux Universitaires Paris-Sud, Université Paris-Sud, Hôpital de Bicêtre, Le Kremlin-Bicêtre, France. 2Laboratoire d'Etude de la Microcirculation, "Bio-CANVAS: Biomarqueurs in CardiaNeuroVascular Diseases" UMRS 942, Paris, France.
[Ti] Título:Effect of RBC Transfusion on Sublingual Microcirculation in Hemorrhagic Shock Patients: A Pilot Study.
[So] Source:Crit Care Med;45(2):e154-e160, 2017 Feb.
[Is] ISSN:1530-0293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The effects of RBC transfusion on microvascular perfusion are not well documented. We investigated the effect of RBC transfusion on sublingual microcirculation in hemorrhagic shock patients. DESIGN: Prospective, preliminary observational study. SETTINGS: A 28-bed, surgical ICU in a university hospital. PATIENTS: Fifteen hemorrhagic shock patients requiring RBC transfusion. INTERVENTION: Transfusion of one unit of RBCs. MEASUREMENTS AND MAIN RESULTS: The sublingual microcirculation was assessed with a Sidestream Dark Field imaging device before and after RBC transfusion. After transfusion of one unit of RBC, hemoglobin concentration increased from 8.5 g/dL (7.6-9.5 g/dL) to 9.6 g/dL (9.1-10.3 g/dL) g/dL (p = 0.02) but no effect on macrocirculatory parameters (arterial pressure, cardiac index, heart rate, and pulse pressure variations) was observed. Transfusion of RBC significantly increased microcirculatory flow index (from 2.3 [1.6-2.5] to 2.7 [2.6-2.9]; p < 0.003), the proportion of perfused vessels (from 79% [57-88%] to 92% [88-97%]; p < 0.004), and the functional capillary density (from 21 [19-22] to 24 [22-26] mm/mm; p = 0.003). Transfusion of RBC significantly decreased the flow heterogeneity index (from 0.51 [0.34-0.62] to 0.16 [0.04-0.29]; p < 0.001). No correlations were observed between other macrovascular parameters and microvascular changes after transfusion. The change in microvascular perfusion after transfusion correlated negatively with baseline microvascular perfusion. CONCLUSIONS: RBC transfusion improves sublingual microcirculation independently of macrocirculation and the hemoglobin level in hemorrhagic shock patients. The change in microvascular perfusion after transfusion correlated negatively with baseline microvascular perfusion. Evaluation of microcirculation perfusion is critical for optimization of microvascular perfusion and to define which patients can benefit from RBC transfusion during cardiovascular resuscitation.
[Mh] Termos MeSH primário: Transfusão de Eritrócitos
Microcirculação/fisiologia
Soalho Bucal/irrigação sanguínea
Choque Hemorrágico/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170524
[Lr] Data última revisão:
170524
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160917
[St] Status:MEDLINE
[do] DOI:10.1097/CCM.0000000000002064


