Navegando por Palavras-chave "Assimetria facial"

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    Alterações fonoaudiológicas presentes em um caso de síndrome de Goldenhar
    (Sociedade Brasileira de Fonoaudiologia, 2007-06-01) Lima, Fernanda Thieme; Araújo, Camila Brenner de [UNIFESP]; Sousa, Elaine Colombo [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    Language is a complex process that involves the participation and interaction of all of its components: phonology, semantics, morphology, syntax and pragmatics. The acquisition and organization of these components are related to internal capacities of the human being and also to his environment. Any implication in one or more of these components brings consequences to language development in general. In Goldenhar's syndrome, different implications may affect the individual's ability to communicate. Thus, the purpose of this research was to describe the speech, language and hearing impairments found in a child with Goldenhar's syndrome and to provide additional information that might contribute to the apropriate speech-language and hearing intervention. The child, a female 8 years and 8 months old, was submitted to language, speech, voice, hearing and oral motricity evaluations. Deficits in the cognitive aspects of language were observed: spatial orientation notion, logical abstract reasoning, memory and attention; as well as deficits of oral expression and comprehension, phonoarticulatory organs, neurovegetative functions and hearing (bilateral hearing loss). Many cases of Goldenhar's syndrome have been described in literature. However, great part of them emphasize the description of genetic and fenotipic manifestations of the studied individuals. Hence, the speech-language and hearing findings of the present study cannot be generalized to all of the individuals with Goldenhar's syndrome, since this is a report of single case. These findings evidence the need for the diagnostic and interventive participation of the speech-language and hearing therapist as part of a multidisciplinary team, in cases of genetic syndromes.
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    Análise cefalométrica da imagem digital em uma telerradiografia frontal para diagnosticar a origem da assimetria mandibular em indivíduos com maloclusão de Classe II, subdivisão
    (Universidade Federal de São Paulo (UNIFESP), 2009-06-24) Cerqueira, Leandro Kfouri Martins [UNIFESP]; Ajzen, Sergio Aron [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Purpose: To investigate the mandibular asymmetry cause of an individual with Class II subdivision malocclusion, through a cephalometric analysis made on frontal digital teleradiography. The aim was also to provide, through the results of cephalometric analysis, subsidies to the professionals to a better diagnosis and treatment plan of patients with Class II subdivision malocclusion. Methods: The sample consisted of 30 individuals presenting Class II subdivision malocclusion. Frontal digital teleradiographies were performed and five main points were demarcated (17 - center point on top of the head of left condyle, 28 - center point on top of the head of right condyle, 23 - the deepest point in the right antegonial notch, 21 - deepest point on the left antegonial notch, and 22 - lower point in the mandibular symphysis). Sixteen secondary points were used in the cephalometric analysis. A digital system (Radiocef® 4.9) was used to point assessment, which determined the lines, plans and measures necessary to verify the origin of mandibular asymmetry present in an individual with a Class II subdivision malocclusion. Results: The results showed that there is a greater tendency of mandibular asymmetry of dental cause in malocclusion subdivision Class II conditions, however the orthodontist should give special attention to the sides of the base of the mandible, since the results found in this cephalometric study showed a greater linear difference comparing one against another attempting to a possible skeletal cause of mandibular asymmetry. Conclusions: The cephalometric analysis used in this study confirmed the clinical need for diagnosis and orthodontic treatment plan for individuals with Class II subdivision malocclusion, it is a simplified method that induces the professional to use complementary tests (clinical and photographic examination, analysis of models and CT) in cases where the cephalometric results showed a trend of a mandibular asymmetry of skeletal cause, since in most cases of malocclusion division Class II the individual is treated as if the mandibular asymmetry was always of dental cause.