Printer Friendly

Frecuencia de patologias orales y maxilofaciales en pacientes de 0 a 18 anos de la Fundacion Hospital de la Misericordia, Bogota (Colombia), durante el periodo 2006-2014.

Frequency of Oral and Maxillofacial Pathologies in Patients from 0 to 18 Years in the Fundacion Hospital de la Misericordia Bogota (Colombia), during the Period 2006-2014

Introduction

Oral pathologies that occur in children are very diverse, and it is necessary that odontologists and other health professionals have extensive knowledge to be able to diagnose them. Lesions can appear in the mucous membranes and in the soft tissue and bones, with different characteristics and etiologies; this makes the work of the clinician indispensable for the diagnosis and successful treatment of these diseases (1,2,3,4).

During dental care, it is very important to have knowledge about the pathologies that may occur in children, as this will be the basis for early detection and timely referral, in order to provide a better management and prognosis of these diseases. (5,6).

Lesions in children are different from those in adults; this is why more studies are necessary, since the most prevalent pathologies in adults should not be generalized as if they were present in the same way in children (7). Certain oral and maxillofacial diseases occur more frequently in children, and bring consequences that should be handled in a timely manner (8).

The study conducted by Fattahi et al. (9) on the prevalence of head and neck tumors in children under 12 years of age, showed that most of the tumors were benign and located mostly in the neck. Even so, there are few studies on the prevalence of oral and maxillofacial pathologies in pediatric patients.

A study conducted in Thailand by Dhanuthai et al. (10), showed that the greatest number of lesions in pediatric patients was found in the cystic category, followed by inflammatory and tumor lesions. There were also differences in the prevalence according to sex: there are pathologies that are reported more in women, such as head and neck benign tumors, while a higher prevalence of malignant tumors was found in men. This was concluded in the study by Abdulai et al. (1), on head and neck tumors in Ghanaian children.

In relation to Colombia, a study on the frequency of benign odontogenic tumors was carried out at the Hospital de la Misericordia (HOMI). A nine-year retrospective study conducted by Pena et al. (11), was the first performed in this pediatric institution, and constituted a very important basis for the present research.

There are differences between the different studies; this is because the criteria and variables used differ from one study to another (12,13,14). It is necessary that knowledge about oral and maxillofacial pathology be supported on epidemiological bases. For this reason, we set out to describe the frequency of oral and maxillofacial pathologies in patients aged 0-18 years who attended the Maxillofacial Surgery Service of the Fundacion Hospital de la Misericordia during the period 2006-2014, and to relate the most frequent oral and maxillofacial pathologies with sociodemographic characteristics.

Methodology-Statistics

The study was descriptive, cross-sectional, with an analysis of data collected from the ISIS database. It contained information of 277 medical records of the HOMI, of patients aged 0-18 years, attended between 2006 and 2014.

The information in the medical records included the following: female and male patients aged 0-18 years who were arranged into 0-4 years, 5-9 years, 10-14 years, 15-18 years age groups, and those who were diagnosed with some type of oral and maxillofacial pathology, divided as follows: head/neck cystic lesions, temporomandibular joint (TMJ) lesions, infectious lesions, benign head and neck tumor, malignant head and neck tumor, benign odontogenic tumor, and those admitted to the HOMI in the period between January 2006 and December 2014.

The information of the medical records was organized in a unified table in which the basic data of the medical record, number of the record, sex, age, histopathological diagnosis, affected area and structures, presence or not of sensory alterations, pain, were recorded. Exclusion criteria were medical records with incomplete data or reports with dubious diagnoses.

The sociodemographic characteristics were analyzed as follows: sex and age, and the most frequent oral and maxillofacial pathologies were related to each of these characteristics, with the location and the presence or absence of paresthesia and pain. The statistical analysis was performed by Pearson and chi2 (p < 0.05) with the SPSS Statistics software.

Results

We analyzed 277 medical records that had been reviewed between January 2006 and December 2014. The following results were found:

The most frequent head and neck pathologies that occurred at the HOMI were infectious lesions, a 62.45%, followed by benign odontogenic tumors, corresponding to 12.99%, benign head and neck tumors, 10.10%, and malignant head and neck tumors, head and neck cysts, TMJ lesions and skin lesions, which had lower frequency percentages (Table 1).

Regarding sex, in general the male-female relationship was 2:1, men presented 66.42% of the pathologies evaluated, and women, 33.5%.

According to the report of the Department of Pathology of the HOMI, the age group with the highest frequency of head and neck pathologies was that of 10-14 years, with 31.05%; followed by patients aged 0-4 years, with a frequency of 26.35%; patients aged 5-9 years, with 26.35%; and patients 15-18 years old, with 18.05%.

Regarding the relationships between age and sex, the age group with the highest frequency of head and neck pathologies in both men and women was that of 10-14 years of age. There was no significant difference between the age groups regarding the presence of pathologies with respect to sex (Table 2).

On the other hand, infectious lesions occurred with a frequency of 32.8% in women, and of 67.2% in men. In the category of odontogenic tumors, the percentage frequency in women was 34.3%, whereas in men it was 65.7%. These two categories of pathologies were the most frequent in both women and men (Table 3). With respect to the 28 cases of benign head and neck tumors, 19 were diagnosed in men and the remaining 9 cases in women.

Regarding head and neck malignant tumors, of the 20 cases, 13 occurred in men, 65%; in women, the frequency was 35%. In the category of head and neck cystic lesions, 6 of the 11 cases occurred in women, which corresponded to a percentage frequency of 54.5%, whereas in men there were 5 cases, with a frequency of 45.5%. It is the only category where there were more cases in women than in men (Table 3).

In the category of TMJ lesions, the 5 cases occurred in men. There were 4 cases of skin lesions, 2 in men and 2 in women (Table 3). With regard to the relationship between the pathology and the age groups, of the 11 cases of cystic lesion that occurred, 5 were in the 10-14 years age group (45.5%), followed by patients aged 0-4 years (27.30%). In the 5-9 and 15-18 years age groups there was a lower percentage of cystic lesions (Table 4).

With regard to the 5 cases of TMJ lesions, the age group with the highest frequency of this pathology was that of 10-14 years, a 60%, followed by the 5-9 and 15-18 years age groups, who each presented one case (Table 4).

Infectious lesions occurred with an approximately equal frequency in the 0-4 and 10-14 years age groups, with percentage frequencies of 29.30 and 29.9, respectively. 27% corresponded to infectious lesions in patients aged 5-9 years, whereas in the of 15-18 years age group the pathology occurred less frequently (Table 4).

There were 4 cases of skin lesions. 2 of these were in the 0-4 years age group, representing 50% of the frequency (Table 4). There was a higher frequency of head and neck benign tumors in the 0-4 years age group, which represents 32.14%, followed by the 10-14 years age group, in which there were 8 cases (28.60%). Patients aged 15-18 years had the lowest number of cases in this category (Table 4).

Of the 20 cases of head and neck malignant tumor category, 8 corresponded to the 10-14 years age group (40%). In the 0-4 and 5-9 years age groups there was the same number of cases, 6 in each, totaling 60% of the frequency for this pathology. There were no cases in patients aged 15-18 years (Table 4).

There was a higher frequency of benign odontogenic tumors in patients aged 15-18 years, with 54.30%, followed by patients aged 10-14 years, who had a percentage frequency of 28.60%. In the 0-4 years age group only one case occurred, which represented 2.9% (Table 4).

Of the 277 cases, 86 occurred in the 10-14 years age group, which constitute 31% of the total sample. Patients aged 0-4 years had the second highest percentage frequency (26.5%). The group with the fewest pathologies was the 15-18 years age group (Table 4).

Infectious lesions had the highest percentages in all age groups (Table 4). According to the Pearson chi2 test (0), there is a statistically significant association between the age groups and the pathologies presented.

Regarding the location, there were 11 cases of cystic head and neck lesion: 3 located in the TMJ and in the neck, and 3 in the oral cavity and soft tissues, representing a percentage of 27.3 each. Of the 5 cases of TMJ lesions, 60% were located in the TMJ region and the neck. Regarding infectious lesions, the majority were located in the nasal cavity, and the percentage frequency in this area was 64.9%; the following areas where these lesions occurred most frequently were the oral cavity and soft tissues. Regarding skin lesions (nevus), 75% were located in the TMJ and the neck. It was also observed that 46.40% of the head and neck benign tumors were located in the oral cavity, whereas most of the head and neck malignant tumors were located in the nasal cavity (45%). With regard to benign odontogenic tumors, 42.90% occurred in the posterior mandibular area, and 22.90% were located in the posterior maxillary area (Table 5).

According to the Pearson chi2 test (0), there is a statistically significant association between the patient's pathology and its location. However, 18.20% of the patients who presented head and neck cystic lesions reported pain. It can also be seen that the 5 patients who presented TMJ lesion presented pain (Table 6). 50% of the cases of infectious lesions presented pain, and the other 50% did not present. With regard to skin lesions, patients did not present pain (Table 6).

Of the 28 cases of head and neck benign tumors, 39.39% presented pain. Of the 20 cases of head and neck malignant tumors, 15 reported pain (75%). There were 35 cases of benign odontogenic tumor, 22 of which reported pain (Table 6).

Of the 277 patients who presented any of these head and neck pathologies, 142 reported pain (51.30%). However, of the 142 cases, 87 presented infectious lesions, which constitutes 61.30% of the patients with this symptomatology (Table 6). According to the Pearson chi2 test (0.001), there is a statistically significant association between the patients' pathologies and the presence of pain.

Of the 5 cases of TMJ lesion, 1 had paresthesia, which corresponds to 20%. As for the 174 patients who presented infectious lesions, only 4 had paresthesia (2.30%). Of the 28 cases of benign head and neck tumors, only 2 experienced paresthesia, equivalent to 7.10%. On the other hand, of the 20 patients who presented head and neck malignant tumors, 5 presented paresthesia, which constitutes a percentage frequency of 25. The frequency of paresthesia in patients with benign odontogenic tumors was 22, 8% (Table 7).

Of the 277 cases with any of the head and neck pathologies studied, 20 presented paresthesia, having a percentage frequency of 7.20. In the patients who presented paresthesia, the pathology that occurred most frequently was benign odontogenic tumors, representing 40% of the total (Table 7). According to the Pearson chi2 test, there is a statistically significant association between the patients' pathologies and the presence of paresthesia.

Discussion

The most frequent head and neck pathologies occurred in patients treated at the HOMI were infectious lesions, representing 62.45%. In second place were the benign odontogenic tumors, with 12.99%. Benign head and neck tumors constituted 10.10%, whereas the frequency of malignant head and neck tumors of was 7.22%. Regarding head and neck cysts, the prevalence was 3.97%.

The study by Lapthanasupkul et al. (7), conducted in Thailand, showed that the most common oral and maxillofacial pathologies in pediatric patients were odontogenic cysts and tumors (35.5%), followed by inflammatory and reactive lesions (17%). Now, the study by Lei et al. (15), conducted in Taiwan, showed that the highest percentage of the 1,023 biopsies analyzed was in the group of inflammatory and reactive lesions (44.10%), followed by groups of tumor lesions (22.45%) and cystic lesions. (19.16%). The study conducted in Thailand by Dhanuthai et al. (10), showed that the pathologies that occurred most frequently were cystic (35.01%), inflammatory reactive (34.77%), and tumor (30.22%) lesions. It can be observed that in the three studies, the most frequent categories were the inflammatory, tumor and cystic lesions, which is similar to what was found in the HOMI.

We found in the HOMI that TMJ lesions and skin lesions had a lower frequency percentage than the mentioned categories, with frequencies of 1.80% and 1.44%, respectively.

Regarding sex, the male-female ratio was 2:1; men presented 66.42% of the pathologies evaluated, and women 33.57%. There was no significant relationship between sex and the frequency of the pathologies. This relationship was consistent with that of other studies, such as that of Dhanuthai et al. (10) and Lei et al. (15).

Regarding age, the age group that presented the highest frequency of head and neck pathologies, reported by the Department of Pathology of the HOMI, was the 10-14 years age group, with a percentage of 31.05, followed by patients aged 0-4 years, with a frequency of 26.35%. The 15-18 years age group had the lowest frequency of pathologies, constituting 18.05%. Although the different studies do not have the same division of age groups as the present study, it was observed that most of the pathologies occurred in patients aged 11-15 years, as shown by the studies by Lapthanasupkul et al. (7), and by Lei et al. (15). Even so, there are differences, since studies show that the frequency of pathologies increases with age (7,10,15,16,17), and from what is reported in the HOMI it can be seen that in the 15-18 years age group the frequency was lower than in the other groups. These differences may be due to the sample size and the age categorization.

