{"id":8167,"date":"2020-04-27T10:53:17","date_gmt":"2020-04-27T13:53:17","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/fistulas-y-senos-para-el-cuello-y-la-cara\/"},"modified":"2020-04-27T14:12:40","modified_gmt":"2020-04-27T17:12:40","slug":"fistulas-e-seios-para-o-pescoco-e-a-face","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/","title":{"rendered":"F\u00edstulas e seios da face e pesco\u00e7o."},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Que-es-un-fistula-y-un-seno\" >O que \u00e9 uma f\u00edstula e um seio nasal?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Fistulas-y-senos-para-el-cuello-y-la-cara-clasificacion\" >F\u00edstulas e seios da face no pesco\u00e7o e face: classifica\u00e7\u00e3o<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#De-desarrollo\" >Desenvolvimento<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Seno-preauricular\" >seio pr\u00e9-auricular<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Quistes\" >Cistos<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Quiste-epidermico-que-muestra-apertura-a-la-piel-externa\" >Cisto epid\u00e9rmico mostrando abertura para a pele externa<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Traumatico\" >Traum\u00e1tico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Infeccioso\" >Infeccioso<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Ganglio-linfatico\" >Linfonodo<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Scrofuloderma\" >Scrofuloderma<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Neoplasico\" >Neopl\u00e1sico<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#%C2%BFComo-se-diagnostica-una-fistula-o-seno\" >Como \u00e9 diagnosticada uma f\u00edstula ou sinusite?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/fistulas-y-senos-para-el-cuello-y-la-cara\/#Tratamiento-de-una-fistula-o-seno\" >Tratamento de uma f\u00edstula ou seio<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-un-fistula-y-un-seno\"><\/span>Que e um <span class=\"term\" data-term-id=\"105\">f\u00edstula<\/span> e um <span class=\"term\" data-term-id=\"267\">seio<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Uma f\u00edstula \u00e9 um canal anormal entre duas cavidades ou superf\u00edcies que pode drenar material fluido, como saliva ou pus. Um exemplo seria da boca (cavidade oral) at\u00e9 a superf\u00edcie da pele, geralmente face ou pesco\u00e7o, e esse tipo espec\u00edfico \u00e9 chamado de f\u00edstula orocut\u00e2nea.<\/p>\n<p>Um seio tem uma extremidade de drenagem aberta e o canal termina em uma extremidade cega. Um exemplo seria um dreno dent\u00e1rio de um seio dent\u00e1rio. <span class=\"term\" data-term-id=\"1\">abscesso<\/span> dentro da boca ou na pele.<\/p>\n<p>No entanto, as palavras s\u00e3o frequentemente usadas de forma intercambi\u00e1vel.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Fistulas-y-senos-para-el-cuello-y-la-cara-clasificacion\"><\/span>\n<span class=\"term\" data-term-id=\"508\">F\u00edstulas<\/span> e seios para pesco\u00e7o e rosto: classifica\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>F\u00edstulas e seios da face do pesco\u00e7o e face podem ser classificados por causa.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"De-desarrollo\"><\/span>Desenvolvimento<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>F\u00edstulas e seios da face devido a causas de desenvolvimento geralmente est\u00e3o presentes ao nascimento.<\/p>\n<ul>\n<li>Canal tireoglosso <span class=\"term\" data-term-id=\"49\">cisto<\/span> \u2013 O cisto em desenvolvimento mais comum no pesco\u00e7o. O cisto se move caracteristicamente para cima quando a l\u00edngua est\u00e1 para fora ou ao engolir. Pode estourar para formar um seio que geralmente se abre logo abaixo do osso hi\u00f3ide no <span class=\"term\" data-term-id=\"1543\">linha do meio<\/span> do pesco\u00e7o drena <span class=\"term\" data-term-id=\"190\">caralho<\/span>. O tratamento \u00e9 cir\u00fargico (procedimento Sistrunk), mas o 10% recorre.<\/li>\n<li>Gill <span class=\"term\" data-term-id=\"1835\">fenda<\/span> cisto<span class=\"term\" data-term-id=\"163\">lado<\/span> cisto do arco branquial): o cisto em desenvolvimento mais comum na lateral do pesco\u00e7o. Um seio pode drenar muco ou pus ap\u00f3s a ruptura de um abscesso. Geralmente se abre na lateral do pesco\u00e7o, logo acima da jun\u00e7\u00e3o da clav\u00edcula e do esterno (articula\u00e7\u00e3o esternoclavicular), na frente do m\u00fasculo esternocleidomast\u00f3ideo. Tamb\u00e9m pode haver um seio associado que drena para a faringe.<\/li>\n<li>Fossas pr\u00e9-auriculares e seios paranasais: s\u00e3o comuns e afetam o 1% da popula\u00e7\u00e3o, principalmente asi\u00e1ticos e negros. 25% s\u00e3o <span class=\"term\" data-term-id=\"23\">bilateral<\/span> na frente de ambas as orelhas A abertura do seio (fossa) geralmente est\u00e1 localizada logo na frente da parte superior da orelha, onde a cartilagem da borda da orelha (h\u00e9lice) encontra a pele facial. S\u00e3o <span class=\"term\" data-term-id=\"731\">assintom\u00e1tico<\/span> A menos que estejam infectados (raro), quando ficam vermelhos, doem e podem <span class=\"term\" data-term-id=\"840\">baixar<\/span> pus.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Seno-preauricular\"><\/span>seio pr\u00e9-auricular<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='seio pr\u00e9-auricular__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-9031014-1346016' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/preauricular-sinus__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-9031014.jpg'>\n<\/div>\n<p class=\"p-small\">seio pr\u00e9-auricular<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Quistes\"><\/span>Cistos<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Os cistos s\u00e3o caro\u00e7os na pele que cont\u00eam <span class=\"term\" data-term-id=\"1174\">flutuante<\/span> contente. Eles podem ter uma abertura na superf\u00edcie da pele.