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Samenvatting slijmvliesafwijkingen en Mondziekten, kaak- en aangezichtschirurgie Nieuw curriculum

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  • Course
  • Slijmvliesafwijkingen en MKA
  • Institution
  • Hanzehogeschool Groningen (Hanze)
  • Book
  • Mondziekten, kaak- en aangezichtschirurgie

een samenvatting voor alle opgegeven literatuur voor slijmvliesafwijkingen en MKA-chirurgie voor jaar 2, mondzorgkunde, Haze Hogeschool.

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  • 1,2,3,5,7,14,15,17
  • December 9, 2021
  • 74
  • 2021/2022
  • Summary

Subjects

  • mka chirurgie
  • slijmvliesafwijkingen
  • pijn
  • mucosa

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  • Hanzehogeschool Groningen (Hanze)
  • Mondzorgkunde
  • Slijmvliesafwijkingen en MKA
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Slijmvliesafwijkingen en MKA.
Samenvatting van de opgegeven literatuur.

Jaëlle Straat, Mondzorgkunde Hanze Hogeschool Groningen, Jaar 2


INHOUDSOPGAVE.
Hoofdstuk 1: Diagnostiek. ....................................................................................................................... 6
1.3 Belangrijke symptomen en klinische manifestaties. ..................................................................... 6
1.7 Onderzoek bij specifieke patiënten categorieën........................................................................... 9
Focusonderzoek............................................................................................................................. 10
Potentieel infectieuze patiënten. .................................................................................................. 10
Cardiovasculaire aandoeningen. ................................................................................................... 11
Longaandoeningen. ....................................................................................................................... 11
Hepatitis. ....................................................................................................................................... 11
Lever aandoeningen. ..................................................................................................................... 12
Stollingsstoornissen....................................................................................................................... 12
Endocriene stoornissen ................................................................................................................. 12
Zwangerschap................................................................................................................................ 12
Nierziekten. ................................................................................................................................... 13
Aandoeningen zenuwstelsel.......................................................................................................... 13
Immuun gecompromitteerde patiënten. ...................................................................................... 13
Patiënten met maligniteiten. ........................................................................................................ 13
Hoofdstuk 2: Differentiële diagnostiek. ................................................................................................ 14
2.6 Differentiële diagnostiek bij afwijkingen van de orale mucosa. ................................................. 14
Hoofdstuk 3: Mechanismen van ontwikkeling, groei pathologie.......................................................... 18
Hoofdstuk 5: Afwijkingen van de orale mucosa. ................................................................................... 19
5.1 Inleiding. ...................................................................................................................................... 19
5.2 Witte afwijkingen. ....................................................................................................................... 19
Leukoedeem. ................................................................................................................................. 19
Reactieve witte afwijkingen. ......................................................................................................... 19
Lingua villosa. ................................................................................................................................ 21
Lingua geographica........................................................................................................................ 21
Hairy leukoplakia ........................................................................................................................... 21
Lichen planus. ................................................................................................................................ 22
Premaligne afwijkingen ................................................................................................................. 23
Niet epithale witte afwijkingen. .................................................................................................... 24


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, 5.3 Papillaire afwijkingen. ................................................................................................................. 25
Reactieve afwijkingen.................................................................................................................... 25
Neoplasmata. ................................................................................................................................ 26
5.4 Vesiculobulleuze afwijkingen ...................................................................................................... 26
Herpesvirussen. ............................................................................................................................. 27
Herpangina. ................................................................................................................................... 27
Immuunstoornis-gerelateerde afwijkingen................................................................................... 28
5.5 Ulceratieve afwijkingen. .............................................................................................................. 29
Reactieve ulcera. ........................................................................................................................... 29
Ulceratieve afwijkingen met onderliggende immuunstoornissen ................................................ 29
5.6 Rood-blauwe afwijkingen. ............................................................................................................... 31
Ontwikkelingsstoornissen. ............................................................................................................ 31
Reactieve afwijkingen.................................................................................................................... 32
Premaligne en maligne afwijkingen. ............................................................................................. 32
Overige rood-blauwe afwijkingen. ................................................................................................ 33
5.7 Donker gepigmenteerde afwijkingen. ......................................................................................... 34
Pigmentatie. .................................................................................................................................. 34
Neoplasmata. ................................................................................................................................ 34
5.8 Zwelling door mesenchymale afwijkingen. ................................................................................. 35
Epulis fibrosa ................................................................................................................................. 35
Gegeneraliseerde gingivahyperplasie. .......................................................................................... 35
Vasculaire afwijkingen. .................................................................................................................. 35
Neurogene afwijkingen. ................................................................................................................ 36
Afwijkingen vanuit vetweefsel. ..................................................................................................... 36
Afwijkingen vanuit bot .................................................................................................................. 37
Afwijkingen vanuit de speekselklieren. ......................................................................................... 37
Neoplasmata. ................................................................................................................................ 38
Hoofdstuk 7: Afwijkingen van speeksel en speekselklieren .................................................................. 39
7.4.3 Ontstekingen. ....................................................................................................................... 39
Syndroom van Sjögren. ................................................................................................................. 40
7.5 Therapie....................................................................................................................................... 40
Behandeling van monddroogheidsklachten. ................................................................................. 40
Hoofdstuk 14: Maxillofaciale traumatologie. ........................................................................................ 41
14.1 Inleiding. .................................................................................................................................... 41
14.2 Theoretische achtergronden. .................................................................................................... 41
Fractuurgenezing. .......................................................................................................................... 41

2

, Wondbehandeling en -genezing.................................................................................................... 41
14.4 Primaire opvang en diagnostiek na trauma. ............................................................................. 41
Opvang en stabilisatie. .................................................................................................................. 41
Diagnostiek bij aangezichtstrauma. .............................................................................................. 42
14.5 Algemene behandelingsprincipes. ............................................................................................ 42
Timing van de behandeling. .......................................................................................................... 42
Doel van behandeling. ................................................................................................................... 42
Vormen van de behandeling. ........................................................................................................ 43
Incisies om toegang te verkrijgen tot fracturen. ............................................................................... 43
14.6 Chirurgische benaderingen. ...................................................................................................... 44
Coronale incisie. ............................................................................................................................ 44
Benadering van de orbita .............................................................................................................. 44
Benadering van boven- en onderkaak. ......................................................................................... 44
14.7 Mandibulafracturen. ................................................................................................................. 45
Diagnostiek. ................................................................................................................................... 45
Fracturen van het corpus, angulus en ramus mandibulae. ........................................................... 46
Fracturen van de p. condylaris. ..................................................................................................... 46
Fracturen van de processus coronoideus...................................................................................... 47
14.8 fracturen van het middengezicht. ............................................................................................. 48
Nomenclatuur................................................................................................................................ 48
Diagnostiek. ................................................................................................................................... 49
Algemene behandelingsaspecten. ................................................................................................ 49
Fracturen van het zygomacomplex. .............................................................................................. 49
Neus- en orbitafracturen. .............................................................................................................. 50
14.9 Sinus-frontalisfracturen. ............................................................................................................ 51
14.10 Panfaciale fracturen. ............................................................................................................... 51
14.11 Nazorg en plaatverwijdering. .................................................................................................. 51
Hoofdstuk 15: Operatieve kaakorthopedie. .......................................................................................... 52
15.1 Inleiding. .................................................................................................................................... 52
15.2 Indicaties en contra-indicaties voor een gecombineerde behandeling. ................................... 52
Indicaties. ...................................................................................................................................... 52
Contra-indicaties. .......................................................................................................................... 53
Voorwaarden operatieve kaakorthopedie. ................................................................................... 53
15.3 Specifiek onderzoek en diagnose. ............................................................................................. 53
Klinisch onderzoek......................................................................................................................... 54
Cephalometrie. .............................................................................................................................. 54

3

, Modelonderzoek. .......................................................................................................................... 55
Diagnostische classificatie. ............................................................................................................ 55
15.4 Behandelsplanning. ................................................................................................................... 55
Gecombineerd orthodontisch-chirurgisch consult. ...................................................................... 55
Pre chirurgische orthodontie. ....................................................................................................... 56
Planning van operatie.................................................................................................................... 56
De operatie. ................................................................................................................................... 56
Postchirurgische orthodontie. ....................................................................................................... 56
15.5 Operatie technieken. ................................................................................................................. 57
Voorbereidingen............................................................................................................................ 57
Bilaterale sagittale splijtingsosteotomie (BSSO) ........................................................................... 58
Intraorale verticale ramus osteotomie (IVRO) .............................................................................. 58
Le Fort 1-osteotomie. .................................................................................................................... 58
Bimaxillaire osteotomie................................................................................................................. 59
Kinosteotomie. .............................................................................................................................. 59
Morbiditeit. ................................................................................................................................... 59
15.6 Peri- en postoperatieve zorgen. ................................................................................................ 59
Peri-operatieve zorg. ..................................................................................................................... 59
Follow-up. ...................................................................................................................................... 60
Hoofdstuk 17: Maxillofaciale oncologie. ............................................................................................... 61
17.2 Inleiding ..................................................................................................................................... 61
17.2 algemene aspecten kanker........................................................................................................ 61
Gezwelgroei. .................................................................................................................................. 61
Carcinogenese. .............................................................................................................................. 62
Classificatie van tumoren. ............................................................................................................. 62
17.3 premaligne afwijkingen maxillofaciaal. ..................................................................................... 63
17.4 Maligne afwijkingen. ................................................................................................................. 64
Maligne tumoren van bovenste adem- en voedingswegen. ......................................................... 64
Maligne speekselkliertumoren. ..................................................................................................... 64
Maligne hematologische aandoeningen. ...................................................................................... 65
Maligne tumoren uitgaande van bot of weke delen. .................................................................... 65
Maligne tumoren uitgaande van de huid. ..................................................................................... 66
Metastasen. ................................................................................................................................... 66
Overige maligniteiten in het hoofd- halsgebied............................................................................ 66
17.5 Specifiek op maxillofaciale tumoren gericht diagnostiek.......................................................... 67
Anamnese. ..................................................................................................................................... 67

4

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