Tratamento cirúrgico de ameloblastoma: relato de caso clínico
Ameloblastoma is a benign odontogenic tumor, it has a slow but aggressive growth. It is one of the most commonly found tumors, being aggressive and with high rates of recurrence if not treated correctly. Treatment consists of being conservative or radical, where conservatives advocate curettage and...
| Autor principal: | Araujo, Alexandre Carvalho de |
|---|---|
| Grau: | Trabalho de Conclusão de Curso |
| Idioma: | por |
| Publicado em: |
Brasil
2022
|
| Assuntos: | |
| Acesso em linha: |
http://riu.ufam.edu.br/handle/prefix/6574 |
| id |
oai:localhost:prefix-6574 |
|---|---|
| recordtype |
dspace |
| spelling |
oai:localhost:prefix-65742025-03-10T20:58:16Z Tratamento cirúrgico de ameloblastoma: relato de caso clínico Araujo, Alexandre Carvalho de Moura, Andrezza Lauria de http://lattes.cnpq.br/5485692840339437 Pereira, Juliana Vianna Cardoso, Matheus Völz https://orcid.org/0000-0002-6577-8468 https://orcid.org/0000-0002-6577-8468 Ameloblastoma Tumor Tratamento Ameloblastoma Tumor Treatment CIENCIAS DA SAUDE Ameloblastoma Tumores odontogênicos Ameloblastoma is a benign odontogenic tumor, it has a slow but aggressive growth. It is one of the most commonly found tumors, being aggressive and with high rates of recurrence if not treated correctly. Treatment consists of being conservative or radical, where conservatives advocate curettage and marsupialization of the lesion, and the radical consists of partial or total resection of the mandible. The present study aimed to report a clinical case of surgical treatment of an ameloblastoma in the mandible through marginal resection surgery. 33 years old, female, patient, months later, and complaint of “feeling old, big patient”, with evolution in the region of approximately 6 months and complaint of “feeling of great age”, with evolution of approximately 6 months. Prior to seeking care at the Hospital Universitario Getúlio Vargas, she underwent an incisional biopsy and decompression procedure. Radiographic examination revealed extensive involvement of the body region and the left coronoid process, with a radiolucent image and impacted molar involvement. The proposed treatment consisted of marginal resection of the mandible on the left side, installation of a reconstruction plate under general anesthesia and application of charcoal solution. The same patient was discharged one day after surgery and seven days later, she returned to the oral and maxfacial surgery outpatient clinic, due to a receipt of a case, requiring a new admission to intravenous antibiotic therapy. After the resolution of the condition, a patient continued in postoperative follow-up and currently five years after the surgery, the same is without clinical signs and the same recurrence of the radiographic lesion. Effectiveness of the above, it was concluded that the treatment of ameloblastoma can be done with the treatment of resection with a safety margin, installation of reconstruction plate and application of Carnoy's solution. O ameloblastoma é um tumor odontogênico benigno, possui crescimento lento, porém agressivo. É um dos tumores mais comumente encontrados, sendo agressivo e com altas taxas de recidiva se não tratado da maneira correta. O tratamento consiste em ser conservador ou radical, onde o conservador preconiza a curetagem e marsupialização da lesão e o radical consiste na ressecção parcial ou total da mandíbula. O presente trabalho teve como objetivo relatar um caso clínico de tratamento cirúrgico de um ameloblastoma em mandíbula através de cirurgia de ressecção marginal. Paciente melanoderma, 33 anos de idade, sexo feminino, relatou leve dor na região esquerda da mandíbula e queixa de “sensação de que o local estava grande” com evolução de aproximadamente 6 meses. Anteriormente à busca pelo atendimento no Hospital Universitário Getúlio Vargas, a mesma passou por procedimento de biópsia incisional e descompressão. Ao exame radiográfico, observou-se extenso comprometimento da região de corpo e processo coronóide esquerdo, com imagem radiolúcida e envolvimento de molar incluso. O tratamento proposto foi de cirurgia de ressecção marginal da mandíbula do lado esquerdo, sob anestesia geral, instalação de placa de reconstrução e aplicação de