Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/rou.2014.029
Revista de Odontologia da UNESP
Original Article

Lesões maxilofaciais: um levantamento de 762 casos da Universidade Federal de Sergipe, Brasil

Maxillofacial lesions: a survey of 762 cases from the Federal University of Sergipe, Brazil

Souto, Maria Luisa S.; Piva, Marta Rabello; Martins Filho, Paulo Ricardo S.; Takeshita, Wilton Mitsunari

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Resumo

Introdução: A pesquisa epidemiológica de lesões maxilofaciais em determinada região estabelece as necessidades populacionais e orienta os profissionais da saúde na definição de ações preventivas e tratamento adequado. Objetivo: Analisar os laudos histopatológicos de lesões maxilofaciais do período de 1996 a 2011 do Laboratório de Patologia Oral do Departamento de Odontologia da Universidade Federal de Sergipe (UFS), Brasil. Material e método: Estudo retrospectivo das biópsias realizadas de 1996 a 2011, recuperando-se os dados referentes ao gênero e à idade dos pacientes, à localização das lesões e ao diagnóstico histopatológico. As lesões foram agrupadas em: neoplasias benignas, lesões potencialmente malignas, neoplasias malignas, lesões inflamatórias, lesões odontogênicas, lesões ósseas, lesões de glândulas salivares e anomalias de desenvolvimento. Resultado: Foram analisados 762 laudos, havendo maior prevalência das lesões inflamatórias (n=205, 26,9%). O diagnóstico mais comum entre as neoplasias benignas foi a lesão periférica de células gigantes (n=15); entre as lesões potencialmente malignas, foi a displasia epitelial (n=80), e entre as neoplasias malignas, foi o carcinoma de células escamosas (n=29). Dentre as lesões inflamatórias, a lesão mais prevalente foi a hiperplasia fibrosa inflamatória (n=74). O granuloma periapical (n=62) foi a lesão mais comum dentre as lesões odontogênicas. A lesão mais prevalente dentre as lesões ósseas foi o fibroma ossificante central (n=08); entre as lesões de glândulas salivares, foi o fenômeno de retenção de muco (n=64), e entre as anomalias de desenvolvimento, foi a mácula melanocítica (n=04). Conclusão: Os achados deste levantamento salientam a importância de planos de tratamento e medidas educativas que diminuam e previnam a exposição dos pacientes a fatores de risco.

Palavras-chave

Prevalência, patologia bucal, histologia.

Abstract

Introduction: Epidemiological survey of maxillofacial lesions in a specific geographic region establishes the real needs of this population and guides health professionals in defining preventive actions and appropriate treatment. Objective: To analyze the histopathological diagnosis of maxillofacial lesions issued in the period 1996-2011 managed by the Laboratory of Oral Pathology, Department of Dentistry, Federal University of Sergipe, Brazil. Material and method: A retrospective study of biopsies removed from 1996-2011 was conducted, recovering data related to gender and age of the patients, location of the lesions and histopathological diagnosis. The lesions were grouped into eight diagnostic categories: benign neoplasms, potentially malignant lesions, malignant neoplasms, inflammatory lesions, odontogenic lesions, bone lesions, salivary gland lesions and malformations and developmental anomalies. Result: 762 reports were analyzed, with a higher prevalence of inflammatory lesions (n = 205, 26.9 %). The most common diagnosis among benign neoplasms was the peripheral giant cell granuloma (n=15), among potentially malignant lesions was the epithelial dysplasia (n=80), and in the malignant neoplasm group the most common lesion was the squamous cells carcinoma. (n=29). Analyzing the group of inflammatory lesions, we observed that the prevalent lesion was inflammatory fibrous hyperplasia (n=74). Periapical granuloma was the lesion that appeared most commonly among odontogenic lesions. The prevalent lesion among bone lesions was central ossifying fibroma (n=08), among salivary gland lesions was mucous retention (n=64), in the group of developmental anomalies the prevalent lesion was melanocytic macule (n=04). Conclusion: The findings of this survey highlight the importance in developing treatment plans and educational measures to prevent and reduce patients’ exposure to risk factors.

Keywords

Prevalence, oral pathology, histology.

References

 


1. Mumcu G, Cimilli H, Sur H, Hayran O, Atalay T. Prevalence and distribution of oral lesions: a cross-sectional study in Turkey. Oral Dis. 2005 Mar; 11(2): 81-7. PMid:15752080. http://dx.doi.org/10.1111/j.1601-0825.2004.01062.x

2. Saraswathi TR, Ranganathan K, Shanmugam S, Sowmya R, Narasimhan PD, Gunaseelan R. Prevalence of oral lesions in relation to habits: cross-sectional study in South India. Indian J Dent Res. 2006 Jul-Sep; 17(3): 121-5. PMid:17176828. http://dx.doi.org/10.4103/0970- 9290.29877

3. Santos PJ, Bessa CF, Aguiar MC, Carmo MA. Cross-sectional study of oral mucosal conditions among a central Amazonian Indian community, Brazil. J Oral Pathol Med. 2004 Jan; 33(1):7-12. PMid:14675134. http://dx.doi.org/10.1111/j.1600-0714.2004.00003.x

4. Jones AV, Franklin CD. An analysis of oral and maxillofacial pathology found in adults over 30-year period. J Oral Pathol Med. 2006 Aug; 35(7): 392-401. PMid:16827841. http://dx.doi.org/10.1111/j.1600-0714.2006.00451.x

5. Mendez M, Carrard VC, Haas AN, Lauxen Ida S, Barbachan JJ, Rados PV, et al. A 10-year study of specimens submitted to oral pathology laboratory analysis: lesion occurrence and demographic features. Braz Oral Res. 2012 May-Jun; 26(3): 235-41. PMid:22641443. http:// dx.doi.org/10.1590/S1806-83242012000300009

6. Ali M, Sundaram D. Biopsied oral soft tissue lesions in Kuwait: a six-year retrospective analysis. Med Princ Pract. 2012; 21(6): 569-75. PMid:22699793. http://dx.doi.org/10.1159/000339121

7. Carvalho Mde V, Iglesias DP, do Nascimento GJ, Sobral AP. Epidemiological study of 534 biopsies of oral mucosal lesions in elderly Brazilian patients. Gerodontology. 2011 Jun; 28(2): 111-5. PMid:20518812. http://dx.doi.org/10.1111/j.1741-2358.2010.00370.x

8. Corrêa L, Frigerio ML, Sousa SC, Novelli MD. Oral lesions in elderly population: a biopsy survey using 2250 histopathological records. Gerodontology. 2006 Mar; 23(1): 48-54. PMid:16433642. http://dx.doi.org/10.1111/j.1741-2358.2006.00090.x

9. Weir JC, Davenport WD, Skinner RL. A diagnostic and epidemiologic survey of 15,783 oral lesions. J Am Dent Assoc. 1987; 115: 439-42. PMid:3476665.

10. Franklin CD, Jones AV. A survey of oral and maxillofacial pathology specimens submitted by general dental practitioners over a 30-year period. Br Dent J. 2006 Apr 22; 200(8): 447-50. PMid:16703040. http://dx.doi.org/10.1038/sj.bdj.4813464

11. Martins-Filho PR, Da Silva LC, Piva MR. The prevalence of actinic cheilitis in farmers in a semi-arid northeastern region of Brazil. Int J Dermatol. 2011 Sep; 50(9): 1109-14. PMid:22126872. http://dx.doi.org/10.1111/j.1365-4632.2010.04802.x

12. Jaber MA, Porter SR, Speight P, Eveson JW, Scully C. Oral epithelial dysplasia: clinical characteristics of western European residents. Oral Oncol. 2003 Sep; 39(6): 589-96. http://dx.doi.org/10.1016/S1368-8375(03)00045-9

13. Pereira JS, Carvalho MV, Henriques AC, de Queiroz Camara TH, Miguel MC, Freitas RA. Epidemiology and correlation of the clinicopathological features in oral epithelial dysplasia: analysis of 173 cases. Ann Diagn Pathol. 2011 Apr; 15(2): 98-102. PMid:21190879. http://dx.doi.org/10.1016/j.anndiagpath.2010.08.008

14. Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal conditions in eldery dental patients. Oral Dis. 2002; 8: 218-23. http://dx.doi. org/10.1034/j.1601-0825.2002.01789.x

15. Bataineh A, Al-Dwairi ZN. A survey of localized lesions of oral tissues: a clinicopathological study. J Contemp Dent Pract. 2005 Aug 15; 6(3): 30-9. PMid:16127470.

