Os ameloblastomas são neoplasias odontogênicas benignas de origem epitelial com comportamento localmente agressivo. Acometem predominantemente a mandíbula e podem atingir proporções variadas de acordo com o tempo de evolução. Manifestam-se geralmente entre a terceira e quinta décadas de vida. Paciente E.R., sexo masculino, 30 anos, foi encaminhado ao serviço de Cirurgia e Traumatologia Buco-maxilo-faciais da Universidade Federal do Paraná com aumento de volume em região de corpo e ângulo mandibular do lado esquerdo. Na anamnese, paciente relatou remoção de terceiro molar inferior esquerdo há um ano. Ao exame clínico, observou-se aumento de volume de consistência endurecida do lado esquerdo da mandíbula. Ao exame de imagens, observou-se uma lesão multiloculada radiolúcida de aproximadamente 6cm em ramo, ângulo e corpo mandibular. Realizaram-se então, punção exploratória e biópsia incisional, confirmando a hipótese diagnóstica de ameloblastoma. Devido à extensão da lesão e seu poder recidivante, optou-se pela ressecção parcial de mandíbula e reconstrução com placa de titânio. A peça removida foi enviada para análise anatomopatológica, confirmando o diagnóstico. Cinco meses após a cirurgia, houve fratura na placa de reconstrução e o paciente foi submetido à nova cirurgia para troca da placa. Após um ano, o paciente encontra-se sem alterações estéticas e funcionais.
Studies have shown a significant reduction in breast cancer-related lymphedema (BCRL) rates in patients undergoing complete axillary lymph node dissection (cALND) combined with immediate lymphatic reconstruction (ILR) using lymphovenous bypass (LVB).The purpose of this study was to determine if ILR with LVB at the time of cALND results in a decreased incidence of BCRL and its impact on patient quality of life (QOL).
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