<\/p>\n<ul>\n<li>Cisto dermoide<\/li>\n<li>\n<span class=\"term\" data-term-id=\"846\">Epid\u00e9rmico<\/span> cisto \u2013 anteriormente conhecido como <span class=\"term\" data-term-id=\"262\">seb\u00e1ceo<\/span> cisto, mas cont\u00e9m <span class=\"term\" data-term-id=\"155\">borda da cal\u00e7ada<\/span> (prote\u00edna da pele) n\u00e3o <span class=\"term\" data-term-id=\"898\">sebo<\/span> (\u00f3leo produzido pelas gl\u00e2ndulas seb\u00e1ceas<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Quiste-epidermico-que-muestra-apertura-a-la-piel-externa\"><\/span>Cisto epid\u00e9rmico mostrando abertura para a pele externa<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cisto2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7008277-7780287' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cyst2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7008277.jpg'>\n<\/div>\n<p class=\"p-small\">cisto epid\u00e9rmico<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Traumatico\"><\/span><span class=\"term\" data-term-id=\"1367\">Traum\u00e1tico<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Acidental<\/li>\n<li><span class=\"term\" data-term-id=\"1325\">Radioterapia<\/span><\/li>\n<li>Cir\u00fargico<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Infeccioso\"><\/span>Infeccioso<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Actinomicose<\/li>\n<li>Osso <span class=\"term\" data-term-id=\"145\">infec\u00e7\u00e3o<\/span> <br \/><span class=\"term\" data-term-id=\"319\">Cr\u00f4nica<\/span> <span class=\"term\" data-term-id=\"1054\">osteomielite<\/span> \u2013 mais comumente associada ao diabetes mellitus mal controlado ou ap\u00f3s radioterapia na mand\u00edbula por <span class=\"term\" data-term-id=\"30\">C\u00e2ncer<\/span> ou doen\u00e7a \u00f3ssea de Paget. Tamb\u00e9m pode complicar uma infec\u00e7\u00e3o dent\u00e1ria cr\u00f4nica.<\/li>\n<li>infec\u00e7\u00e3o dent\u00e1ria\n<ul>\n<li>Abscesso dentoalveolar cr\u00f4nico<\/li>\n<li>Implante dent\u00e1rio<\/li>\n<li>Procedimento endod\u00f4ntico falhado<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Ganglio-linfatico\"><\/span><span class=\"term\" data-term-id=\"1774\">Linfonodo<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Doen\u00e7a da arranhadura do gato<\/li>\n<li>infec\u00e7\u00e3o dent\u00e1ria<\/li>\n<li>\n<p>Tuberculose (escrofulodermia)<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Scrofuloderma\"><\/span>Scrofuloderma<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scrofuloderma__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9754378-2193239' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scrofuloderma__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9754378.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scrofuloderma2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildld-4963704-6864670' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scrofuloderma2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDld-4963704.jpg'>\n<\/div><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Neoplasico\"><\/span><span class=\"term\" data-term-id=\"1264\">Neopl\u00e1sico<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<p>Oral <span class=\"term\" data-term-id=\"270\">escamoso<\/span> c\u00e9lula <span class=\"term\" data-term-id=\"32\">carcinoma<\/span> \u00e9 o mais comum<\/li>\n<li>\n<span class=\"term\" data-term-id=\"22\">Benigno<\/span> tumores da boca raramente formam uma f\u00edstula<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-una-fistula-o-seno\"><\/span>Como \u00e9 diagnosticada uma f\u00edstula ou sinusite?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Al\u00e9m de uma hist\u00f3ria e exame cuidadosos, geralmente ser\u00e3o necess\u00e1rios um ou mais dos seguintes testes para confirmar o diagn\u00f3stico e determinar a causa:<\/p>\n<ol>\n<li>passando uma sonda no canal<\/li>\n<li>radiologia: pode incluir radiografias simples, radiografias contrastadas, <span class=\"term\" data-term-id=\"799\">Connecticut<\/span> ou <span class=\"term\" data-term-id=\"1116\">Resson\u00e2ncia magn\u00e9tica<\/span> explora\u00e7\u00f5es<\/li>\n<li>avalia\u00e7\u00e3o microbiol\u00f3gica de swabs ou <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> material<\/li>\n<li>\n<p>bi\u00f3psia e <span class=\"term\" data-term-id=\"223\">patologia<\/span>\n<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Tratamiento-de-una-fistula-o-seno\"><\/span>Tratamento de uma f\u00edstula ou seio<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Isso ser\u00e1 determinado pela causa espec\u00edfica.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es un f\u00edstula y un seno? Una f\u00edstula es un canal anormal que conduce entre dos cavidades o superficies que pueden drenar un material fluido como la saliva o&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8167","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=8167"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8167\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=8167"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=8167"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=8167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}