Revista Espanola de Cirugia Oral y Maxilofacial最新文献_第9页

Reconstrucción de defectos parotídeos con injertos de tejido graso libre abdominal. Estudio clínico de una sencilla técnica quirúrgica 腹部游离脂肪组织移植重建缺损。一种简单手术技术的临床研究

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1101/2019

Ignacio Arribas García, Fátima Martínez Pérez, A. Hernández, Modesto Álvarez Flórez

{"title":"Reconstrucción de defectos parotídeos con injertos de tejido graso libre abdominal. Estudio clínico de una sencilla técnica quirúrgica","authors":"Ignacio Arribas García, Fátima Martínez Pérez, A. Hernández, Modesto Álvarez Flórez","doi":"10.20986/recom.2020.1101/2019","DOIUrl":"https://doi.org/10.20986/recom.2020.1101/2019","url":null,"abstract":"Introduction: Parotid surgery is a common technique with multiple approaches and reconstruction options. Primary reconstruction options are the superficial musculoaponeurotic system (SMAS) flap, the sternocleidomastoid muscle flap, free or microvascular grafts and biomaterials (Alloderm), among others. We present our experience in periumbilical abdominal free fat graft for primary reconstruction of the parotid defect. Material and methods: A observational study was performed in patients requiring a parotidectomy (superficial, total or radical) due to a primary parotid neoplasm or tumor recurrence. In all cases were used a free abdominal fat graft. The patients were operated by the same surgeon between May 2013 and January 2019. The study analyzes epidemiological and clinical aspects, approach, surgical time, hospital stay, post-surgical complications, sequelae, clinical follow-up and aesthetic results. Results: A total of 22 patients were incluyed after a conservative, total or radical superficial parotidectomy. Thirteen men and nine women aged between 13 and 79 years (46 years on average), with the initial diagnosis made by fine water aspiration puncture (FNA) and Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI). Aesthetic result in all patients was excellent or very good. No long-term sequelae or syndromes Frey. No complications interest except minor postsurgical hematomas and seroma. Conclusion: A very simple technique with few complications is presented for the primary reconstruction of postparotidectomy defects with excellent aesthetic results.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68148453","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

Y de repente... Apareció el COVID-19 突然间……COVID-19出现了

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/RECOM.2020.1155/2020

F. M. Gil, R. G. Garcı́a

引用次数: 0

Sialometaplasia necrotizante: una entidad simuladora. 坏死性唾液化生:模拟实体。

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1118/2020

Á. G. Domingo, Pilar Toledano Valero, Erika Olmos Juárez

引用次数: 0

Sarcoma de Kaposi iatrogénico diseminado con debut en encía maxilar: a propósito de un caso. 医源性卡波西肉瘤伴上颌牙龈初发:一个病例的目的。

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1158/2020

Marc Agea Martínez, M. Tousidonis, C. N. Cuéllar, Raúl Antúnez-Conde, Dafne Gascon Alonso, J. Salmerón

引用次数: 0

Aplicación de la tecnología CAD/CAM para el manejo de la fisura alveolar: a propósito de un caso clínico CAD/CAM技术在牙槽裂管理中的应用:一个临床案例的目的

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1088/2019

Adaia Valls Ontañón, Laura Pozuelo arquimbau, Silvia Cuscó Albors, A. M. Roig

引用次数: 0

An unusually large peripheral giant cell granuloma: a case report. 异常大的外周巨细胞肉芽肿1例。

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1083/2019

D. Campos, J. Moreno, H. Arámbula, Mildred Gabriela Hernández Martínez

引用次数: 0

Tumor maligno de la vaina nerviosa periférica mandibular. Caso clínico y revisión de la literatura. 下颌周围神经鞘的恶性肿瘤。临床病例及文献综述。

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1106/2019

Irene Ruiz Martin, Ana Ramos Zayas, Natalia Torres Calcines, G. S. Aniceto

引用次数: 0

Clinical comparison of two external anatomical references for maxillary positioning in orthognathic surgery 正颌手术中上颌定位的两种外部解剖学参考文献的临床比较

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1108/2019

Mauricio Barreda Hale, J. Millard, E. Apablaza, Daniel Pino Diaz, C. Torres

引用次数: 0

Planificación, resultados y anatomía de la vía aérea superior en síndrome de apnea/hipopnea obstructiva del sueño tras avance bimaxilar: 20 casos 双颌推进后阻塞性睡眠呼吸暂停/低通气综合征上气道的规划、结果和解剖：20例

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/recom.2020.1140/2020

J. Brunsó, Carlos Prol Teijeiro, F. Carlos, V. Cabriada, J. Mendiola, L. Barbier

{"title":"Planificación, resultados y anatomía de la vía aérea superior en síndrome de apnea/hipopnea obstructiva del sueño tras avance bimaxilar: 20 casos","authors":"J. Brunsó, Carlos Prol Teijeiro, F. Carlos, V. Cabriada, J. Mendiola, L. Barbier","doi":"10.20986/recom.2020.1140/2020","DOIUrl":"https://doi.org/10.20986/recom.2020.1140/2020","url":null,"abstract":"Objectives: To present the working protocol, clinical outcomes and upper airway changes of a 20patient cohort with moderate-severe obstructive sleep apnea/hypopnea syndrome undergoing maxillo-mandibular advancement with counterclockwise rotation. Material and methods: A multidisciplinary committee determines the surgical indication, which patients consent. Computed tomographies and polysomnographies are performed before and after surgery, as the usual clinical practice protocol. The clinical investigation ethics institutional review board approved the study. Lengths, volumes, minimum area, antero-posterior dimension, transverse dimension and other measurements are determined in the upper airway. Statistical analysis is descriptive and comparative by pairs with p < 0.05. Results: Planned movements are 10.40 mm of advance and 2.11 mm of anterior impaction. Apnea/hypopnea index reduces by 30.50 points and minimum peripheral capillary oxygen saturation increases by 5.00 points. Clinically and statistical significant findings are: 10.98 mm of shortening and 6.26 mm^3 of volume enlargement, especially in the retro-palatal compartment; 91.45 mm^2, 3.68 mm and 8.00 mm of area, antero-posterior dimension and transverse dimension widening respectively; hyoid bone advances 1.92 mm. Conclusions: Maxillo-mandibular advancement with counterclockwise rotation in moderatesevere obstructive sleep apnea/hypopnea syndrome achieves in short-term follow-up apnea/hypopnea index < 15 in 80 % and minimum peripheral capillary oxygen saturation ˃ 85 in 75 % of our series. Main upper airway changes are: shortening, volume and area increase, elliptical shape, and antero-superior hyoid bone movement.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68149292","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

Traqueotomías en pacientes críticos durante la pandemia por COVID-19. Estudio preliminar de nuestra experiencia en el Hospital La Paz de Madrid COVID-19大流行期间危重患者的气管切开术。初步研究我们在马德里拉巴斯医院的经验

Revista Espanola de Cirugia Oral y Maxilofacial Pub Date : 2020-01-01 DOI: 10.20986/RECOM.2020.1150/2020

J. Vera, J. Carretero, Jorge Guiñales Díaz de Cevallos, Pedro Garrido Ortega, Jorge Noguera Tomás, J. M. M. Caro, T. G. Otero, M. J. M. Soto, Albert Malet Contreras, Celia Sánchez Gallego-Albertos, J. C. A. Iglesias, M. J. Martín, J. Elizalde, Miguel Burgueño García

{"title":"Traqueotomías en pacientes críticos durante la pandemia por COVID-19. Estudio preliminar de nuestra experiencia en el Hospital La Paz de Madrid","authors":"J. Vera, J. Carretero, Jorge Guiñales Díaz de Cevallos, Pedro Garrido Ortega, Jorge Noguera Tomás, J. M. M. Caro, T. G. Otero, M. J. M. Soto, Albert Malet Contreras, Celia Sánchez Gallego-Albertos, J. C. A. Iglesias, M. J. Martín, J. Elizalde, Miguel Burgueño García","doi":"10.20986/RECOM.2020.1150/2020","DOIUrl":"https://doi.org/10.20986/RECOM.2020.1150/2020","url":null,"abstract":"The outbreak caused by the SARS-CoV-2 virus is currently very active in Spain. Many infected people still require to be hospitalized. Around 10-15 % of hospitalized patients require intensive care, where they are intubated for a prolonged period, needing tracheotomies some weeks after the intubation. We will be conducting an observational study of the tracheotomies performed by our oral and maxillofacial Department to COVID-19 patients on intensive care units between March 17th and April 17th, 2020. This study will be analyzing the patients’ epidemiological and clinical aspects, surgical technique employed, surgical time, type of cannula used, postoperative complications and the patients’ clinical monitoring. A total of 22 patients underwent open elective tracheotomy. There were twenty-two males and three females aged between 40 and 77 (mean: 64,9 years-old). In all cases tracheotomy was carried out due to pulmonary process caused by COVID-19 bilateral pneumonia. Two patients presented pneumothorax in the immediate postoperatory care as a complication, one perished during the procedure and another did so after arriving to the Intensive Care Unit after the tracheotomy surgery. Even though tracheotomy is a ruled surgical technique, the special characteristics of COVID-19 patients make of this procedure a critical situation, mainly due to lung instability and quick desaturation of the patients. This requires the surgery to be carried out by experienced physicians in order to reduce operative time and to be able to react to any eventualities that may arise.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68149562","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