Síndrome de Gardner – relato de caso

2021 ◽  
Vol 12 (46) ◽  
pp. 64-69
Author(s):  
Tamile Sousa Silva ◽  
Luciano Cincurá Silva Santos ◽  
Adna Barros Ismerim ◽  
Bráulio Carneiro Junior
Keyword(s):  
Maxillofacial Surgery ◽  
Clinical Findings ◽  
Body Region ◽  
Bone Lesions ◽  
Oral And Maxillofacial Surgery ◽  
Gardner's Syndrome ◽  
Adenomatous Polyposis ◽  
Gardner’S Syndrome ◽  
Mandibular Body ◽  
The Right

The Gardner’s syndrome is described as a rare genetic disease resulting from mutations of the Adenomatous Polyposis Coli (APC) gene located in chromosome 5q21. This syndrome is a variant of familial adenomatous polyposis associated with intestinal polyps, mandible osteomas, epidermoid cysts, impacted teeth, and supernumerary among other clinical findings. The aim of this study is to report a clinical case of a 12-year-old female patient diagnosed with the Gardner’s syndrome who searched the Oral and Maxillofacial Surgery and Traumatology Service of Vitoria da Conquista General Hospital complaining of aesthetic alteration in the face. Clinically, there was a hardened mass in the mandibular body region in the right side, painless to palpation. Through computed tomography it was possible to identify the presence of bone lesions, the largest one located in the right mandibular body. With a diagnostic hypothesis of osteoma, the patient was submitted to surgery for mandible tumors resection with subsequent follow-up by the surgeon. The case highlights the importance of knowledge and proper management of the oral and maxillofacial alterations involved in this pathology.

Oral and Maxillofacial Manifestations of Familial Adenomatous Polyposis (Gardner's syndrome): A Report of Two Cases

2009 ◽  
Vol 10 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Wilson Denis Martins ◽  
Marina de Oliveira Ribas ◽  
Guilherme Martins ◽  
Maria Helena de Sousa ◽  
Ana Claudia Galvão de Aguiar Koubik ◽  
...  
Keyword(s):  
Familial Adenomatous Polyposis ◽  
Early Diagnosis ◽  
Mouth Opening ◽  
Benign Tumors ◽  
Gardner's Syndrome ◽  
Adenomatous Polyposis ◽  
Gardner’S Syndrome ◽  
Tooth Impaction ◽  
Dental Practitioners ◽  
Mandibular Molar

Abstract Aim The aim of this case report is to emphasize the importance of an early diagnosis of Gardner's syndrome through the detection of lesions appearing in the oral and maxillofacial area as well as to present two cases of the disease. Background Gardner's syndrome is an autosomal dominant disease characterized by gastrointestinal polyps that develop in the colon as well as in the stomach and upper intestine, along with multiple osteomas, skin, and soft tissue tumors. Cutaneous findings may include desmoid tumors, epidermoid cysts, and other benign tumors. Early diagnosis and therapy of the disease are critical because polyps have a 100% risk of undergoing malignant transformation. Craniomaxillofacial manifestations (osteoma formation, tooth impaction, diffuse opacities in the skull, mandible and maxilla, scalp tumors) usually precede polyposis. Report Case 1: Gardner's syndrome was diagnosed in a 25-year-old Caucasian man who was referred by his endodontist for evaluation of an uncommon radiographic image in the mandibular molar area. Further investigation revealed a familial adenomatous polyposis (FAP) complicated by adenocarcinoma of the colon. A colectomy and an ileorectal anastomosis were performed. Case 2: A 12-year-old Caucasian girl, who is a niece of the patient described in Case 1, presented with progressive difficulty with mouth opening but no complaints of digestive problems. Radiographic examination revealed multiple radiopacities in the maxilla, mandible left temporomandibular joint, and in the left mandibular angle. Multiple impacted teeth were present. A colonoscopy was suggested, but the patient's parents decided to continue the investigation and treatment with their own physician in their home town. Summary Since an early diagnosis is essential and general dental practitioners may be the first healthcare professionals to suspect the diagnosis, it is important for them to be familiar with the features of Gardner's syndrome. Citation de Oliveira Ribas M, Martins WD, de Sousa MH, de Aguiar Koubik ACG, Ávila LFC, Zanferrari FL, Martins G. Oral and Maxillofacial Manifestations of Familial Adenomatous Polyposis (Gardner's syndrome): A Report of Two Cases. J Contemp Dent Pract 2009 January; (10)1:082-090.