  9 / 2573 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27481484
[Au] Autor:Fives C; Nae A; Roche P; O'Leary G; Fitzgerald B; Feeley L; Sheahan P
[Ad] Endereço:Department of Pathology, Cork University Hospital, Cork, Ireland.
[Ti] Título:Impact of mandibular invasion on prognosis in oral squamous cell carcinoma four centimeters or less in size.
[So] Source:Laryngoscope;127(4):849-854, 2017 Apr.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: Previous studies have reported variable results for the impact of bone invasion on survival in oral cancer. It is unclear whether bone invasion in small (≤4 cm) squamous cell carcinomas (SCC) of the oral cavity is an independent adverse prognosticator. Our objective was to investigate impact on survival of bone invasion in SCC of floor of mouth (FOM), lower alveolus (LA), and retromolar trigone (RMT) ≤4 cm in size. STUDY DESIGN: Retrospective study of 96 patients with SCC of the FOM, LA, and RMT undergoing primary surgical treatment. METHODS: Original pathology reports and slides were reviewed by three pathologists. Level of bone invasion was categorized as cortical or medullary. Main outcome measures were local control (LC) and overall survival (OS). RESULTS: Bone invasion was present in 31 cases (32%). On review of pathology slides, all cases of bone invasion demonstrated medullary involvement. Median follow-up was 36 months for all patients, and 53 months for patients not dying from cancer. Among tumors ≤4 cm, bone invasion was associated with significantly worse LC (P =.04) and OS (P =.0005). Medullary invasion (hazard ratio: 2.2, 95% confidence interval: 1.1-4.4, P =.03), postoperative radiotherapy (hazard ratio: 0.3, 95% confidence interval: 0.1-0.5, P <.001), and positive pathologic nodal status (hazard ratio: 4.1, 95% confidence interval: 1.9-8.6, P <.001) were independent predictors of worse OS among the entire cohort. CONCLUSIONS: Mandibular medullary bone invasion is a poor prognosticator in oral cancers, irrespective of small size of primary tumor. Such cases should be considered for postoperative radiotherapy. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:849-854, 2017.
[Mh] Termos MeSH primário: Carcinoma de Células Escamosas/mortalidade
Carcinoma de Células Escamosas/secundário
Neoplasias Mandibulares/secundário
Soalho Bucal/patologia
Neoplasias Bucais/mortalidade
Neoplasias Bucais/patologia
[Mh] Termos MeSH secundário: Idoso
Carcinoma de Células Escamosas/cirurgia
Estudos de Coortes
Intervalo Livre de Doença
Feminino
Seguimentos
Seres Humanos
Irlanda
Estimativa de Kaplan-Meier
Masculino
Neoplasias Mandibulares/cirurgia
Meia-Idade
Soalho Bucal/cirurgia
Neoplasias Bucais/cirurgia
Análise Multivariada
Invasividade Neoplásica/patologia
Estadiamento de Neoplasias
Modelos de Riscos Proporcionais
Estudos Retrospectivos
Medição de Risco
Taxa de Sobrevida
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160803
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26211


  10 / 2573 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27452415
[Au] Autor:Jowett N; Hadlock TA; Sela E; Toth M; Knecht R; Lörincz BB
[Ad] Endereço:Department of Otorhinolaryngology, Head & Neck Surgery and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Facial Nerve Center, Massachusetts Eye and Ear Infirmary and Harvard Medical Sc
[Ti] Título:Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap.
[So] Source:Auris Nasus Larynx;44(2):220-226, 2017 Apr.
[Is] ISSN:1879-1476
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To objectively assess donor site morbidity after harvesting the facial artery musculomucosal flap. Use of the FAMM-flap in oral cavity reconstruction remains sporadic. This case series describes our newly developed standardized assessment of this flap in a floor of mouth (FOM) reconstructive setting. METHODS: Standardized postoperative assessment of the FAMM flap for donor site wound complications, functional, facial mimetic and oncologic outcomes. RESULTS: There were no wound complications. Oral competence remained intact, tongue mobility was good to excellent, average word articulation score was 98%, and mimetic function excellent in all patients. Three patients experienced ipsilateral upper lip anesthesia, and five patients were noted to have slight dysfunction of the orbicularis oris resulting in a loss of lip height at rest. CONCLUSION: The FAMM flap is a reliable option for reconstruction of ablative defects of the FOM, and should be considered a workhorse flap for oral cavity defects. Unlike the submental island flap, a complete level I dissection may be concurrently performed without compromising the vascular supply to the FAMM flap.
[Mh] Termos MeSH primário: Carcinoma Adenoide Cístico/cirurgia
Carcinoma de Células Escamosas/cirurgia
Músculos Faciais/transplante
Neoplasias de Cabeça e Pescoço/cirurgia
Soalho Bucal/cirurgia
Mucosa Bucal/transplante
Neoplasias Bucais/cirurgia
Sorriso
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Idoso
Estética
Feminino
Seres Humanos
Masculino
Meia-Idade
Mucosa Bucal/cirurgia
Procedimentos Cirúrgicos Reconstrutivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170306
[Lr] Data última revisão:
170306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE



página 1 de 258 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde