Mestrado Profissional em Clínica Odontológica

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http://repositorio.ufes.br/handle/10/17576

Nível: Mestrado Profissional
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Navegando Mestrado Profissional em Clínica Odontológica por Autor "Amorim, Maria Helena Costa"

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    Relação entre o tabagismo e o etilismo e o carcinoma de células escamosas na região de cabeça e pescoço em pacientes usuários do SUS no Espírito Santo
    (Universidade Federal do Espírito Santo, 2015-10-09) Mameri, Helenita Almeida; Carvalho, Raquel Baroni de; Pacheco, Karina Tonini dos Santos; Amorim, Maria Helena Costa
    The prevalence of head and neck cancer (oral cavity, pharynx and larynx) has increased in Brazil in the last decade, with the squamous cell carcinoma as the most common. The treatment may cause severe functional and aesthetic sequels, with a significant impact on quality of life and psychological health of these patients. Objectives: This study aimed to relate the habits of individuals with the development of squamous cell carcinoma (SCC) of the head and neck.Methods: retrospective study of patients with cancer. Survey conducted in two public hospitals of reference in the city of Vitória, Espírito Santo, Brazil, from November 2011 to November 2013. The study include 97 patients with SCC of the head and neck, in which 51 in oral cavity and lip, 24 in the oropharynx, 3 in the hypopharynx, 16 in the larynx, 2 in the nasal area and 1 patient with unknown tumoral site. Patients were interviewed about sociodemographic data; smoking habits and alcohol consumption (at diagnosis and after six months); oral hygiene habits and primary treatment. The statistical analysis was descriptive, chi-square test and Fisher Exact. Results: The development of malignancies is associated with environmental risk factors and lifestyle. There was a statistically significant association between smoking and staging of tumors (0.039) and the main treatment (0.036). From a total of 97 patients, 34 had been caused by the CEC head and neck (35.1%). Conclusion: Confirming smoking and alcohol consumption as risk factors for SCC of the head and neck, it was understood that the longer the duration of exposure to these risks and their usual amount, there is a greater chance for development of head and neck carcinoma. It is also important because spending on treatments become expensive. So, lifestyle changes such as abstinence from tobacco and alcohol are the best methods of preventing the disease, since they are the main risk factors.