Se reporta el caso de un paciente varón de 27 años con antecedente de exodoncia compleja de la tercera molar mandibular inferior derecha que presentaba una tumefacción circunscrita dolorosa en la región submandibular ipsilateral. En el estudio imaginológico, la radiografía panorámica presentaba un proceso osteolítico periapical e interradicular con un patrón osteogénico circundante por lo que se utilizó como complemento una tomografía cone beam, en donde se evidenció compromiso desde la rama mandibular derecha hasta la sínfisis mandibular. Las lesiones a nivel de tejidos blandos y tejidos duros fueron diagnosticadas y manejadas como una actinomicosis cervicofacial y osteomielitis crónica supurativa respectivamente. El conocimientode las diferentes infecciones bacterianas, un adecuado análisis clínico y estudio imaginológico nos darán la pauta para la correcta terapéut...

Odontogenic myxoma is a locally aggressive benign neoplasm with a low prevalence (frequency 2% to 5% of odontogenic tumors) in the jaws. This tumor often presents as an asymptomatic expansive lesion without sensory nerve changes. The aim of this study is to detail the case of a 42-year-old male patient who attends the Oral and Maxillofacial Surgery service of the Hipólito Unanue National Hospital due to a slow-growing tumor in the upper jaw, which increased in size over time and displacing dental organs, and extending to the hard palate and part of the soft palate, the pathological diagnosis was odontogenic myxoma and received radical treatment (hemimaxilectomy) due to the aggressive nature of the tumor. In this work we discuss the presentation of odontogenic myxoma in the maxilla, treatment approaches; detailing the importance of proposing treatment alternatives that allow immediate re...

El mixoma odontogénico es una neoplasia benigna, localmente agresiva, con una baja prevalencia (frecuencia del 2% al 5% de los tumores odontogénicos) en los maxilares. Este tumor a menudo se presenta como una lesión expansiva asintomática sin cambios nerviosos sensoriales. El objetivo del presente trabajo es detallar el caso de un paciente masculino de 42 años quien acude al servicio de Cirugía Bucal y Maxilofacial del Hospital Nacional Hipólito Unanue por presentar una tumoración de crecimiento lento en maxilar superior, que fue aumentando de tamaño con el tiempo y desplazando órganos dentarios, y que se extiende al paladar duro y parte de paladar blando, el diagnóstico anatomopatológico fue de mixoma odontogénico y recibió un tratamiento radical (hemimaxilectomia) por la naturaleza agresiva del tumor. En este trabajo discutimos la presentación del mixoma odonto...

  

Paracoccidioidomycosis is a systemic mycosis caused by the dimorphic fungus Paracoccidioides brasiliensis, with a high incidence in Brazil and Latin America. The disease is clinically, classified in a juvenile - acute form and a chronic adult form. The primary lesion starts in the lungs through the inhalation of Paracoccidioides brasiliensis through the respiratory tract. It may spread hematogenously and lymphatically to other organs, as well as the skin and mucous membranes. Skin and mucosa manifestations are characterized by the formation of granulomatous lesions, organized according to the type of host¨s pattern of immune response. People that works in agriculture and lives in rural areas are considered high risk of infection group. The diagnosis is based on direct identification of the fungus with the microscope, culture or histology sample of the clinical specimen. In addition, mol...

The odontoma is a benign tumor that comes from an alteration of differentiated epithelial and mesenchymal odontogenic cells capable of forming enamel, dentin and cement. The etiology is unknown, but it has been associated with infections, inherited abnormalities, odontoblastic hyperactivity and trauma. To small or average odontoma size, the acceptable treatment is tumor exeresis. The problem arises with large odontomas, whose removal involves the sacrifice of large amounts of bone, the potential for mandibular fracture and damage to the inferior alveolar nerve. To avoid these treatment complications, Rittersma and Van Gool introduced in 1979 the use of the sagittal-cut osteotomy technique of mandibular ramus. We report the case of a 37-year-old male patient, with no contributory systemic history, who presented increased volume of left side face associated with pain and purulent secretion...

La Paracoccidioidomicosis es una micosis sistémica causada por el hongo dimórfico Paracoccidioides brasiliensis, con alta incidencia en Brasil y América Latina. La enfermedad se clasifica clínicamente en una forma juvenil - aguda y una forma adulta crónica. La lesión primaria se inicia en los pulmones a través de la inhalación de Paracoccidioides brasiliensis por el tracto respiratorio. Puede extenderse por vía hematógena y linfática a otros órganos, así como la piel y las mucosas. Las manifestaciones en piel y mucosas se caracterizan por la formación de lesiones granulomatosas, organizadas de acuerdo con el tipo de patrón de respuesta inmune. Las personas que trabajan en la agricultura y viven en zonas rurales se encuentran en alto riesgo de infección. El diagnóstico se basa en la identificación directa del hongo con el microscopio, el cultivo o la histología del esp�...

The odontoma is a benign tumor that comes from an alteration of differentiated epithelial and mesenchymal odontogenic cells capable of forming enamel, dentin and cement. The etiology is unknown, but it has been associated with infections, inherited abnormalities, odontoblastic hyperactivity and trauma. To small or average odontoma size, the acceptable treatment is tumor exeresis. The problem arises with large odontomas, whose removal involves the sacrifice of large amounts of bone, the potential for mandibular fracture and damage to the inferior alveolar nerve. To avoid these treatment complications, Rittersma and Van Gool introduced in 1979 the use of the sagittal-cut osteotomy technique of mandibular ramus. We report the case of a 37-year-old male patient, with no contributory systemic history, who presented increased volume of left side face associated with pain and purulent secretion...

Introduction: Necrotizing fasciitis is a serious infection that involves the skin, the subcutaneous tissue, and the superficial-deep fascia, it progresses very quickly, and if not treated in time it can cause death. Report case: We present the case of an adult patient with a history of anemia, who was diagnosed with odontogenic necrotizing fasciitis, for which she underwent surgery and underwent intraoral and extraoral drainage plus escharectomy. In addition, pharmacological treatment (intravenous antibiotics) was administered, and an amniotic membrane was placed as a dressing material to reconstruct the hemorrhagic surface left by the necrotizing fasciitis. Conclusions: The amniotic membrane as a dressing material presented favorable results in the patient, obtaining a rapid regeneration of the sequel produced by necrotizing fasciitis.