Regarding signs and symptoms, in the present study we evaluated the presence of pain and paresthesia. Of the 277 patients, 142 reported pain (51.30%). However, of these 142 cases, 87 had infectious lesions, which constitutes 61.30% of patients with this symptomatology. With regard to the 277 cases, 20 presented paresthesia (7.20%). As for the patients who presented paresthesia, the most frequent pathology was that of benign odontogenic tumors, representing 40% of the total. These high percentages of symptoms may be due to the fact that the health system is not efficient, and pathologies are diagnosed and treated when they already present symptoms and are in more advanced stages.

A statistically significant association was found between the pathologies and their location. It can be observed that of the 11 cases of head and neck cystic lesions, 3 were located in the TMJ and the neck, and 3 in the oral cavity and soft tissues, a percentage of 27.3 for each. Of the 5 cases of TMJ lesions, 60% were located in the TMJ and neck region. With respect to infectious lesions, the majority was located in the nasal cavity (the percentage frequency in this region was 64.9). The next area with greater frequency of these lesions was the oral cavity and soft tissues, with 16.10%. 75% of the skin lesions (nevus) were located in the TMJ and neck region. It can also be seen that 46.40% of the benign head and neck tumors were located in the oral cavity, whereas the head and neck malignant tumors were located in the nasal cavity (45%). With respect to benign odontogenic tumors, 42.90% were located in the posterior mandibular region, followed by those located in the posterior maxilla region, with 22.90%. These statistically significant associations are evidenced in other studies, such as that of Lei et al. (15).

Conclusions

* The most frequent head and neck pathologies that occurred in patients treated at the HOMI were infectious lesions, followed by benign odontogenic tumors and benign head and neck tumors.

* As for sex, the male-female ratio was 2:1.

* The age group that presented the highest frequency of head and neck pathologies was that of patients aged 10-14 years, followed by patients aged 0-4 years. The frequency of pathologies diagnosed decreased in patients aged 15-18 years, with the exception of benign odontogenic tumors, which presented a higher percentage in this age group.

* In all age groups, infectious lesions had the highest percentages of frequency.

* Benign head and neck tumors occurred more frequently in the 0-4 years age group, whereas in the category of malignant head and neck tumors, the frequency was higher in the 10-14 years age group.

* The most frequent locations of head and neck cystic lesions were the TMJ and the neck, and the oral cavity and soft tissues. Regarding TMJ lesions, the majority of cases were located in the TMJ and neck region. With regard to infectious lesions, most were located in the nasal cavity, followed by the oral cavity and soft tissues. Skin lesions were located in the TMJ and neck region. Benign head and neck tumors were located in the oral cavity, whereas malignant head and neck tumors were located mostly in the nasal cavity. With regard to benign odontogenic tumors, they occurred more frequently in the posterior mandibular area, followed by the posterior maxillary area.

There is a statistically significant association between the pathology and the location of the lesions and the signs and symptoms of pain and paresthesia.

Recommendations

It is necessary to make a meaningful comparison and unify the methodological criteria; it is also necessary to categorize the pathology with more specific groups, and to limit the age variable so that all studies manage a population with similar ages.

It is important to adapt ourselves to the ICD-10 codes, to be specific in the head and neck tumor pathology diagnoses.

In order to provide a national epidemiological benchmark, it is important to conduct similar studies in hospitals that treat this type of pathologies, and thus have beneficial tools to assess the behavior of these pathologies in the pediatric population of the country. The present study can be a benchmark in Colombia, and serve as a guide for similar studies in healthcare institutions.

Acknowledgements

We wish to express our thanks to the Scientific Direction of the HOMI and to the Oral and Maxillofacial Surgery Service.

References

(1.) Abdulai AE, Nuamah IK, Gyasi R. Head and neck tumours in Ghanaian children: A 20 year review. Int J Oral Maxillofac Surg. 2012; 41(11):1378-82.

(2.) Rioboo-Crespo M del R, Planells-del Pozo P, Rioboo-Garcia R. Epidemiology of the most common oral mucosal diseases in children. Med Oral Patol Oral Cir Bucal. 2005; 10(5):376-87.

