Revista Espanola de Cirugia Oral y Maxilofacial最新文献

{"title":"Corrección de microsomía hemifacial con prótesis de articulación temporomandibular con extensión a arco cigomático y cirugía ortognática","authors":"Camilo Alberto Eslava Jácome, Maria Camila ARTEAGA ARTEAGA, Laura Estefanía Montenegro Santofimio, Daniela Marulanda Grajales","doi":"10.20986/recom.2021.1303/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1303/2021","url":null,"abstract":"The careful planning of surgical treatment is essential to correct facial asymmetry in patients with hemifacial microsomia, leading to a favorable result in functional and aesthetic stability. In the present article reports a clinical case of hemifacial microsomia in a 28-year-old female patient with previous orthognathic surgery, which did not meet the aesthetic and functional objectives. With virtual planning, the design of a temporomandibular joint prosthesis is carried out that includes the reconstruction of the zygomatic arch up to the mastoid region concomitant with orthognathic surgery, achieving facial harmony and long-term skeletal stability.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153372","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}

{"title":"Implantes subperiósticos personalizados para la rehabilitación completa del maxilar superior atrófico. Revisión de una serie clínica de 8 casos","authors":"Manuel Chamorro Pons, Javier Arias Gallo, Luis Margarit Pérez, Gastón Demaría Martínez, Ángel Cidad Vicario","doi":"10.20986/recom.2021.1293/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1293/2021","url":null,"abstract":"Introduction: Customized subperiosteal implants are presented as an alternative in the implant-supported rehabilitation of patients with severe bone atrophy. This article describes our experience in their use for complete maxillary rehabilitation. Patients and methods: A retrospective study of 8 edentulous patients with severe maxillary bone atrophy treated with customized titanium frameworks designed and manufactured in conjunction with Avinent Digital Health (Barcelona, Spain) is presented. The frameworks are designed based on a thin-slice maxillomandibular CT scan. A full acrylic prosthesis with radio-opaque markings is used as a reference guide. The structures are designed in two or three pieces to favor their insertion and adaptation to the bone contours. The surgery is performed under general anesthesia, and includes bilateral buccal fat pad flap prior to mucosal closure. Immediately after surgery an implant-supported temporary fixed prosthesis is placed, which is replaced by a fixed ceramic or hybrid prosthesis after 8-12 weeks. Results: All patients are currently wearing the final fixed prosthesis, with a follow-up time of 4 to 36 months. In no case has it been necessary to remove or trim the implant. All patients are asymptomatic. Conclusion: Although this is a preliminary study, the results indicate that this technique should be considered as a treatment alternative in severe maxillary atrophy.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153445","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}

{"title":"Management of advanced recurrent oral squamous cell carcinoma: Is still salvage surgery indicated?","authors":"A. Cinza González, Patricia Martínez Artal, P. Simón silva, Alberto Cuevas Queipo de Llano, Henry Augusto Amado Duarte, Raúl González García","doi":"10.20986/recom.2021.1319/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1319/2021","url":null,"abstract":"Introduction: Locorregional recurrent disease (LRD) represents the most common cause of mortality in patients with oral squamous cell carcinoma (OSCC). Salvage surgery has been reported as the primary option for these patients. However, some groups have proposed it may be considered as therapeutic obstinacy, specially in advanced stages. This study wants to determine if salvage surgery is the most suitable treatment for LRD in advanced OSCC. Patients and methods: A retrospective cohorts study was designed including patients diagnosed with recurrent OSCC between May 2012 and December 2015 (n = 32). Patients were divided in two groups depending on whether salvage surgery was performed or not. Patients were followed-up for five years. Results: No differences were found between both groups according to sex, age, Charlson comorbidity index, initial TNM, stage, localization and treatment, recurrent TNM, stage and localization or time until recurrence. Statistically significant differences (p < 0.001) were found in disease free survival and overall survival between both groups, even when stratified in early and advanced stages. Discussion and conclusion: According to our results, salvage surgery provides both disease free survival and overall survival to patients with recurrent oral scamous cell carcinoma, even in advanced stages. However, it is true that salvage surgery is very likely to produce important comorbidities. We consider that these results should be explained to the patient in a comprehensive and compassionate talk and he or she should decide whether to go through this process or not.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153287","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}

