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ESPECIALIZAÇÃO CIRURGIA E TRAUMATOLOGIABUCO MAXILO FACIAL – FO/UFMG
HOSPITAL MUNICIPAL ODILON BEHRENS
Lucas Bernanos Mesquita Guimarães*Janeysa Santos NevesMarcelo Ferreira Pinto CardosoMarcelo Drummond NavesClaudio Rômulo Comunian
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AMELOBLASTOMA:
RELATO DE CASO CLÍNICO
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�3ª e 4ª décadas de vida
� Gênero masculino e feminino
Ameloblastoma
� Aumento de volume de crescimento lento
� Indolor (dor ou parestesia)
� Dentes com mobilidade ou má oclusão
� Deformidade facial
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Exames Imaginológicos
� Radiografias: Imagens radiolúcidas:
� bolhas de sabão
� lesão unilocular bem delimitada
� reabsorção das raízes dos dentes envolvidos
� TC:
� Avaliação da extensão
� Destruição cortical
� Extensão para tecidos moles vizinhos
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Tratamento
� Enucleação
�Ressecção radical
� Ressecção radical e reconstrução imediata
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Relato do Clínico
� Paciente: A. M
�Gênero: masculino
� Idade: 63 anos� Idade: 63 anos
� Procedência: Pará de Minas MG
�QP: “aumento de volume na região do queixo
há cerca de 4 anos”
�HM: portador de H.A.S
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Exame Clínico
11/05/2010
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Conduta
� Biópsia incisional� Biópsia incisional
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HE-100x
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HE-400x
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Conduta
� Ressecção parcial da mandíbula
� Fixação: placa de reconstrução
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Planejamento Cirúrgico� Prototipagem 3D ( Promed / Campinas-SP)
� Discussão com a equipe multidisciplinar (cirurgia
bucomaxilo facial, torácica, cirurgia geral,
imaginologista, fonoaudiologia, nutrição e imaginologista, fonoaudiologia, nutrição e
fisioterapia)
� Reserva CTI
� Reserva de sangue
� Traqueostomia eletiva
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22/03/11
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ERROR: stackunderflow
OFFENDING COMMAND: ~
STACK: