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1.
Adv Sci (Weinh) ; : e2405653, 2024 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-39120450

RESUMO

α-Olefins are very important bulk and fine chemicals and their synthesis from ethylene, an abundantly available and inexpensive feedstock, is highly attractive. Unfortunately, the direct or on-purpose synthesis of olefins from ethylene is limited to three examples, 1-butene, 1-hexene, and 1-octene, all having a linear structure. Herein, the direct synthesis of 3-methylenepentane and 4-ethylhex-1-ene, branched trimerization, and tetramerization products of ethylene, respectively, is reported. Different molecular titanium catalysts, all highly active, with a selectivity toward the formation of the branched ethylene trimer or tetramer, the employment of different activators, and different reaction conditions are the key to selective product formation. The long-time stability of selected catalysts employed permits upscaling as demonstrated for the synthesis of 4-ethylhex-1-ene (52 g isolated, TON(ethylene) 10.7 · 106).

2.
Adv Sci (Weinh) ; 11(13): e2307229, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38258386

RESUMO

Low-density polyethylene (LDPE) is one of the most important plastics, which is produced unfortunately under extreme conditions. In addition, it consists of robust aliphatic C─C bonds which are challenging to cleave for plastic recycling. A low-pressure and -temperature (pethylene = 2 bara, T = 70 °C) macromonomer-based synthesis of long chain branched polyethylene is reported. The introduction of recycle points permits the polymerization (grafting to) of the macromonomers to form the long chain branched polyethylene and its depolymerization (branch cleavage). Coordinative chain transfer polymerization employing ethylene and co-monomers is used for the synthesis of the macromonomers, permitting a high flexibility of their precise structure and efficient synthesis. The long chain branched polyethylene material matches key properties of low-density polyethylene.

3.
Angew Chem Int Ed Engl ; 62(8): e202216464, 2023 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-36541599

RESUMO

The highly controlled and efficient polymerization of ethylene is a very attractive but challenging target. Herein we report on a Coordinative Chain Transfer Polymerization catalyst, which combines a high degree of control and very high activity in ethylene oligo- or polymerization with extremely high chain transfer agent (triethylaluminum) to catalyst ratios (catalyst economy). Our Zr catalyst is long living and temperature stable. The chain length of the polyethylene products increases over time under constant ethylene feed or until a certain volume of ethylene is completely consumed to reach the expected molecular weight. Very high activities are observed if the catalyst elongates 60 000 or more alkyl chains and the polydispersity of the strictly linear polyethylene materials obtained are very low. The key for the combination of high control and efficiency seems to be a catalyst stabilized by only one strongly bound monoanionic N-ligand.

4.
Science ; 375(6584): 1021-1024, 2022 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-35239383

RESUMO

α-Olefins are important starting materials for the production of plastics, pharmaceuticals, and fine and bulk chemicals. However, the selective synthesis of α-olefins from ethylene, a highly abundant and inexpensive feedstock, is restricted, and thus a broadly applicable selective α-olefin synthesis using ethylene is highly desirable. Here, we report the catalytic reaction of an α-olefin with two ethylene molecules. The first ethylene molecule forms a 4-ethyl branch and the second a new terminal carbon-carbon double bond (C2 elongation). The key to this reaction is the development of a highly active and stable molecular titanium catalyst that undergoes extremely fast ß-hydride elimination and transfer.

5.
Sci Total Environ ; 826: 154035, 2022 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-35217061

RESUMO

When plastics enter the environment, they are exposed to abiotic and biotic impacts, resulting in degradation and the formation of micro- and nanoplastic. Microplastic is ubiquitous in every environmental compartment. Nevertheless, the underlying degradation processes are not yet fully understood. Here, we studied the abiotic degradation of commonly used semi-crystalline, low-density polyethylene (LDPE) in a long-term accelerated weathering experiment combining several macro- and microscopic methods. Based on our observations, the degradation of LDPE proceeds in three stages. Initially, LDPE objects are prone to abrasion, followed by a period of surface cracking. A large number of secondary particles with a high degree of crystallinity are formed, with sizes down to the nanometer scale. These particles consist of highly polar oligomers leading to agglomeration in the final stage. We therefore suppose that weathered microplastic and nanoplastic particles will attach to colloidal environmental matter. This offers an explanation for the absence of free nanoplastic particles in natural samples.