{"title":"Painful traumatic trigeminal neurpathy; diagnosis and treatment: about two clinical cases","authors":"Christian Droguett Tidy, J. Millard, Constanza Martínez","doi":"10.20986/recom.2021.1226/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1226/2020","url":null,"abstract":"Neuropathic pain is originated as a direct consequence of an injury or disease that affects the somatosensory system, which is a chronic, debilitating condition that affects a significant number of patients. The causes of neuropathic pain are diverse, and trauma is one of them. In this article the Painful Traumatic Trigeminal Neuropathy (PTTN) is reviewed. Two clinical cases are presented. The first is a 43-year-old female with PTTN, who was diagnosed nine months after reduction and osteosynthesis of a left zygomatomaxillary fracture. The second case corresponds to a 62-year-old male who presented with a left suborbital PTTN also after a zygomatomaxillary fracture and its reduction and osteosynthesis surgery. In the first case, the patient achieved a 70 % of reduction in pain after 6 months of treatment using multimodal analgesia with pregabalin, carbamazepine and amitriptyline. The second patient achieved complete resolution of pain with multimodal therapy using carbamazepine, amitriptyline, and lidocaine patches after two months of treatment. Therapy through multimodal analgesic scheme provides a favorable prognosis, however achieving a total resolution of the patient’s pain is a difficult objective to achieve, and a significant reduction of 30% or more in the patient´s VAS is considered a success of the effectiveness of the therapy.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68152049","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}

{"title":"Correlación entre los hallazgos de la biopsia intraoperatoria y el estudio histopatológico definitivo en el manejo quirúrgico de los queratoquistes","authors":"Hernán Ramírez Skinner, Shuheng Lai Guerrero, Camila Foncea Riquelme de la Barrera, Antonieta Solar Gonzalez, Ignacio Goñi Espíldora, Alex Vargas Díaz","doi":"10.20986/recom.2021.1304/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1304/2021","url":null,"abstract":"Purpose: Odontogenic keratocyst (OKC) is a benign intraosseous lesion of the jaws. Management of these lesions includes enucleation and surface treatment, which ensures less recurrence. Some authors have proposed the use of fast intraoperatory biopsy (or frozen section biopsy (FSB)) as a tool to guide the management of this type of lesions in just one procedure thus reducing treatment period and associated costs. The purpose of this study was to assess the correlation between findings of intraoperative FSB and those of deferred histopathological reports of cystic jaw lesions with findings suggesting OKC. Methods: A descriptive retrospective study was performed at the Surgical Oncology and Maxillofacial Surgery Department of all patients undergoing enucleation of jaw lesions with FSB performed due to suspicion of OKC in the period July 2011 to December 2018. Results: A total of 22 patients required FSB due to suspicion of OKC. The final histopathological diagnosis, after enucleation of the cystic lesion, was OKC in 11 cases (50 %), 10 cases of which (90.9 %) were classified as OKC according to the FSB. When compared to histological findings of a postoperative biopsy analysis, sensitivity, specificity, positive predictive value, and negative predictive value of the histopathological diagnosis using FSB were 91 %, 100 %, 100 %, and 92 % respectively. Conclusion: It is possible to suggest that there is a considerable correlation between FSB findings and the final histopathological study of OKC. FSB can be a useful complement in treating cystic jaw lesions with clinical signs suggesting OKC in just one surgery. Correlation between histopathological findings in intraoperative frozen section biopsy and postoperative biopsy in surgical treatment of keratocyst","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153571","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}

{"title":"Jaw metastasis as first presentation of lung adenocarcinoma - a case report","authors":"C. Mateus, Pedro Gomes de Oliveira, P. Santos, Paulo Jorge Valejo Coelho","doi":"10.20986/recom.2021.1198/2020","DOIUrl":"https://doi.org/10.20986/recom.2021.1198/2020","url":null,"abstract":"A B S T R A C T Metastatic disease of the oral cavity is rare and constitutes 1 % of all oral cavity malignancies. Lung cancer is the most common primary site metastasizing to the jaws, especially in man, and the mandible is more affected than the maxilla. We present the case of a 64 year-old-female patient who was admitted to hospital complaining of pain and swelling located to the left mandibular ascending ramus and angle, with 7 month duration. The first differential diagnosis was between primary malignances of the oral cavity, but the biopsy revealed a carcinoma of unknown origin. Further investigation revealed an advanced stage primary adenocarcinoma of the lung. Oral metastasis are usually evidence of a widespread disease and indicate a poor prognosis. As consequence, the treatment modalities for these patients are palliative in most cases. The clinical case of a 41-year-old male evaluated for a tumor in the attached gingiva with previous periodontal treatment and a history of kidney transplantation is described. Excisional biopsy was performed with a diagnosis of KS, which after completing the study confirmed disseminated iatrogenic-type KS requiring a change in immunosuppressive medication and 6 cycles of chemotherapy treatment with complete response.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68151644","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}

