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  • ISSN: 2578-3793
    Current Issue
    Volume 2, Issue 1
    Case Report
    Riccardo Villani, Veronica Vietti Michelina, Erich Fabbri, Andrea Giuseppe Zarabini, and Paolo Giovanni Morselli
    Goldenhar syndrome is a rare congenital defect which may be characterized by a variety of anomalies each with a huge variability of degree. Its multimalformative aspect represents a challenging condition for the surgeon. Multidisciplinary team is often required. Surgical timing for correcting each defect should be planned from the beginning in order to avoid functional problems and to reduce the number of procedures. We present a severe case of Goldenhar syndrome to underline the importance of early surgical planning.
    Takanobu Kunihiro* and Kiyotaka Yamada
    Two cases of osteoma arising in the maxillary sinus are reported. Both of the tumors were found incidentally during the evaluation of unrelated diseases.
    In a 55-year-old female patient, a bone tumor was found on CT, which was taken to rule out paranasal sinusitis. CT showed a pedunculated tumor arising from the inferomedial angle of the maxillary sinus. It was resected intramurally through the canine fossa en bloc. However, a cyst developed under the nasal floor, which was considered to have arisen from the remnant of the maxillary sinus mucosa. The cyst was endoscopically opened to the nasal floor.
    In a second patient, the tumor was found during the preoperative roentgenological evaluation for dental implantation. The tumor, with its base wide-based, arose from the lower part of the lateral maxillary sinus wall in the vicinity of the alveolar recess. As with the first patient, the tumor was resected through the canine fossa. After this surgery, dental implantation by the all-on-4 method was performed successfully. After dental implantation, however, a thickening of bone, indicative of recurrence, was identified near the entrance of the alveolar ridge on CT. Long-term follow-up is required.
    Alfredo Lima Filho*, Valderi Vieira da Silva Jr., Juliana Paula Montenegro Carvalho, and Marcela Romero da Frota Levy
    The Relapsing Polychondritis (RP) is an uncommon systemic disease of unknown aetiology, probably due to an autoimmune process that destroys cartilaginous tissues because of a recurring inflammatory lesion. Deformities in the nasoseptal structure as the “nose in saddle” result in functional and aesthetic damage. The present study describes a case of a 53-year- old woman with the main diagnostic hypothesis consisting of Relapsing Polychondritis. This patient evolved with severe nasal deformity and was surgically treated with the use of costal cartilage for L-shaped nasal reconstruction. She had a satisfactory functional outcome resulting in normal breathing function.
    Research Article
    Amanda Caramel Juvino, Caroline Berne Pereira, Giovanna Franco Tini, Gilberto Araújo Noro Filho, Alfredo Mikail Mesquita, and Elcio Magdalena Giovani*
    The Human immunodeficiency vírus (HIV) is a pathology that caused a global pandemic, developing a series of social and psycological problems on the population like conflicts, preconceptation, self discrimination, anguish, depression, rejection, abandonment, social isolation, fear to die, etc. Being those cofactors of stress it can influence directly making some conditions worse like bruxism. This study contains a sample of 14 patients with positive HIV, a clinic exam followed by 15 questions about stress factors, habits and the influence of HIV on the patients life’s. According to the research, 64,28% of the interviewed patients presented bruxism, a highest percentage comparing with the general population (8 to 21%), 9 patients (64,28%) with joint changes, joint blockage or dislocation was reported on 4 patients (28,57%) and only 2 were following the treatment. The bruxism patients, only 2 never had symptoms of HIV or medication, 2 reported thinking on the actual health condition and 7 think a lot, none of the patients that had never thought about their health condition had bruxism, 7 of 10 bruxist patients reported that think sometimes and 1 reported that think with frequency. It was conclude that the prevalence was higher on HIV patients when compared to the not HIV population. The psycological profile showed an influential factor, being worse on bruxist patients.
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