(3.) Martins-Filho PR, de Santana Santos T, Piva MR, da Silva HF, da Silva LC, Mascarenhas-Oliveira AC, et al. A Multicenter Retrospective Cohort Study on Pediatric Oral Lesions. J Dent Child (Chic). 2015; 82(2):84-90.

(4.) backer MM. Malignant soft tissue tumors in children. Orthop Clin North Am. 2013; 44(4):657-67.

(5.) Albright JT, Topham AK, Reilly JS. Pediatric head and neck malignancies: US incidence and trends over 2 decades. Arch Otolaryngol Head Neck Surg. 2002; 128(6):655-9.

(6.) Jones AV, Franklin CD. An analysis of oral and maxillofacial pathology found in children over a 30-year period. Int J Paediatr Dent. 2006; 16(1):19-30.

(7.) Lapthanasupkul P, Juengsomjit R, Klanrit P, Taweechaisupapong S, Poomsawat S. Oral and maxillofacial lesions in a Thai pediatric population: a retrospective review from two dental schools. J Med Assoc Thai. 2015; 98(3):291-7.

(8.) Brierley DJ, Chee CK, Speight PM. A review of paediatric oral and maxillofacial pathology. Int J Paediatr Dent. 2013; 23(5):319-29.

(9.) Fattahi S, Vosoughhosseini S, Moradzadeh Khiavi M, Mahmoudi SM, Emamverdizadeh P, Noorazar SG, et al. Prevalence of head and neck tumors in children under 12 years of age referred to the Pathology Department of Children's Hospital in Tabriz during a 10-year Period. J Dent Res Dent Clin Dent Prospects. 2015; 9(2):96-100.

(10.) Dhanuthai K, Banrai M, Limpanaputtajak S. A retrospective study of paediatric oral lesions from Thailand. Int J Paediatr Dent. 2007; 17(4):248-53.

(11.) Pena CP, Leonel EL, Guzman CD, Esquivel DL, Rodriguez M, Bustillo J. Frecuencia de tumores odontogenicos benignos en la Fundacion Hospital de la Misericordia (Bogota, Colombia): un estudio retrospectivo a nueve anos. Unv Med. 2016; 57(4):467-79. doi: http://doi.org/10.11144/Javer iana.umed57-4.ftob

(12.) Chen YK, Lin LM, Huang HC, Lin CC, Yan YH. A retrospective study of oral and maxillofacial biopsy lesions in a pediatric population from southern Taiwan. Pediatr Dent. 1998; 20(7):404-10.

(13.) Chi AC, Neville BW. Odontogenic cysts and tumors. Surg Pathol Clin. 2011; 4(4):1027-91.

(14.) Elarbi M, El-Gehani R, Subhashraj K, Orafi M. Orofacial tumors in Libyan children and adolescents: A descriptive study of 213 cases. Int J Pediatr Otorhinolaryngol. 2009; 73(2):237-42.

(15.) Lei F, Chen JY, Lin LM, et al. Retrospective study of biopsied oral and maxillofacial lesions in pediatric patients from southern Taiwan. J Dent Sci. 2014; 9:351-8.

(16.) Lima Gda S, Fontes ST, de Araujo LM, Etges A, Tarquinio SB, Gomes AP. A survey of oral and maxillofacial biopsies in children: A single-center retrospective study of 20 years in Pelotas-Brazil. J Appl Oral Sci. 2008; 16(6):397-402.

(17.) Khademi B, Taraghi A, Mohammadianpanah M. Anatomical and histopathological profile of head and neck neoplasms in Persian pediatric and adolescent population. Int J Pediatr Otorhinolaryngol. 2009; 73(9):1249-53.

