Enfoque multidisciplinar en el tratamiento del fibroma osificante: Reporte de un caso

Autores/as

DOI:

https://doi.org/10.33448/rsd-v9i10.8833

Palabras clave:

Fibroma osificante; Asimetría facial; Mandíbula; Enfermedades carenciales.

Resumen

El fibroma osificante es un tipo de lesión fibro-ósea que se caracteriza por un aumento volumétrico asintomático, de lenta evolución, que puede alcanzar grandes dimensiones dando lugar a asimetría facial, provocando desplazamiento dentario y deterioro funcional de las estructuras del sistema estomatognático. El propósito de este artículo fue el reporte clínico de un caso de una paciente, atendida en la Clínica Universitaria, que consulta por un aumento volumétrico en la región mandibular derecha con una evolución de aproximadamente 1 (un) año. Antes de la exéresis total de la lesión se realizó biopsia incisional con diagnóstico de fibroma osificante. Debido a las proporciones de la lesión, el paciente presentó disfagia, que resultó en una condición anémica, requiriendo normalización de la condición previa a la exéresis total de la lesión. Después de 6 meses de seguimiento, el paciente mostró una mejoría significativa en la forma y función de la región operada, además de la enfermedade carenciales. La valoración del estado nutricional del paciente es de suma importancia y no debe descuidarse, ya que la desnutrición está directamente relacionada con la evolución de la enfermedad e interfiere en la recuperación postoperatoria.

Biografía del autor/a

Luara Teixeira Colombo, São Paulo State University (UNESP), School of Dentistry, Araçatuba

MSc, Oral & Maxillofacial Surgery at Department of Diagnose and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.

Laís Kawamata de Jesus, São Paulo State University (UNESP), School of Dentistry, Araçatuba.

DDS, Oral & Maxillofacial Surgery at Department of Diagnose and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.

Ana Flávia Piquera Santos, São Paulo State University (UNESP), School of Dentistry, Araçatuba

Oral & Maxillofacial Surgery at Department of Diagnose and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.

Henrique Hadad, São Paulo State University (UNESP), School of Dentistry, Araçatuba.

MSc, Oral & Maxillofacial Surgery at Department of Diagnose and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.

Everton Pontes Martins, Santa Casa de Misericórdia, Araçatuba, São Paulo, Brazil.

PhD, Head and Neck Surgery at Santa Casa de Misericórdia, Araçatuba, São Paulo, Brazil.

Idelmo Rangel Garcia Júnior, São Paulo State University (UNESP), School of Dentistry, Araçatuba.

PhD, Oral & Maxillofacial Surgery at Department of Diagnose and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil. 

Francisley Ávila Souza, São Paulo State University (UNESP), School of Dentistry, Araçatuba.

PhD, Oral & Maxillofacial Surgery at Department of Diagnose and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil. 

Citas

Abou-Elhamd K. E. (2005). Frontal sinus cementifying ossifying fibroma. Saudi medical journal, 26(3), 470–472.

Allison S. P. (2000). Malnutrition, disease, and outcome. Nutrition (Burbank, Los Angeles County, Calif.), 16(7-8), 590–593.

Bala, T. K., Soni, S., Dayal, P., & Ghosh, I. (2017). Cemento-ossifying fibroma of the mandible. A clinicopathological report. Saudi medical journal, 38(5), 541–545.

da Silveira, D. T., Cardoso, F. O., E Silva, B. J., E Alves Cardoso, C. A., & Manzi, F. R. (2015). Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered. Revista brasileira de ortopedia, 51(1), 100–104.

de Amorim, A. C., Costa, M. D., Nunes, F. L., da Silva, M., de Souza Leão, C., & Gadelha, P. C. (2015). Nutritional status and perioperative fasting time versus complications and hospital stay of surgical patients. Nutricion hospitalaria, 32(2), 878–887.

Debaveye, Y., & Van den Berghe, G. (2006). Risks and benefits of nutritional support during critical illness. Annual review of nutrition, 26, 513–538.

Gurol, M., Uckan, S., Guler, N., & Yatmaz, P. I. (2001). Surgical and reconstructive treatment of a large ossifying fibroma of the mandible in a retrognathic patient. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 59(9), 1097–1100.

Kerckhaert, A., Wolvius, E., van der Wal, K., & Oosterhuis, J. W. (2005). A giant osteoma of the mandible: case report. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 33(4), 282–285.

Kyle, U. G., Pirlich, M., Lochs, H., Schuetz, T., & Pichard, C. (2005). Increased length of hospital stay in underweight and overweight patients at hospital admission: a controlled population study. Clinical nutrition (Edinburgh, Scotland), 24(1), 133–142.

Mergoni, G., Meleti, M., Magnolo, S., Giovannacci, I., Corcione, L., & Vescovi, P. (2015). Peripheral ossifying fibroma: A clinicopathologic study of 27 cases and review of the literature with emphasis on histomorphologic features. Journal of Indian Society of Periodontology, 19(1), 83–87.

Lama More R. A. (2001). Metodología para valorar el estado nutricional [Methodology for evaluating nutritional status]. Anales espanoles de pediatria, 55(3), 256–259.

Neville, B., Damm, D. D., Allen, C., & Chi, A. (2016). Soft Tissue Tumors (3a ed.). Oral and Maxillofacial Pathology. Saunders.

Ogbureke, K. U., Nashed, M. N., & Ayoub, A. F. (2007). Huge peripheral osteoma of the mandible: a case report and review of the literature. Pathology, research and practice, 203(3), 185–188.

Sarwar, H. G., Jindal, M. K., & Ahmad, S. (2010). A case report of cemento-ossifying fibroma. Journal of maxillofacial and oral surgery, 9(2), 178–181.

Zachariades, N., Vairaktaris, E., Papanicolaou, S., Triantafyllou, D., Papavassiliou, D., & Mezitis, M. (1984). Ossifying fibroma of the jaws. Review of the literature and report of 16 cases. International journal of oral surgery, 13(1), 1–6.

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Publicado

30/09/2020

Cómo citar

COLOMBO, L. T. .; JESUS, L. K. de; SANTOS, A. F. P. .; HADAD, H.; MARTINS, E. P. .; GARCIA JÚNIOR, I. R. .; SOUZA, F. Ávila. Enfoque multidisciplinar en el tratamiento del fibroma osificante: Reporte de un caso. Research, Society and Development, [S. l.], v. 9, n. 10, p. e3779108833, 2020. DOI: 10.33448/rsd-v9i10.8833. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/8833. Acesso em: 22 nov. 2024.

Número

Sección

Ciencias de la salud