Loading...
Publication
Adenoma pleomórfico da parótida: efeitos laterais da abordagem terapêutica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_27881 | 435.46 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O Adenoma Pleomórfico da Parótida é o tumor mais comum das Glândulas Salivares (60-80%). Apresenta maior incidência na Glândula Parótida (80-85%).
Realizou-se uma revisão bibliográfica sobre o adenoma pleomórfico da parótida e os efeitos laterais na sua abordagem terapêutica, principalmente cirúrgica. Fez-se uma pesquisa bibliográfica entre 2003-2017.
A exposição a radiação apresenta-se como o fator de risco ambiental principal. Fatores genéticos têm sido explorados.
O ultrassom e a biópsia aspirativa com punção fina são os exames complementares de diagnóstico de primeira escolha, mas se houver acometimento do lobo profundo, realiza-se ressonância magnética juntamente com a biópsia.
A abordagem terapêutica é preferencialmente cirúrgica -a parotidectomia. Esta cirurgia possibilita complicações pós-operatórias como disfunção do nervo facial (9.3% -64.6%) e o síndrome de Frey (35-60%).
Considera-se o diagnóstico precoce de extrema importância pois existe risco de transformação maligna (20%). O Médico Dentista está numa posição privilegiada para atuar no diagnóstico e promover um encaminhamento atempado e adequado.
The Pleomorphic Adenoma of the Parotid gland is the most common tumor of the salivary glands (60-80%). Presents a higher incidence in the Parotid gland (80-85%). A literature review on the Pleomorphic adenoma of the parotid and side effects in therapeutic approach, mainly surgical. A bibliographical research was done, between 2003-2017. Exposure to radiation is the main environmental risk factor. Genetic factors have been explored. The ultrasound and aspiration biopsy with thin puncture are complementary diagnostic examinations of first choice, but if there is involvement of the deep lobe, magnetic resonance imaging along with the biopsy may be done. The therapeutic approach is preferably-surgical parotidectomy. This surgery allows postoperative complications such as facial nerve dysfunction (9.3%-64.6%) and Frey Syndrome (35-60%). It is considered the early diagnosis of extreme importance because there is a risk of malignant transformation (20%). The Dentist is in a privileged position to act in the diagnosis and promote a timely and appropriate referral.
The Pleomorphic Adenoma of the Parotid gland is the most common tumor of the salivary glands (60-80%). Presents a higher incidence in the Parotid gland (80-85%). A literature review on the Pleomorphic adenoma of the parotid and side effects in therapeutic approach, mainly surgical. A bibliographical research was done, between 2003-2017. Exposure to radiation is the main environmental risk factor. Genetic factors have been explored. The ultrasound and aspiration biopsy with thin puncture are complementary diagnostic examinations of first choice, but if there is involvement of the deep lobe, magnetic resonance imaging along with the biopsy may be done. The therapeutic approach is preferably-surgical parotidectomy. This surgery allows postoperative complications such as facial nerve dysfunction (9.3%-64.6%) and Frey Syndrome (35-60%). It is considered the early diagnosis of extreme importance because there is a risk of malignant transformation (20%). The Dentist is in a privileged position to act in the diagnosis and promote a timely and appropriate referral.
Description
Keywords
Adenoma pleomórfico da parótida Efeitos laterais Patologia oral Nervo facial Parotidectomia Pleomorphic adenoma of parotid Side effects Oral pathology Facial nerve Parotidectomy