Erika Alexandra Parra Sanabria (a) eraparrasa@unal.edu.co

Universidad Nacional de Colombia, Colombia

Claudia Patricia Pena Vega [1]

Universidad Nacional de Colombia, Colombia

Author notes

(a) Correspondence: eraparrasa@unal.edu.co

[1] Odontologist, Pontificia Universidad Javeriana, Bogota, Colombia. Oral and Maxillofacial Surgeon, Universidad Nacional de Colombia. Oral Pathologist, Pontificia Universidad Javeriana. Associate Professor, School of Dentistry, Universidad Nacional de Colombia

Pontificia Universidad Javeriana, Colombia

Received: February, 05, 2018

Accepted: July, 24, 2018

DOI: https://doi.org/ 10.11144/Javeriana.umed59-4.fpom

Redalyc: http://www.redalyc.org/ articulo.oa?id=231056644015
Table 1
Frequency of head and neck pathologies at the HOMI, 2006-2014

Global histopathological diagnosis   Frequency   Percentage

Head-Neck Cysts                            11         3.97
TMJ lesions                                 5         1.80
Infectious lesions                        173        62.45
Skin lesions                                4         1.44
Head and neck benign tumors                28        10.10
Head and neck malignant tumors             20         7.22
Benign odontogenic tumors                  36        12.99
Total                                     277       100.00

Table 2
Age groups and sex of patients with head and
neck pathologies, 2006-2014

Sex                   Age Groups         Total

          0-4     5-9    10-14   15-18

Male       48      46      58      32     184
         26.09     25    31.52   17.39    100
Female     25      22      28      18      93
         26.88   23.66   30.11   19.35    100
Total      73      68      86      50     277
         26.35   24.55   31.05   18.05    100

Table 3
Relationship between sex and diagnoses of
head and neck pathologies, 2006-2014

Pathology                           Sex             Total

                                    F       M

Head and neck cystic lesion     n   6       5       11
                                %   54.5    45.5    100
TMJ lesion                      n   0       5       5
                                %   0       100     100
Infectious lesion               n   57      117     174
                                %   38.2    67.2    100
Skin lesion                     n   2       2       4
                                %   50      50      100
Head and neck benign tumor      n   9       19      28
                                %   32      68      100
Head and neck malignant tumor   n   7       13      20
                                %   35      65      100
Benign odontogenic tumor        n   12      23      35
                                %   34.3    65.7    10
Total                           n   93      184     277
                                %   33.57   66.42   100

Table 4
Relationship between age with diagnoses of head and neck
pathology, 2006-2014

Pathology                                            Age Group

                                                       0-4      5-9

Head and neck        Count                      0        3        2
  cystic lesion      % within the illness    0.00    27.30    18.20
TMJ lesion           Count                      0        0        1
                     % within the illness    0.00     0.00    20.00
Infectious           Count                      0       52       47
  lesion             % within the illness    0.00    29.90    27.00
Skin lesion          Count                      0        2        1
                     % within the illness    0.00    50.00    25.00
Head and neck        Count                      1        S        6
  benign tumor       % within the illness    3.60    28.60    21.40
Head and neck        Count                      0        6        6
  malignant tumor    % within the illness    0.00    30.00    30.00
Benign odontogenic   Count                      0        1        5
  tumor              % within the illness    0.00     2.90    14.30
Benign tumor         Count                      1       72       68
                     % within the illness    0.40    26.00    24.50
Total                % within the illness   100.00   100.00   100.00
                     % of the total          0.40    26.00    24.50

Pathology                                   Age Group         Total

                                            10-14    15-1S

Head and neck        Count                      5        1       11
  cystic lesion      % within the illness   45.50     9.10    100.00
TMJ lesion           Count                      3        1        5
                     % within the illness   60.00    20.00    100.00
Infectious           Count                     51       24      174
  lesion             % within the illness   29.30    13.80    100.00
Skin lesion          Count                      1        0        4
                     % within the illness   25.00     0.00    100.00
Head and neck        Count                      8        5       28
  benign tumor       % within the illness   28.60    17.90    100.00
Head and neck        Count                      8        0       20
  malignant tumor    % within the illness   40.00     0.00    100.00
Benign odontogenic   Count                     10       19       35
  tumor              % within the illness   28.60    54.30    100.00
Benign tumor         Count                     86       50      277
                     % within the illness   31.00    18.10    100.00
Total                % within the illness   100.00   100.00   100.00
                     % of the total         31.00    18.10    100.00

Table 5
Relationship between the disease and its anatomical location

Pathology                                  Location

                          TMJ    Nasal    Oral cavity     Face and
                          and    cavity     and soft    skull bones
                         neck                tissues

Head and neck        n      3        1             3             1
cystic lesion        %   27.30    9.10         27.30          9.10
TMJ lesion           n      3        0             1             0
                     %   60.00       0         20.00             0
Infectios lesion     n     14      113            28             5
                     %                                        2.90
Skin lesion          n      3        1             0             0
                     %   75.00   25.00             0          0.00
Head and neck        n      1        S            13             2
benign tumor         %   3.60    23.6-0        46 40          7.10
Head and neck        n      2        9             5             0
malignant tumor      %   10.00   45.00         25.00          0.00
Benign odontogenic   n      1        1             5             0
tumor                %
Total                n     27      133            55             8
                     %    9.7     48.0          19.9           2.9

Pathology                                  Location

                         Anterior   Posterior   Anterior   Posterior
                         mandible   mandible    masilla     maxilla

Head and neck        n         0           1          1           1
cystic lesion        %         0         9.1        9.1         9.1
TMJ lesion           n         0           1          0           0
                     %         0          20          0           0
Infectios lesion     n         0          12                      2
                     %
Skin lesion          n         0           0                      0
                     %         0           0          0           0
Head and neck        n         1           2                      0
benign tumor         %      3.60        7.10       3.60           0
Head and neck        n         0           4                      0
malignant tumor      %         0          20          0           0
Benign odontogenic   n         1          15          4           8
tumor                %                 42.90
Total                n         2          35          6          11
                     %       0.7       12.60       2.20         4.0

Pathology                                  Location

                         Total

Head and neck        n     11
cystic lesion        %    100
TMJ lesion           n      5
                     %    100
Infectios lesion     n    174
                     %
Skin lesion          n      4
                     %    100
Head and neck        n     28
benign tumor         %    100
Head and neck        n     20
malignant tumor      %    100
Benign odontogenic   n     35
tumor                %
Total                n    277
                     %    100

Table 6
Relationship between disease and presence of pain

Pathology                                         Pain        Total

                                               No      Yes

Head and neck        Count                      9        2       11
cystic lesion        % within the illness   81.80    18.20    100.00
TMJ lesion           Count                      0        5        5
                     % within the illness    0.00    100.00   100.00
Infectious lesion    Count                     87       87      174
                     % within the illness   50.00    50.00    100.00
Skin lesion          Count                      4        0        4
                     % within the illness   100.00    0.00    100.00
Head and neck        Count                     17       11       28
benign tumor         % within the illness   60.70    39.30    100.00
Head and neck        Count                      5       15       20
malignant tumor      % within the illness   25.00    75.00    100.00
Benign odontogenic   Count                      13      22       35
tumor                % within the illness   37.10    62.90    100.00
Total                Count                    135      142      277
                     % within the illness   48.70    51.30    100.00
                     % within pain          100.00   100.00   100.00
                     % of the total         48.70    51.30    100.00

Table 7
Relationship between the disease and the presence of paresthesia

Pathology                                   Paresthesia       Total

                                               No      Yes

Head and neck        Count                     11        0       11
cystic lesion        % within the illness   100.00    0.00    100.00
TMJ lesion           Count                      4        1        5
                     % within the illness   80.00    20.00    100.00
Infectious lesion    Count                    170        4      174
                     % within the illness   97.70     2.30    100.00
Skin lesion          Count                      4        0        4
                     % within the illness   100.00    0.00    100.00
Head and neck        Count                     26        2       28
benign tumor         % within the illness   92.90     7.10    100.00
Head and neck        Count                     15        5       20
malignant tumor      % within the illness   75.00    25.00    100.00
Benign odontogenic   Count                     27        8       35
tumor                % within the illness   77.10    22.90    100.00
Total                Count                    257       20      277
                     % within the illness   92.80     7.20    100.00
                     % within paresthesia   100.00   100.00   100.00
                     % of the total         92.80     7.20    100.00
COPYRIGHT 2018 Pontificia Universidad Javeriana
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2018 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:Articulos originales
Author:Parra Sanabria, Erika Alexandra; Pena Vega, Claudia Patricia
Publication:Revista Universitas Medica
Date:Oct 1, 2018
Words:5023
Previous Article:La salud mental en los modelos de atencion de adolescentes infractores Los casos de Colombia, Argentina, Estados Unidos y Canada.
Next Article:Epidemiologia de los casos de candidemia en un hospital universitario en Colombia, 2008-2014.
Topics:

Terms of use | Privacy policy | Copyright © 2022 Farlex, Inc. | Feedback | For webmasters |