scholarly journals Ameloblastoma: relato de caso com recidiva extra-óssea após 32 anos

2021 ◽  
Vol 41 (1) ◽  
pp. 29-32
Author(s):  
João Carlos B. Wagner ◽  
João Ephrain Wagner ◽  
Maurício Roth Volkweis ◽  
Eduardo Gerhardt ◽  
Hardy Ebling
Keyword(s):  
Sleep Apnea ◽  
Late Recurrence ◽  
Odontogenic Tumor ◽  
Body Region ◽  
Cystic Degeneration ◽  
Dystrophic Calcification ◽  
Invasive Growth ◽  
Mandibular Body ◽  
The Right

Ameloblastoma is a benign odontogenic tumor with local, invasive growth and late recurrence. The aim of this paper is report a case with recurrence after 32 years. The patient was 52 year-old, female and presented to the Santa Casa Hospital Complex with a complain of oral swelling of 5 years duration, in the right mandibular body region. The area produced sleep apnea, mastigatory and speech problems. Microscopic exam reveled ameloblastoma with cystic degeneration and dystrophic calcification.

scholarly journals Bony cystic lesion with associated submandibular lymphadenopathy on a background of breast carcinoma: an unexpected case of cervicofacial actinomycosis

2020 ◽  
Vol 13 (4) ◽  
pp. e232850
Author(s):  
Lwazi Sibanda ◽  
Emma Wates ◽  
James Higginson
Keyword(s):  
Breast Carcinoma ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Incision And Drainage ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Bony Metastases ◽  
The Right

Actinomycosis is an uncommon, chronic suppurative granulomatous infection and needs to be considered as a differential diagnosis. A 56-year-old woman with a background of type 2 diabetes mellitus and breast carcinoma was referred to the Oral and Maxillofacial Surgery 2-week wait clinic, regarding a tender sublingual mass and firm erythematous swelling in the right submandibular and submental region. This was slowly progressive and had not responded to oral co-amoxiclav. An orthopantomogram showed a well-defined radiolucency and smaller radiolucent lesions throughout the edentulous right body of the mandible. A contrast-enhanced CT confirmed a right submandibular abscess communicating with cavitating lesions. The differentials included osteomyelitis, bony metastases, multiple myeloma or other cystic lesions. The patient underwent incision and drainage of the abscess, alongside biopsies, and intravenous co-amoxiclav was given. Microbiology cultures confirmed the presence of Actinomyces israelii and a diagnosis of cervicofacial actinomycosis with mandibular osteomyelitis. The patient was successfully treated with prolonged antibiotics.

scholarly journals Ileal adenomas after colectomy in nine patients with adenomatous polyposis coli/Gardner's syndrome

1979 ◽  
Vol 77 (6) ◽  
pp. 1252-1257 ◽  
Author(s):  
Stanley R. Hamilton ◽  
H.J.R. Bussey ◽  
Geoffrey Mendelsohn ◽  
Mark P. Diamond ◽  
George Pavlides ◽  
...  
Keyword(s):  
Adenomatous Polyposis Coli ◽  
Gardner's Syndrome ◽  
Adenomatous Polyposis ◽  
Polyposis Coli ◽  
Gardner’S Syndrome

Condromatose sinovial unilateral da articulação temporomandibular após trauma local – relato de caso

2020 ◽  
Vol 12 (45) ◽  
pp. 53-58
Author(s):  
Luiz Henrique de Melo Nogueira ◽  
Luciano Henrique Ferreira Lima ◽  
Beneval José dos Santos Junior ◽  
André Vitor Alves Araújo
Keyword(s):  
Pathological Condition ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Synovial Chondromatosis ◽  
Knee Joints ◽  
Oral And Maxillofacial Surgery ◽  
Limited Mouth Opening ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Ct And Mri

Synovial chondromatosis (SC) is a rare pathological condition that is characterized by the formation of cartilaginous nodules inside a joint cavity. It mainly affects the knee joints, hip, shoulder, and elbow, so the TMJ is rarely the target of such condition. Its etiology is still unknown and is usually diagnosed through magnetic resonance imaging (MRI), computed tomography (CT), histopathological exams, and, in some cases, arthroscopy, once the clinical inspection normally is not enough to conclude the diagnose. This study reports a case of a 35-year-old man that came to the Oral and Maxillofacial Surgery service complaining about limited mouth opening, occlusal dystopia, and increase of volume on the right pre-auricular region associated to pain. The SC diagnosis was suggested after realizing a CT and MRI. An Al-Kayat approach was performed to fully visualize the TMJ, removal of all the cartilaginous fragments, hemostasis and suture by layers. The diagnosis was confirmed through the histopathological exam. The patient evolved asymptomatic.