solução de Carnoy. A mesma recebeu alta um dia após a cirurgia e após sete dias retornou ao ambulatório de cirurgia bucomaxilofacial, devido a um processo infeccioso, sendo necessária nova internação para antibioticoterapia endovenosa. Após resolução do quadro, a paciente continuou em acompanhamento pós-operatório e atualmente, cinco anos após o procedimento cirúrgico, a mesma se encontra sem sinais clínicos e radiográficos de recidiva da lesão. Diante do exposto, concluiu-se que o ameloblastoma pode ser tratado de forma efetiva com o tratamento de ressecção com margem de segurança, instalação de placa de reconstrução e aplicação de solução de Carnoy. 3 Não 2022-12-27T15:20:50Z 2022-12-25 2022-12-27T15:20:50Z 2022-11-16 Trabalho de Conclusão de Curso http://riu.ufam.edu.br/handle/prefix/6574 por Acesso Aberto Brasil FAO - Faculdade de Odontologia Manaus (AM) Odontologia - Bacharelado - Manaus |
| institution |
Repositório Institucional - Universidade Federal do Amazonas |
| collection |
RI-UFAM |
| language |
por |
| topic |
Ameloblastoma Tumor Tratamento Ameloblastoma Tumor Treatment CIENCIAS DA SAUDE Ameloblastoma Tumores odontogênicos |
| spellingShingle |
Ameloblastoma Tumor Tratamento Ameloblastoma Tumor Treatment CIENCIAS DA SAUDE Ameloblastoma Tumores odontogênicos Araujo, Alexandre Carvalho de Tratamento cirúrgico de ameloblastoma: relato de caso clínico |
| topic_facet |
Ameloblastoma Tumor Tratamento Ameloblastoma Tumor Treatment CIENCIAS DA SAUDE Ameloblastoma Tumores odontogênicos |
| description |
Ameloblastoma is a benign odontogenic tumor, it has a slow but aggressive growth. It is one of the most commonly found tumors, being aggressive and with high rates of recurrence if not treated correctly. Treatment consists of being conservative or radical, where conservatives advocate curettage and marsupialization of the lesion, and the radical consists of partial or total resection of the mandible. The present study aimed to report a clinical case of surgical treatment of an ameloblastoma in the mandible through marginal resection surgery. 33 years old, female, patient, months later, and complaint of “feeling old, big patient”, with evolution in the region of approximately 6 months and complaint of “feeling of great age”, with evolution of approximately 6 months. Prior to seeking care at the Hospital Universitario Getúlio Vargas, she underwent an incisional biopsy and decompression procedure. Radiographic examination revealed extensive involvement of the body region and the left coronoid process, with a radiolucent image and impacted molar involvement. The proposed treatment consisted of marginal resection of the mandible on the left side, installation of a reconstruction plate under general anesthesia and application of charcoal solution. The same patient was discharged one day after surgery and seven days later, she returned to the oral and maxfacial surgery outpatient clinic, due to a receipt of a case, requiring a new admission to intravenous antibiotic therapy. After the resolution of the condition, a patient continued in postoperative follow-up and currently five years after the surgery, the same is without clinical signs and the same recurrence of the radiographic lesion. Effectiveness of the above, it was concluded that the treatment of ameloblastoma can be done with the treatment of resection with a safety margin, installation of reconstruction plate and application of Carnoy's solution. |
| author_additional |
Moura, Andrezza Lauria de |
| author_additionalStr |
Moura, Andrezza Lauria de |
| format |
Trabalho de Conclusão de Curso |
| author |
Araujo, Alexandre Carvalho de |
| title |
Tratamento cirúrgico de ameloblastoma: relato de caso clínico |
| title_short |
Tratamento cirúrgico de ameloblastoma: relato de caso clínico |
| title_full |
Tratamento cirúrgico de ameloblastoma: relato de caso clínico |
| title_fullStr |
Tratamento cirúrgico de ameloblastoma: relato de caso clínico |
| title_full_unstemmed |
Tratamento cirúrgico de ameloblastoma: relato de caso clínico |
| title_sort |
tratamento cirúrgico de ameloblastoma: relato de caso clínico |
| publisher |
Brasil |
| publishDate |
2022 |
| url |
http://riu.ufam.edu.br/handle/prefix/6574 |
| _version_ |
1831969889139556352 |
| score |
11.755432 |