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[PMID]:28964279
[Au] Autor:Means C; Aldape MA; King E
[Ad] Endereço:Department of Otolaryngology/Head and Neck Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, PV01, Portland, OR 97239, United States. Electronic address: caseymeans@gmail.com.
[Ti] Título:Pediatric primary Sjögren syndrome presenting with bilateral ranulas: A case report and systematic review of the literature.
[So] Source:Int J Pediatr Otorhinolaryngol;101:11-19, 2017 Oct.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Primary Sjögren syndrome is uncommon in children, and the standard clinical criteria used in diagnosis of adult Sjögren syndrome will miss many children with the disease. Floor of mouth ranulas have not been described in Sjögren syndrome. OBJECTIVE: This study aims to describe a novel presentation of juvenile primary Sjögren syndrome, and to present a comprehensive systematic review of the literature regarding the presentation and diagnosis of Sjögren syndrome in children. DATA SOURCES: Ovid MEDLINE. STUDY SELECTION: A MEDLINE literature search was performed using the following search terms: primary, Sjögren, disease, and children. Results were limited to human subjects and articles written in English between 1981 and 2014. Applicable articles were reviewed and qualitatively summarized. DATA EXTRACTION: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRIMA). RESULTS: Initial MEDLINE search yielded 146 articles, 80 of which were excluded as not clinically pertaining to Sjögren syndrome. An additional 25 were excluded due to lack of pediatric-specific data. Systematic review of the literature revealed no reports of ranula in association with Sjögren syndrome. 6 papers were manually included from review of reference lists of included articles. Our review indicated that recurrent parotitis is the most commonly reported presenting symptom in children, followed by ocular and oral symptoms, musculoskeletal, and renal symptoms. Compared to adults, children are less likely to present with dry eyes and mouth. LIMITATIONS: All studies were retrospective chart reviews, case series or case reports. CONCLUSION: This is the first report of a child presenting with floor of mouth ranulas in association with Sjögren syndrome. While recurrent parotitis is the most common presentation in children, other salivary gland and extra-salivary manifestations may be seen, and the clinician must maintain a high index of suspicion for underlying Sjögren syndrome.
[Mh] Termos MeSH primário: Rânula/etiologia
Doenças das Glândulas Salivares/etiologia
Glândulas Salivares/patologia
Síndrome de Sjogren/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171002
[St] Status:MEDLINE


  2 / 399 MEDLINE  
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[PMID]:28872990
[Au] Autor:Shah Arpan K; Ankur P; Thakkur Rahul K
[Ti] Título:Plunging Ranula Occurring Without its Oral Counterpart: A Case Report.
[So] Source:J Clin Pediatr Dent;41(5):381-383, 2017.
[Is] ISSN:1053-4628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A ranula is a lesion that arises from mucin spillage from the sublingual or submandibular gland ducts, beneath the mucosa of the oral floor. A plunging or cervical ranula dissects the mylohyoid muscle and appears as a submandibular swelling. Rarely, a plunging ranula is encountered without its oral counterpart. Here, we report a rare case of a plunging ranula that occurred without its oral counterpart in a 11-year-old male patient. We have also discussed the pathogenesis and treatment options for the ranula.
[Mh] Termos MeSH primário: Rânula/cirurgia
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Masculino
Rânula/diagnóstico por imagem
Glândula Sublingual/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE
[do] DOI:10.17796/1053-4628-41.5.381


  3 / 399 MEDLINE  
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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


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[PMID]:28650779
[Au] Autor:Hegde S; Bubna K; Rao D
[Ti] Título:Management of Ranula in a Child by Modified Micro-Marsupialization Technique: A Case Report.
[So] Source:J Clin Pediatr Dent;41(4):305-307, 2017.
[Is] ISSN:1053-4628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Ranulas pose a challenging situation, both clinically and surgically, because of their location on the floor of the mouth, an area that exhibits tightly-netted vital structures. Several treatments have been proposed, including excision with or without removal of the sublingual gland, marsupialization with or without cauterization of the roof of the lesion, drainage of the lesion, and micro-marsupialization. It has been suggested that a modified micro-marsupialization technique can establish drainage of saliva and formation of new permanent epithelized tracts along the path of sutures, thereby reducing the recurrence. This paper presents a report of a ranula in a 12 year-old child that was successfully managed using a modified micro-marsupialization procedure.
[Mh] Termos MeSH primário: Microcirurgia/métodos
Paracentese/métodos
Rânula/cirurgia
Técnicas de Sutura
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Rânula/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.17796/1053-4628-41.4.305