16. Lima GS, Fontes ST, de Araújo LM, Etges A, Tarquinio SB, Gomes AP. A survey of oral and maxillofacial biopsies in children: a singlecenter retrospective study of 20 years in Pelotas-Brazil. J Appl Oral Sci. 2008 Nov-Dec; 16(6): 397-402. http://dx.doi.org/10.1590/S1678- 77572008000600008

17. Koivisto T, Bowles WR, Rohrer M. Frequency and distribution of radiolucent jaw lesions: a retrospective analysis of 9,723 cases. J Endod. 2012 Jun; 38(6): 729-32. PMid:22595103. http://dx.doi.org/10.1016/j.joen.2012.02.028

18. Becconsall-Ryan K, Tong D, Love RM. Radiolucent inflammatory jaw lesions: a twenty-year analysis. Int Endod J. 2010 Oct; 43(10): 859-

65. PMid:20738428. http://dx.doi.org/10.1111/j.1365-2591.2010.01751.x

19. Lin HP, Chen HM, Yu CH, Kuo RC, Kuo YS, Wang YP. Clinicopathological study of 252 jaw bone periapical lesions from a private pathology laboratory. J Formos Med Assoc. 2010 Nov; 109(11): 810-8. http://dx.doi.org/10.1016/S0929-6646(10)60126-X

20. Becconsall-Ryan K, Love RM. Range and demographics of radiolucent jaw lesions in a New Zealand population. J Med Imaging Radiat Oncol. 2011 Feb; 55(1): 43-51. PMid:21382188. http://dx.doi.org/10.1111/j.1754-9485.2010.02228.x

21. Chidzonga MM. Oral malignant neoplasia: a survey of 428 cases in two Zimbabwean hospitals. Oral Oncol. 2006 Feb; 42(2): 177-83. PMid:16256412. http://dx.doi.org/10.1016/j.oraloncology.2005.07.003

22. Effiom OA, Adeyemo WL, Omitola OG, Ajayi OF, Emmanuel MM, Gbotolorun OM. Oral squamous cell carcinoma: a clinicopathologic review of 233 cases in Lagos, Nigeria. J Oral Maxillofac Surg. 2008 Aug; 66(8): 1595-9. PMid:18634945. http://dx.doi.org/10.1016/j. joms.2007.12.025

23. Kruse AL, Bredell M, Grätz KW. Oral cancer in men and women: are there differences? Oral Maxillofac Surg. 2011 Mar; 15(1): 51-5. PMid:21052752. http://dx.doi.org/10.1007/s10006-010-0253-6

24. Neville BW, Day TA. Oral cancer and precancerous lesions. CA Cancer J Clin.2002 Jul-Aug; 52(4): 195-215. PMid:12139232. http:// dx.doi.org/10.3322/canjclin.52.4.195

25. Ajayi OF, Adeyemo WL, Ladeinde AL, Ogunlewe MO, Effiom OA, Omitola OG, et al. Primary malignant neoplasms of orofacial origin: a retrospective review of 256 cases in a Nigerian tertiary hospital. Int J Oral Maxillofac Surg. 2007 May; 36(5): 403-8. PMid:17391919. http://dx.doi.org/10.1016/j.ijom.2007.01.007

26. Pulino BFB, Santos JFM, Pastore GP, Radaic P, Camargo Filho GP, Pereira RA. Oral cancer: potentially malignant lesions and statistics of diagnosed cases in the municipality of Santo André-SP. J Health Sci Inst. 2011; 29(4): 231-4.

 

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