Revista Medica Clinica Las Condes最新文献_第10页

Meningiomas Orbitarios: ¿que sabemos de ellos? 眼眶脑膜瘤:我们对它们了解多少?

Revista Medica Clinica Las Condes Pub Date : 2023-09-01 DOI: 10.1016/j.rmclc.2023.08.002

Neil Saldías Valenzuela

{"title":"Meningiomas Orbitarios: ¿que sabemos de ellos?","authors":"Neil Saldías Valenzuela","doi":"10.1016/j.rmclc.2023.08.002","DOIUrl":"https://doi.org/10.1016/j.rmclc.2023.08.002","url":null,"abstract":"<div><p>Among the tumor pathologies that can affect the orbit, meningiomas, be they primary or secondary, stand out. These tumors grow slowly, in the long term eventually compressing the optic nerve and other structures such as extra-ocular muscles and the eyeball. This translates into exophthalmos and chronic vision loss that can lead to blindness in the affected eye. The adequate clinical interpretation of this medical condition, associated with the use of neuroimaging, mainly computed tomography and magnetic resonance imaging, allow us to make a timely diagnosis. Treatment is primarily based on fractionated stereotactic radiotherapy when the tumor is advancing and the focus is on vision preservation. Surgery is indicated when vision has already been significantly lost or there is a threat of invasion of the optic chiasm. Chemotherapy treatment options are still under study. The vital prognosis of this pathology is good, but functionally it can leave significant sequelae depending on the behavior of the tumor, as well as how early we make its diagnosis.</p><p>The objective of this article is to comment on the current state of what is known about orbital meningiomas, their diagnosis and existing therapeutic alternatives.</p></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"34 5","pages":"Pages 322-326"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49904290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Síndrome visual informático: manejo actual basado en la evidencia 计算机视觉综合症:当前的循证管理

Revista Medica Clinica Las Condes Pub Date : 2023-09-01 DOI: 10.1016/j.rmclc.2023.08.001

Álvaro Rodríguez Vega , Leonidas Traipe Castro

{"title":"Síndrome visual informático: manejo actual basado en la evidencia","authors":"Álvaro Rodríguez Vega , Leonidas Traipe Castro","doi":"10.1016/j.rmclc.2023.08.001","DOIUrl":"https://doi.org/10.1016/j.rmclc.2023.08.001","url":null,"abstract":"<div><p>The set of ocular discomforts associated with the use of screens is called Computer Visual Syndrome (CVS), and it is an increasingly frequent reason for consultation in clinical practice. The etiopathogenesis of CVS is multifactorial, so the use of different medications, supplements, filters, and devices to improve symptoms has been studied.</p><p>The use of screens produces an alteration of the ocular surface that increases the risk of presenting dry eye. On the one hand, among the studies carried out in this regard, the supplementation with omega-3 fatty acids, the use of artificial tears and mucin secretagogues have shown a statistically significant benefit in improving symptoms.</p><p>On the other hand, there is no scientific evidence to support the use of blue light filter lenses and despite the fact that berry extracts could produce an improvement in the symptoms of dry eye and visual fatigue, there is still a lack of consistent scientific evidence that demonstrates their benefit.</p><p>Lastly, taking periodic breaks, using proper body posture and avoiding long periods of screen use is recommended, the distance and orientation of the screen being relevant.</p><p>The objective of this article is to evaluate the scientific evidence that exists in this regard associated with CVS.</p></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"34 5","pages":"Pages 315-321"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49904289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artroscopía de la articulación temporomandibular 颞下颌关节的放射学检查

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.07.002

Rodrigo Bravo Ahumada , Mónica de la Fuente Escalona , Cristian Núñez Baeza

{"title":"Artroscopía de la articulación temporomandibular","authors":"Rodrigo Bravo Ahumada , Mónica de la Fuente Escalona , Cristian Núñez Baeza","doi":"10.1016/j.rmclc.2023.07.002","DOIUrl":"10.1016/j.rmclc.2023.07.002","url":null,"abstract":"<div><p>Temporomandibular joint arthroscopy, described by Dr. Ohnishi in 1976, has become a very useful therapeutic alternative in the treatment of temporomandibular joint (TMJ) pathologies due to its great versatility and low morbidity.</p><p>The pathologies of the TMJ are complex, due to their multifactorial origin, ranging from inflammatory joint disorders to degenerative pathologies with severe destruction of the anatomy of the TMJ.</p><p>Signs and symptoms are usually diverse, such as pain, alterations in mandibular dynamics, occlusal disorders, among others. These alterations significantly affect the quality of life.</p><p>There is no single and exclusive treatment to solve these pathologies, but a multimodal type of treatment has been established, with functional treatments in conjunction with surgical treatments, in the selected cases, being the best choice. TMJ arthroscopy, in the latter cases, is useful because it permits visualization of the joint through a minimally invasive treatment, reducing surgical morbidity as well as being highly versatile in treating different pathologies according to their complexity.</p><p>The aim of this article is to review the current status and advances of TMJ arthroscopy as a surgical treatment option for TMJ pathologies.</p></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"34 4","pages":"Pages 261-268"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48161359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Le Grand Mort: la tríada, o más bien orgía, de Virchow que acabó en muerte Le Grand Mort：Virchow的黑社会，或者更确切地说是狂欢，最终导致死亡