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[PMID]:28483227
[Au] Autor:Nguyen BN; Malone BN; Sidman JD; Barnett Roby B
[Ad] Endereço:University of Minnesota, Department of Otolaryngology, United States. Electronic address: nguy1446@umn.edu.
[Ti] Título:Excision of sublingual gland as treatment for ranulas in pediatric patients.
[So] Source:Int J Pediatr Otorhinolaryngol;97:154-156, 2017 Jun.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this case study is to demonstrate that post-operative complication rates of sublingual gland excision for treatment of ranulas are equal to or less than alternative methods with a lower recurrence rate than other surgical methods. METHODS: This was a retrospective review of pediatric patients from 2004 to 2015 at Children's Hospitals and Clinics of Minnesota. Sixteen ranulas and 6 plunging ranulas were treated via sublingual gland excision during this time frame. Data examined included age, gender, scans of the lesion, location and size of lesion, surgical procedures, complications, and recurrence. RESULTS: There were 22 patients who met criteria. Only one patient had recurrence of the lesion (4.5%). One patient reported lateral tongue numbness post-operatively, and one patient had a hypoglossal nerve injury, with tongue deviation upon exam. Both of these complications were temporary and resolved within months of the procedure. CONCLUSION: Although sublingual gland excision is a definitive treatment for ranulas, many surgeons still utilize other methods such as marsupialization, drainage of the cyst, or excision of ranula alone as the primary method of treatment due to concerns about complications. This retrospective study demonstrates that excision of the sublingual gland is both a safe and effective method of treatment for ranulas.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Bucais/métodos
Complicações Pós-Operatórias/epidemiologia
Rânula/cirurgia
Glândula Sublingual/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Drenagem
Feminino
Hospitais Pediátricos
Seres Humanos
Lactente
Masculino
Minnesota
Recidiva Local de Neoplasia/cirurgia
Procedimentos Cirúrgicos Bucais/efeitos adversos
Complicações Pós-Operatórias/cirurgia
Estudos Retrospectivos
Glândula Sublingual/patologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE


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[PMID]:28407263
[Au] Autor:Nguyen MT; Orloff LA
[Ad] Endereço:Department of Otolaryngology, Stanford University School of Medicine, Stanford, California, U.S.A.
[Ti] Título:Successful ablation of plunging ranula by ultrasound-guided percutaneous ethanol injection.
[So] Source:Laryngoscope;127(10):2239-2241, 2017 Oct.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Evidence supporting any one treatment for plunging ranula is limited. Standard treatment-complete excision of the sublingual gland and ranula-is invasive and morbid given the close operative proximity to the submandibular duct and lingual nerve. OK-432 (Picibanil; Chugai Pharmaceutical Co., Tokyo, Japan) sclerotherapy has been studied as a less invasive treatment but is inaccessible in the United States. This report illustrates the successful management of a plunging ranula using ultrasound-guided percutaneous ethanol injection. Within 2 months of the procedure, the patient had complete resolution of the plunging ranula, with no associated side effects. We propose that ultrasound-guided percutaneous ethanol injection be considered for the management of plunging ranula. Laryngoscope, 127:2239-2241, 2017.
[Mh] Termos MeSH primário: Técnicas de Ablação/métodos
Etanol/administração & dosagem
Rânula/terapia
Escleroterapia/métodos
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Seres Humanos
Injeções Subcutâneas
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
3K9958V90M (Ethanol)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26505


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[PMID]:28089461
[Au] Autor:Peters SM; Han C; Yoon AJ; Philipone EM
[Ad] Endereço:Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY, USA.
[Ti] Título:Chronic lymphocytic leukemia in association with a ranula: a report and review of the literature.
[So] Source:Oral Surg Oral Med Oral Pathol Oral Radiol;123(5):e160-e163, 2017 May.
[Is] ISSN:2212-4411
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Chronic lymphocytic leukemia (CLL), an indolent neoplasm of B lymphocytes, is the most common adult leukemia in the Western Hemisphere. Despite this, however, the intraoral presentation of CLL is quite rare. We report the case of an 83-year-old woman with CLL incidentally involving minor salivary glands in association with a ranula (floor-of-mouth mucocele).
[Mh] Termos MeSH primário: Leucemia Linfocítica Crônica de Células B/diagnóstico
Rânula/diagnóstico
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Diagnóstico Diferencial
Feminino
Seres Humanos
Leucemia Linfocítica Crônica de Células B/patologia
Rânula/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE


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[PMID]:27639155
[Au] Autor:Kono M; Satomi T; Abukawa H; Hasegawa O; Watanabe M; Chikazu D
[Ad] Endereço:Instructor, Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Tokyo, Japan. Electronic address: mk-oms@tokyo-med.ac.jp.
[Ti] Título:Evaluation of OK-432 Injection Therapy as Possible Primary Treatment of Intraoral Ranula.
[So] Source:J Oral Maxillofac Surg;75(2):336-342, 2017 Feb.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: A ranula is a pseudocyst caused by mucous extravasation from the sublingual gland. Recently, a sclerosing agent, OK-432 (picibanil), has been reported to be highly effective for treating lymphangioma and cervical cystic lesions. The present study assessed the effectiveness of OK-432 injection therapy for intraoral ranula to clarify whether it can be used as the primary treatment. PATIENTS AND METHODS: The present study was a retrospective clinical study of patients with intraoral ranula who received OK-432 injection therapy from 2005 to 2015. The ranula size was measured on computed tomography or magnetic resonance imaging studies. We dissolved 1 Klinische Einheit (KE) unit of OK-432 powder in normal saline equal to the aspiration volume. The primary endpoint was the treatment results. The secondary endpoints were the relation between the treatment results and the lesion length and aspiration volume. RESULTS: A total of 23 patients received OK-432 injection therapy for an intraoral ranula. The mean lesion size was 19.96 mm. The mean aspiration volume was 2.14 mL. The number of injections was 1 to 4 (mean 1.70). The treatment results were complete regression (CR) in 18 (78.2%), partial regression (PR) in 3 (13.0%), and no response (NR) in 2 (8%) patients after the last injection. The overall efficacy rate was 91.2% (21 of 23). No serious complications were observed. The lesion length and aspiration volume of the CR group was 17.38 mm and 1.40 mL, respectively. The lesion length and aspiration volume of the PR/NR group was 29.20 mm and 4.80 mL, respectively. The PR/NR group lesions were significantly larger than the CR group lesions. CONCLUSIONS: OK-432 injection therapy for intraoral ranula is safe and effective compared with other surgical therapies. This therapy could potentially become a primary treatment of intraoral ranula.
[Mh] Termos MeSH primário: Picibanil/uso terapêutico
Rânula/tratamento farmacológico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Feminino
Seres Humanos
Injeções
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Picibanil/administração & dosagem
Rânula/diagnóstico por imagem
Rânula/patologia
Estudos Retrospectivos
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
39325-01-4 (Picibanil)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:160918
[St] Status:MEDLINE


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[PMID]:27833700
[Au] Autor:Margalit I; Berant R
[Ad] Endereço:Schneider Children's Medical Center of Israel, Department of Pediatric Emergency Medicine, Petah Tikva, Israel.
[Ti] Título:Point-of-Care Ultrasound to Diagnose a Simple Ranula.
[So] Source:West J Emerg Med;17(6):827-828, 2016 Nov.
[Is] ISSN:1936-9018
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the following vignette we demonstrate the use of point-of-care ultrasound to diagnose a simple ranula.
[Mh] Termos MeSH primário: Sistemas Automatizados de Assistência Junto ao Leito
Rânula/diagnóstico
Ultrassonografia
[Mh] Termos MeSH secundário: Criança
Diagnóstico Diferencial
Feminino
Seres Humanos
Rânula/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170411
[Lr] Data última revisão:
170411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161112
[St] Status:MEDLINE


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[PMID]:27529920
[Au] Autor:Scully C; Malamos D
[Ti] Título:Clinical Challenges Q&A. 21. Lump in the Floor of Mouth. Ranula.
[So] Source:Dent Update;43(5):494-5, 2016 Jun.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Rânula/diagnóstico
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160817
[Lr] Data última revisão:
160817
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160818
[St] Status:MEDLINE



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