Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition)最新文献_第2页

Facial fractures in a reference center for Level I Traumas. Descriptive study 面部骨折在一级创伤参考中心。描述性研究

Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition) Pub Date : 2015-04-01 DOI: 10.1016/j.maxile.2013.09.001

Edgardo Gonzalez, Christian Pedemonte, Ilich Vargas, Diego Lazo, Hernán Pérez, Marco Canales, Francisco Verdugo-Avello

{"title":"Facial fractures in a reference center for Level I Traumas. Descriptive study","authors":"Edgardo Gonzalez, Christian Pedemonte, Ilich Vargas, Diego Lazo, Hernán Pérez, Marco Canales, Francisco Verdugo-Avello","doi":"10.1016/j.maxile.2013.09.001","DOIUrl":"10.1016/j.maxile.2013.09.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of the present descriptive study was to record data on maxillofacial trauma in working adults in a 3 year-period in a reference trauma centre in Chile.</p></div><div><h3>Materials and methods</h3><p>A descriptive study was conducted on cases of maxillofacial fractures treated in the Maxillofacial Surgery Unit of the Hospital Clínico Mutual de Seguridad, Santiago de Chile, over a 3-year period. Frequency, type and cause of injury, as well as age and gender distribution were analysed.</p></div><div><h3>Results</h3><p>The study population consisted of 283 patients, 259 (91.5%) males and 24 (8.5%) females with a mean age of 40.5 (SD: ±20.5) years. In 499 fracture sites zygomatic fractures were the most prevalent location of the 499 fracture sites, in both males and females (48%), followed by orbital fractures (27.2%), and jaw fractures (21.2%). The most common affected part of the face was isolated mid-facial fractures. Traffic-accident-related fractures were the most common cause (39.2%), with the largest proportion of these involving a car accident.</p></div><div><h3>Discussion</h3><p>The results presented are in line with other studies and the analysis of this report provides important data for the design of plans for injury prevention, especially for measures in road traffic.</p></div>","PeriodicalId":101108,"journal":{"name":"Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition)","volume":"37 2","pages":"Pages 65-70"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.maxile.2013.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55220079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Maxillary sinus augmentation with bovine hydroxyapatite alone: A safe technique with predictable outcomes in patients with severe maxillary atrophy 单独用牛羟基磷灰石上颌窦增强术:一种安全的技术，对严重上颌萎缩患者的预后可预测

Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition) Pub Date : 2015-04-01 DOI: 10.1016/j.maxile.2014.07.001

Ana María López López , Paloma Planells del Pozo , Cristina Maza Muela , Santiago Ochandiano Caicoya , Carlos Navarro Cuèc)llar , Josèc) Ignacio Salmerón Escobar

引用次数: 0

Treatment with ketamine mouthwashes with and without transmucosal fentanyl in major opiate-resistant orofacial cancer pain 含或不含经黏膜芬太尼的氯胺酮漱口水治疗主要阿片类药物抵抗性口面部癌疼痛

Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition) Pub Date : 2015-04-01 DOI: 10.1016/j.maxile.2013.11.001

Manuel Cortiñas Saenz , Fernando Espín Galvez , Inmaculada Alférez García , Miren Beatriz Menoyo Alonso , Ana Vega Salvador , Ana García-Carricondo

{"title":"Treatment with ketamine mouthwashes with and without transmucosal fentanyl in major opiate-resistant orofacial cancer pain","authors":"Manuel Cortiñas Saenz , Fernando Espín Galvez , Inmaculada Alférez García , Miren Beatriz Menoyo Alonso , Ana Vega Salvador , Ana García-Carricondo","doi":"10.1016/j.maxile.2013.11.001","DOIUrl":"10.1016/j.maxile.2013.11.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The objective of this study was to determine if an oral ketamine mouth wash and expectorant, that may or may not rinse transmucosal fentanyl, was a safe and effective method to alleviate a series of various difficult to control orofacial pain of cancer origin.</p></div><div><h3>Materials and methods</h3><p>A prospective review was made of the medical charts of 20 patients, finding 8 patients who received ketamine mouthwash (40mg=4ml), 8 patients who received ketamine mouthwash and oral transmucosal fentanyl citrate 200mcg, and 4 patients with systemic opioids for refractory orofacial and mucositis pain.</p></div><div><h3>Results</h3><p>Of the 20 patients, 16 had orofacial or mucositis pain refractory to a mixture of lidocaine and opioids. The effectiveness of ketamine mouthwash was 50% (8/16 patients). The combination of ketamine and/or fentanyl transmucosal had an analgesic efficacy of 94.1% (15/16 patients). The adverse effects were associated with the ketamine mouthwash; all side effects were transient and subsided when the ketamine mouthwash was stopped.</p></div><div><h3>Conclusion</h3><p>Ketamine mouthwash for orofacial pain due to cancer may be an effective treatment option. In cases of reported episodes of breakthrough pain, the combination of a ketamine mouthwash and oral transmucosal fentanyl citrate may be a viable treatment option in refractory mucositis pain.</p></div>","PeriodicalId":101108,"journal":{"name":"Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition)","volume":"37 2","pages":"Pages 80-86"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.maxile.2013.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55220164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in airway dimensions after mandibular distraction in patients with Pierre-Robin sequence associated with malformation syndromes 与畸形综合征相关的Pierre-Robin序列患者下颌骨牵张后气道尺寸的变化

Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition) Pub Date : 2015-04-01 DOI: 10.1016/j.maxile.2013.10.001

Adoración Martínez Plaza , Ricardo Fernández Valadés , Antonio España López , Blas García Medina , Luis Miguel Capitán Cañadas , Fernando Monsalve Iglesias

{"title":"Changes in airway dimensions after mandibular distraction in patients with Pierre-Robin sequence associated with malformation syndromes","authors":"Adoración Martínez Plaza , Ricardo Fernández Valadés , Antonio España López , Blas García Medina , Luis Miguel Capitán Cañadas , Fernando Monsalve Iglesias","doi":"10.1016/j.maxile.2013.10.001","DOIUrl":"10.1016/j.maxile.2013.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The Pierre Robin syndrome, or sequence, is a triad characterised by micrognathia, glossoptosis and upper respiratory obstruction, with or without cleft palate. Most patients respond to postural treatment, although tracheotomy is necessary on extreme occasions. Mandibular distraction is currently an effective therapeutic alternative that elongates the jaw and resolves the respiratory obstruction. The choice of vector for distraction is essential for modifying the dimensions of the airways.</p></div><div><h3>Patients and methods</h3><p>The objective of this study is to evaluate the changes produced in the dimensions of the upper airways in eight children with Pierre Robin sequence, treated with mandibular distraction, depending on the vector of distraction planned. To this end, a lateral cranial X-ray was performed pre- and post-distraction, tracing a line from the mandibular plane to the base of the tongue and as far as the posterior pharyngeal wall, measuring the millimetres of separation between the two structures.</p></div><div><h3>Results and conclusions</h3><p>The results showed that the horizontal distraction vector, in the first place, and the oblique vector in the second place, would be the procedures of choice in view of their positive effects on the airways.</p></div>","PeriodicalId":101108,"journal":{"name":"Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition)","volume":"37 2","pages":"Pages 71-79"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.maxile.2013.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55220145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Recurrent intraoral access to the submandibular gland. An uncommon aesthetic approach 反复的口内通道进入下颌下腺。一种不寻常的审美方式

Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition) Pub Date : 2015-01-01 DOI: 10.1016/j.maxile.2013.08.001

Ignacio Arribas-García, Guillermo Gómez-Oliveira, Fátima Martínez Pérez, Adriana Serrano-Álvarez, Rocío Sánchez Burgos, Modesto Álvarez-Florez

{"title":"Recurrent intraoral access to the submandibular gland. An uncommon aesthetic approach","authors":"Ignacio Arribas-García, Guillermo Gómez-Oliveira, Fátima Martínez Pérez, Adriana Serrano-Álvarez, Rocío Sánchez Burgos, Modesto Álvarez-Florez","doi":"10.1016/j.maxile.2013.08.001","DOIUrl":"10.1016/j.maxile.2013.08.001","url":null,"abstract":"<div><p>Recurrent sub-maxillary gland disorders are relatively common. They are mainly caused by obstructive gland diseases. Other aetiologies are malignancies, autoimmune, or degenerative diseases. The traditional treatment of the submandibular gland is the surgical excision by a cervical approach. The advantages of this approach are: its simplicity, direct surgical vision, and speed of the procedure. The most important disadvantages are: unsightly cervical scar, and injury risk of the marginal branch of the facial nerve.</p><p>This paper presents and discusses the intraoral approach to the submandibular gland. The advantages over the conventional approach are: the elimination of the scar and the risk of injury to the marginal branch. The main disadvantages are: the technical difficulty, reduced vision, the longer surgical time, and the possibility of lingual nerve injury.</p><p>A total of 6 patients, 4 women and 2 men aged 25–60 years, underwent a sub-maxillectomy by intraoral approach in the Hospital Universitario de Canarias (Tenerife, Spain). In all cases, the aesthetic and functional results were very satisfactory, with only mild self-limited lingual nerve dysesthesia being observed at two months.</p><p>We present an alternative to the cervical approach for the submandibular glands; the intraoral approach. The major advantage of this technique is to eliminate the cervical scar.</p></div>","PeriodicalId":101108,"journal":{"name":"Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition)","volume":"37 1","pages":"Pages 1-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.maxile.2013.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55220034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Comparative study of bone regeneration in critical cranial bone defects using bone marrow adult stem cells and calcium phosphate 骨髓成体干细胞与磷酸钙修复严重颅骨骨缺损的比较研究

Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition) Pub Date : 2015-01-01 DOI: 10.1016/j.maxile.2013.05.001

Marvis Allais , Paul E. Maurette , Natália Gomes de Morais , Thacianna Barreto da Costa , Simone Fraga , Emanuel Dias de Oliveira e Silva , Jose Rodrigues Laureano Filho , Celia Maria Barbosa de Castro

{"title":"Comparative study of bone regeneration in critical cranial bone defects using bone marrow adult stem cells and calcium phosphate","authors":"Marvis Allais , Paul E. Maurette , Natália Gomes de Morais , Thacianna Barreto da Costa , Simone Fraga , Emanuel Dias de Oliveira e Silva , Jose Rodrigues Laureano Filho , Celia Maria Barbosa de Castro","doi":"10.1016/j.maxile.2013.05.001","DOIUrl":"10.1016/j.maxile.2013.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the use of Bone Marrow adult Stem Cells (BMSCs), differentiated in vitro into osteoblasts, associated to calcium phosphate versus autogenous bone graft, in the repair process of critical size bone defects.</p></div><div><h3>Materials and method</h3><p>On 36 Wistar adult rats, bilateral full-thickness defects on parietal bone were created. The defects were either repaired with calcium phosphate (group I), calcium phosphate+(BMSCs) (group II) or autogenous bone graft (group III), and the opposite side with blood clot (Control Group). In all cases a collagen membrane was used. The animals were sacrificed at 30 and 60 days, and all specimens were collected for further histological and histomorfometric study.</p></div><div><h3>Results</h3><p>At 30 days, group III (autogenous bone graft) evidences a statistical difference on bone formation when compared to the experimental and control groups (<em>p</em>    <!-->BMSCs) and group III (autogenous bone) showed a similar bone formation and has only a statistical difference when compared to group I (BS) and control group.</p></div><div><h3>Conclusion</h3><p>The use of calcium phosphate in conjunction with BMSCs resulted in a similar behavior in the process of bone repair in critical size defects, when compared with autogenous bone graft.</p></div>","PeriodicalId":101108,"journal":{"name":"Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition)","volume":"37 1","pages":"Pages 15-22"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.maxile.2013.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55220009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of the posterior atrophic maxilla using a three-dimensional reconstruction technique with sinus lift and a “tunnel” approach 采用窦性提升和“隧道”入路的三维重建技术治疗后萎缩上颌骨

Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition) Pub Date : 2015-01-01 DOI: 10.1016/j.maxile.2013.06.001

Andrés Restoy , Víctor L. Pizarro , Vanesa Ordóñez , Juan Lara , Beatriz R. Doussinague , José Luis Domínguez-Mompell

{"title":"Treatment of the posterior atrophic maxilla using a three-dimensional reconstruction technique with sinus lift and a “tunnel” approach","authors":"Andrés Restoy , Víctor L. Pizarro , Vanesa Ordóñez , Juan Lara , Beatriz R. Doussinague , José Luis Domínguez-Mompell","doi":"10.1016/j.maxile.2013.06.001","DOIUrl":"10.1016/j.maxile.2013.06.001","url":null,"abstract":"<div><h3>Purpose</h3><p>In maxillary defects with a significant vertical component, the reconstruction of the alveolar process is advisable in order to avoid disproportionate long implant supported crowns. This article evaluates the safety and efficacy of the treatment of the atrophic posterior maxilla with the three-dimensional reconstruction technique with autologous bone graft associated to the sinus lift technique in the same procedure. The unique approach for the recipient site was a sub-periosteal mucosal tunnel made through a single vestibular vertical incision. This approach avoids exposure and resorption, the main complications in on-lay grafting.</p></div><div><h3>Materials and methods</h3><p>This retrospective study included 12 cases of atrophic posterior maxilla treated consecutively with this combined technique between January 2011 and July 2012. The alveolar crest was reconstructed to a minimum width of 6mm, increasing its height and decreasing the interocclusal distance to achieve the established success criteria of accurate insertion of implants equal or larger than 3.8mm diameter and 11mm length.</p></div><div><h3>Results</h3><p>The average gain in bone height was 4.54mm. Implant surgery was carried out 4 months after augmentation. A total of 25 implants were inserted with a 96% success. Patients were followed-up for an average of 18 months after grafting.</p></div><div><h3>Conclusions</h3><p>Treatment of atrophic posterior maxilla with three-dimensional reconstruction, sinus lift and “tunnel” approach, is an effective technique that provides reliable and stable results, enabling dental rehabilitation with suitable implant supported crowns.</p></div>","PeriodicalId":101108,"journal":{"name":"Revista Espa?ola de Cirugía Oral y Maxilofacial (English Edition)","volume":"37 1","pages":"Pages 7-14"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.maxile.2013.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55220013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2