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.07.004

Javier Múrtula , Andrés Giglio , Andrés Ferre , Claudio de la Hoz , María de los Ángeles Rodríguez , Cesar Pedreros , Nicolette Van Sint Jan , Jorge Dreyse

引用次数: 0

Diferencias en epidemiología del trauma maxilofacial durante la pandemia COVID-19: estudio descriptivo retrospectivo observacional 新型冠状病毒大流行期间颌面创伤流行病学的差异：回顾性观察描述性研究

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.07.003

Felipe Soto , Javiera Cancino , Sergio Gutiérrez , María Oliver , Patricio Cerda , José Hernandez , Gustavo Gazitúa , Cristián Núñez

引用次数: 0

Reconstrucción maxilofacial pediátrica, a propósito de un caso 儿科颌面重建，目的，一例

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.07.006

Carlos Fuenzalida Kakarieka , Loreto Castellón Zirpel , Alejandra Gallego Cifuentes , Daniel Jerez Frederick , Jaime Mayorga Maldonado , José Manuel Larraín Cerda

引用次数: 0

Fuga biliar hepática subcapsular, detectada en cintigrafía BrIDA. Reporte de un caso 肝包膜下胆管泄漏，在法兰穿刺中发现。病例报告

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.05.005

Soheila Erfani, Atena Aghaee, Yasaman Fakhar, Farivash Karamian, Emran Askari

引用次数: 0

Injertos nerviosos en la reconstrucción microquirúrgica del nervio lingual 舌神经显微外科重建中的神经移植

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.06.001

Claudio Huentequeo , Carolina Ulloa , Pilar Schneeberger , Sergio Olate

{"title":"Injertos nerviosos en la reconstrucción microquirúrgica del nervio lingual","authors":"Claudio Huentequeo , Carolina Ulloa , Pilar Schneeberger , Sergio Olate","doi":"10.1016/j.rmclc.2023.06.001","DOIUrl":"10.1016/j.rmclc.2023.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Lingual nerve (LN) microsurgical reconstruction is an effective technique with a high success rate. Early surgery is associated with better results. Direct nerve reconstruction and graft reconstruction, whether by allograft or autograft, all present a favorable prognosis. This article presents the treatment protocol in 3 cases of microsurgical reconstruction of the lingual nerve using nerve grafts.</p></div><div><h3>Case</h3><p>The maxillofacial surgery team treated patients from Hospital Dr. Abraham Godoy Peña, Clínica Alemana de Temuco and Hospital Padre Las Casas (Chile). Microsurgical reconstruction by autogenous grafts was performed in 2 cases and allograft in one case; all of them showed positive results (S3+), along with functional sensorial improvemente (FSR+), and recovery of taste.</p></div><div><h3>Discussion</h3><p>LN surgery has been more studied in the last decade. Although many studies with different results exist, early direct reconstruction contributes to better results in FSR. The grafts are reserved for circumstances where the tension doesn’t allow a reasonable reconstruction of the LN. The autologous graft has been the gold standard, the sural nerve being the most used. The cost-benefit of using allografts has likewise been widely endorsed.</p></div><div><h3>Conclusion</h3><p>Autolog graft and allograft, in either early or late interventions, have excellent success rates, comparable with direct lingual nerve reconstruction. Further evaluation regarding autologous graft morbidity versus allograft costs is needed.</p></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"34 4","pages":"Pages 282-286"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44546421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cirugía ortognática mínimamente invasiva 微创正颌手术

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.07.007

Rolando Carrasco , María de los Ángeles Fernández

引用次数: 0

Endometriosis de la pared abdominal: a propósito de un caso raro 腹壁子宫内膜异位症:关于一个罕见的病例

Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI: 10.1016/j.rmclc.2023.07.005

Meriem Boui, Ouijdane Zamani, Tarik Salaheddine, Jamal El Fenni

引用次数: 0