Síndrome do Primeiro e Segundo Arco Branquial (SAB)
Authors: Carvalho Andréa Alves de , Mendes Carlos Maurício Cardeal , Campos Paulo Sérgio Flores 
Published: May 2018

<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves /> <w:TrackFormatting /> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF /> <w:LidThemeOther>PT-BR</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> <w:DontGrowAutofit /> <w:SplitPgBreakAndParaMark /> <w:DontVertAlignCellWithSp /> <w:DontBreakConstrainedForcedTables /> <w:DontVertAlignInTxbx /> <w:Word11KerningPairs /> <w:CachedColBalance /> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math" /> <m:brkBin m:val="before" /> <m:brkBinSub m:val="--" /> <m:smallFrac m:val="off" /> <m:dispDef /> <m:lMargin m:val="0" /> <m:rMargin m:val="0" /> <m:defJc m:val="centerGroup" /> <m:wrapIndent m:val="1440" /> <m:intLim m:val="subSup" /> <m:naryLim m:val="undOvr" /> </m:mathPr></w:WordDocument> </xml><![endif]--> <p class="MsoNormal" style="margin-top: 0cm; margin-right: 22.7pt; margin-bottom: .0001pt; margin-left: 22.7pt; text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-size: 8.0pt; mso-bidi-font-family: Calibri; color: black;">Introdução:</span></strong><span style="font-size: 8.0pt; mso-bidi-font-family: Calibri; color: black;"> A Síndrome do primeiro e segundo arcos branquiais (SAB) – Microssomia Hemifacial é a segunda anomalia crânio-facial mais frequente depois das fissuras lábio-palatais. Afeta, de acordo com a Organização Mundial de Saúde - OMS, 1 para cada 5600 nascidos, comprometendo as estruturas ligadas ao primeiro e segundo arcos brânquias, quais sejam: olhos, orelhas, mandíbula, nervos faciais, musculatura facial, osso hióide, apófise estilóide. <strong>Objetivo: </strong>Avaliar a expressividade da SAB em uma amostra populacional da cidade de Salvador, BA. <strong>Metodologia</strong>: Foram avaliados os pacientes que, nos últimos dois anos, buscaram atendimento no ambulatório de Ortopedia Funcional dos Maxilares da Associação Brasileira de Odontologia – Seção Bahia (ABO-BA). Todos os pacientes avaliados foram classificados de acordo<span style="mso-spacerun: yes;">  </span>com o acrômio O.M.E.N.S.:”O” - órbita, “M” - mandíbula, “E” – orelha, “N” – nervos faciais e “S” – tecidos moles e musculatura. Resultados: 08 (oito) pacientes, com idade média de 10,3 anos (DP=3,5), 6 (seis) do sexo masculino e 2 (dois) do sexo feminino, foram avaliados. Para órbita, 4 (quatro) pacientes<span style="mso-spacerun: yes;">  </span>obtiveram O0, 3 (três) O2 e 1 (um) O3. Para a mandíbula, 1 (um) não apresentou comprometimento (M0), 1 (um) M1, 3 (três) M2B, 3 (três) M3.Para orelha, 3 (três) E0 e 5 (cinco) E5. Para os nervos faciais 4 (quatro) N0, 4 (quatro) N2. E para tecidos moles e musculatura, 3 (três) S0, 4 (quatro) S1 e 1 (um) S2.<span style="mso-spacerun: yes;">  </span><strong>Conclusão</strong>: As alterações em mandíbula e ATM são as mais frequentes e severas, e não necessariamente são acompanhadas de alterações nas outras estruturas.</span></p> <p class="MsoNormal" style="margin-top: 0cm; margin-right: 22.7pt; margin-bottom: .0001pt; margin-left: 22.7pt; text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-size: 8.0pt; mso-bidi-font-family: Calibri; color: black; mso-ansi-language: EN-US;" lang="EN-US"> </span></strong></p> <p class="MsoNormal" style="margin-top: 0cm; margin-right: 22.7pt; margin-bottom: .0001pt; margin-left: 22.7pt; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-size: 8.0pt; mso-bidi-font-family: Calibri; color: black; mso-ansi-language: EN-US;" lang="EN-US">Abstract</span></strong><strong></strong></p> <p class="MsoNormal" style="margin-top: 0cm; margin-right: 22.7pt; margin-bottom: .0001pt; margin-left: 22.7pt; text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 8.0pt; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">The first and second branchial arches syndrome (BAS) – Hemifacial Microsomia, is the second craniofacial anomaly more frequent after cleft lip and palate. It affects, according to the World Health Organization - WHO, 1 for every 5600 births, compromising the structures related to the first and second branchial arches, namely, eyes, ears, jaw, facial nerves, facial muscles, hyoid bone, styloid apophysis. Objective: Objective: To evaluate the expressiveness of BAS in a population sample of Salvador, BA. Methodology: Patients evaluated were those who, in the last two years, sought outpatient treatment in the Jaw Functional Orthopedics of Associação Brasileira de Odontologia – Section Bahia (ABO-BA). All patients were classified based on the acromion Omens, “O” - orbit, “M” - mandible, “E” - ear, “N” – facial nerves and S – soft tissues and muscles. Results: 8 (eight) patients, with a 10,3 average age (SD=3,5), 6 (six) males and 2 (two) females were evaluated. For the orbit, 4 (four) patients had O0,3 (three) O2 and 1 (one) O3. For the jaw, 1 (one) did not show any compromise (M0), 1 (one) M1, 3 (three) M2B, 3 (three) M3. For the ear, 3 (three) E0 and 5 (five) E5. For the facial nerves 4 (four) N0, 4 (four) N2. And for the soft tissues and muscle, 3 (three) S0, 4 (four) S1 and 1 (one) S2. Conclusion: The alterations in the jaw and ATM are more frequent and severe, and not necessarily accompanied by alterations in the other structures.</span></p> <!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true" DefSemiHidden="true" DefQFormat="false" DefPriority="99" LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Normal" /> <w:LsdException Locked="false" Priority="9" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="heading 1" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6" /> <w:LsdException Locked="false" 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