scholarly journals Total Mandibular Subapical Alveolar Osteotomy to Correct Class II Division I Dentofacial Deformity

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Rafael Correia Cavalcante ◽  
Isabela Polesi Bergamaschi ◽  
Aline Monise Sebastiani ◽  
Fabiano Galina ◽  
Marina Fanderuff ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Class Ii ◽  
Mental Foramen ◽  
Division I ◽  
Oral And Maxillofacial Surgery ◽  
Dentofacial Deformities ◽  
Dentofacial Deformity ◽  
Retromolar Region ◽  
The Right ◽  
Surgery Department

Introduction. Class II division I malocclusions are the most common dentofacial deformities seen in clinical practice. Severe cases or cases in which growth has ceased may require full correction combining orthodontic and surgical treatment. We report a case of a total mandibular subapical alveolar osteotomy, performed to correct a class II division I dentofacial deformity. Case Report. A 19-year-old female patient was referred to the oral and maxillofacial surgery department at the Federal University of Paraná with chin aesthetic complaints as well as class II malocclusion. The proposed treatment was total mandibular subapical alveolar osteotomy, retaining the chin position and eliminating the need for genioplasty, since, although the patient presented with a class II dentofacial deformity, the chin was well positioned. Under general anesthesia, a “V-shaped” incision was conducted from the right retromolar region to the left retromolar region. A ring of cortical bone was removed around the mental foramen, with the aim to create a space around the mental nerve. Fixation was conducted with plates and screws of the 2.0 system. The patient on six-year follow-up showed osteotomy stability, a better overall occlusion, and outcome satisfaction.

scholarly journals Thyroid cancer in Gardner’s syndrome: Case report and review of literature

2012 ◽  
Vol 01 (01) ◽  
pp. 43-47 ◽  
Author(s):  
Sachin B. Punatar ◽  
Vanita Noronha ◽  
Amit Joshi ◽  
Kumar Prabhash
Keyword(s):  
Thyroid Cancer ◽  
Case Report ◽  
Familial Adenomatous Polyposis ◽  
Male Patient ◽  
Gardner's Syndrome ◽  
Endocrine Tumors ◽  
Adenomatous Polyposis ◽  
Review Of Literature ◽  
Gardner’S Syndrome

AbstractGardner′s syndrome is a variant of familial adenomatous polyposis. A multitude of extra-colonic manifestations including various endocrine tumors have been associated with this syndrome, the commonest of which is thyroid cancer. Majority of the patients with thyroid cancer and Gardner′s syndrome are females. Here we describe a male patient with Gardner′s syndrome who subsequently developed thyroid cancer.

scholarly journals Management of Medical Comorbidities in Maxillofacial Surgery

2021 ◽  
pp. 25-48
Author(s):  
Aditya Moorthy ◽  
Shreya Krishna
Keyword(s):  
Heart Diseases ◽  
Maxillofacial Surgery ◽  
Disease Process ◽  
Ischemic Heart ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Specialty ◽  
Ischemic Heart Diseases ◽  
Organ Systems ◽  
Chronic Disorders ◽  
The Right

AbstractOral and Maxillofacial surgery, like any surgical specialty, has two vital requirements. First, having the right armamentarium, and, second, acquiring appropriate skills and knowledge of the patients’ disease process, including comorbidities. With the changing demographic in India, the profile of Indian patient has undergone a sea change in the last few decades. From acute conditions that had little impact on subsequent health of the patient, we have arrived at a scenario where a large proportion of patients present with chronic disorders like diabetes, ischemic heart diseases, etc. that affect many elective procedures we undertake and require optimization of the overall physical status of the patient before proceeding with any surgery.Trainee surgeons need to be aware and updated and should be able to recognize, treat, or appropriately refer patients to the requisite specialty in case of complex conditions beyond their remit or ability. In this chapter, readers will get a very brief overview of the different organ systems that play crucial role in homeostasis and how to modify the treatment when there’s an imbalance in either of these systems.

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