{"title":"El futuro y Groucho Marx","authors":"F. Monje Gil","doi":"10.20986/recom.2021.1332/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1332/2021","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153335","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}

{"title":"Tuberculosis oral. Revisión de la literatura. A propósito de un caso","authors":"María Barajas Blanco, Jorge Noguera Tomás, Álvaro Damián Moreiras Sánchez, Juan Pablo Rodríguez Arias, José Luis del Castillo de Vera, J.L. Cebrián Carretero","doi":"10.20986/recom.2021.1310/2021","DOIUrl":"https://doi.org/10.20986/recom.2021.1310/2021","url":null,"abstract":"Instrucciones de citación para el artículo / Citation instructions for the article: Barajas Blanco María, Noguera Tomás Jorge, Moreiras Sánchez Álvaro Damián, Rodríguez Arias Juan Pablo, de Vera José Luis del Castillo, Cebrián Carretero José Luis. Tuberculosis oral. Revisión de la literatura. A propósito de un caso / Oral tuberculosis. Review of the literature. A case report.. j.maxilo 2021. doi: 10.20986/recom.2021.1310/2021.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68153516","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}

{"title":"Manejo de pacientes en cirugía oral y maxilofacial durante el periodo de crisis y de control posterior de la pandemia de COVID-19","authors":"F. Monje Gil, J.L. Cebrián Carretero, José Luis López-Cedrún Cembranos, Marta Redondo Alamillos, Andrés Valdés Beltrán, Fernando Almeida Parra, Elena Gómez García, Jose Carlos Díaz-Mauriño y Garrido-Lestache, Manuel Tousidonis Rial, Luis Ruiz Laza, Jesús Sastre Pérez, Álvaro Ranz Colio, Faustino Acebal Blanco, Josep Rubio Palau, Manuel de Pedro Marina, Luis Miguel Redondo González, Amparo Pla Esparza, Pedro Infante Cossío","doi":"10.20986/recom.2020.1162/2020","DOIUrl":"https://doi.org/10.20986/recom.2020.1162/2020","url":null,"abstract":"La pandemia por la nueva infeccion respiratoria conocida como enfermedad coronavirus 2019 (COVID-19), causada por el virus SARS-CoV-2, ha desencadenado una perturbacion sin precedentes en la actividad habitual de los servicios de cirugia oral y maxilofacial en Espana, retrasando la atencion rutinaria de pacientes e intervenciones quirurgicas programadas Los cirujanos orales y maxilofaciales son uno de los colectivos sanitarios con mayor riesgo de infeccion nosocomial por el estrecho contacto que se produce con los pacientes asintomaticos y sintomaticos con infeccion por SARS-CoV-2 a traves de la cavidad oral y orofaringe El proposito del presente documento ha sido actualizar la evidencia disponible para el manejo y tratamiento seguro y efectivo en consulta, cirugias ambulatorias, programadas y urgentes y hospitalizacion, minimizando al mismo tiempo, tanto como sea posible, el riesgo de contagio para el cirujano oral y maxilofacial, personal sanitario y pacientes Este documento pretende esclarecer los aspectos mas significativos y crear un protocolo comun de manejo de pacientes con COVID-19 en cirugia oral y maxilofacial durante la fase aguda de propagacion y de control posterior de la pandemia en nuestro pais The pandemic due to the new respiratory infection known as coronavirus 2019 disease (COVID-19), caused by the SARS-CoV-2 virus, has triggered an unprecedented disruption in the normal activity of oral and maxillofacial surgery departments in Spain, delaying routine patient care and elective surgical interventions Oral and maxillofacial surgeons are one of the healthcare groups with the highest risk of nosocomial infection because of the close contact that occurs with asymptomatic and symptomatic patients with SARS-CoV-2 infection through the oral cavity and oropharynx The purpose of this document has been to update the available evidence for the safe and effective management and treatment in outpatient clinic, ambulatory, elective and emergency surgeries, and hospitalization, while minimizing as much as possible the risk of infection for the oral and maxillofacial surgeon, health workers and patients This document aims to clarify the most significant aspects and create a common protocol for the management of patients with COVID-19 in oral and maxillofacial surgery during the acute stage of spread and subsequent control of the pandemic in our country","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48829001","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}

{"title":"Trasplante de cara: una breve actualización","authors":"P. Infante-Cossío","doi":"10.20986/recom.2020.1131/2020","DOIUrl":"https://doi.org/10.20986/recom.2020.1131/2020","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47988060","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}