Publication
Surgical management of severe mandibular actinomycosis: segmental mandibulectomy and fibula free flap for optimal outcomes
| dc.contributor.author | Leite, Paula Maria | |
| dc.contributor.author | Chaves, Carolina F | |
| dc.contributor.author | Morgado, Bruno | |
| dc.contributor.author | Zenha, Horácio | |
| dc.contributor.author | Costa, Horácio | |
| dc.date.accessioned | 2024-02-27T13:09:47Z | |
| dc.date.available | 2024-02-27T13:09:47Z | |
| dc.date.issued | 2024-01 | |
| dc.description.abstract | Actinomycosis is a chronic, suppurative, granulomatous bacterial infection primarily associated with Actinomyces israelii. The condition can be categorized into three distinct clinical types based on the affected anatomical region: cervicofacial, pulmonary, or abdominopelvic actinomycosis. The standard treatment for actinomycosis involves antibiotic therapy, with an empiric penicillin regimen as the first-line approach. Surgical interventions comprise curettage of the affected bone, resection of necrotic tissues, excision of existing sinus tracts, and drainage of abscesses. These procedures are considered a last resort for cases of actinomycosis unresponsive to antibiotic therapy. In this context, we present a case of severely unresponsive actinomycosis that necessitated aggressive surgical resection of the infected mandibular bone, followed by immediate reconstruction using a fibula-free flap. The outcome yielded both favorable functional and aesthetic results. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.doi | 10.7759/cureus.52212 | pt_PT |
| dc.identifier.eissn | 2168-8184 | |
| dc.identifier.uri | http://hdl.handle.net/10400.1/20455 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Springer | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt_PT |
| dc.subject | Mandible | pt_PT |
| dc.subject | Free flap reconstruction | pt_PT |
| dc.subject | Fibular free flap | pt_PT |
| dc.subject | Actinomycosis | pt_PT |
| dc.subject | Actinomyces | pt_PT |
| dc.title | Surgical management of severe mandibular actinomycosis: segmental mandibulectomy and fibula free flap for optimal outcomes | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.title | Cureus | pt_PT |
| person.familyName | Lucas Morgado | |
| person.givenName | Bruno Miguel | |
| person.identifier.ciencia-id | DF17-2B64-A19B | |
| person.identifier.orcid | 0000-0002-7884-6327 | |
| person.identifier.scopus-author-id | 36551374500 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | 010258aa-1130-4e7e-b8e1-c44a1d210409 | |
| relation.isAuthorOfPublication.latestForDiscovery | 010258aa-1130-4e7e-b8e1-c44a1d210409 |
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