Assuntos
Microplásticos , Poluentes Químicos da Água , Plásticos , Polietileno , Poluentes Químicos da Água/análise , Tempo (Meteorologia)
6.
Tissue Eng Part A ; 28(7-8): 353-365, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34555949

RESUMO

Platelet-rich fibrin (PRF) is an autologous blood concentrate that supports tissue regeneration. The effect of the centrifuge rotor angle in the fabrication of PRF is still not fully elucidated. The hypothesis of this study is: When applying the same g-force (relative centrifugal force [RCF]) and centrifugation time, PRF components and bioactivity are not modified using either a swing-out rotor or a fixed angle rotor. For this purpose, peripheral blood samples (from five donors) were used to gain solid (710 ×g, 8 min) and liquid (44 ×g, 8 min) PRF matrices using three different centrifuges (one fixed angle as a control and two different swing-out rotor centrifuges). The physical characteristics of the solid PRF were measured to evaluate the clot formation and cellular distribution. The liquid PRF was used to evaluate the cell number, bioactivity, and influence on primary human osteoblasts (pOBs) and primary human fibroblasts (pHFs) in vitro. Solid PRF clots were significantly larger in the group of fixed rotor centrifuges compared with either of the two evaluated swing-out rotor centrifuges. No differences were observed when evaluating the cellular distribution within the solid PRF. No statistically significant differences were documented in the cell's density in liquid PRF samples (platelets, lymphocytes, neutrophils, eosinophils, and basophils) among the differently gained PRF samples. No statistically significant differences were documented for the released growth factors (vascular endothelial growth factor, epidermal growth factor, and transforming growth factor beta 1) over 7 days. pOBs and pHFs viability after treatment with PRF conditioned media showed no statistically significant differences between the evaluated groups. However, the number of adherent cells treated with PRF obtained with the use of the fixed angle rotor was significantly higher when compared with those treated with PRF obtained by using the swing-out rotors. The presented results confirm that regardless of the centrifuge rotor used, the components and bioactivity of solid and liquid PRF matrices are modified by the applied RCF and centrifugation time. These findings are of great importance for highlighting the essential role of adapting the centrifugation protocols when using different centrifuges and to correctly report the used centrifugation protocols in scientific research to allow for reproducible results. Impact statement Platelet-rich fibrin (PRF) is prepared from autologous peripheral blood and is widely applied in research and clinical treatments. The centrifugation parameters used during the preparation of PRF directly influence its components and bioactivity. By using a standardized protocol, the present study demonstrated that adapting various centrifuges to a standardized relative centrifugal force and centrifugation protocol resulted in reproducible PRF matrices with similar bioactivity, regardless of the centrifuge rotor angle. These findings underline the necessity to carefully adapt and correctly report the used centrifuge and centrifugation protocols in scientific research to allow reproducible results.


Assuntos
Fibrina Rica em Plaquetas , Plaquetas , Centrifugação/métodos , Humanos , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Fibrina Rica em Plaquetas/metabolismo , Fator A de Crescimento do Endotélio Vascular/metabolismo
7.
J Med Life ; 14(2): 181-197, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34104241

RESUMO

The present study investigated the capacity of Suprathel® (a copolymer membrane, so far validated for skin regeneration) to also regenerate oral tissue - mucosa and bone, by comparing this biomaterial, in a split-mouth rabbit model, to Mucoderm®, a xenogeneic collagen matrix certified for keratinized oral mucosa healing. The clinical reason behind this experimental animal model was to determine whether the benefits of this advanced skin regeneration product (Suprathel®) could be conveyed for future evaluation in clinical trials of oral tissue regeneration in humans. The outcomes of this study validated the use of Suprathel®, a terpolymer of polylactide with trimethylene carbonate and ε-caprolactone, for stimulation of oral epithelium and alveolar bone regeneration in rabbits. Both Suprathel® and Mucoderm® exhibited comparable results and the null hypothesis stating a comparable regenerating effect of these two materials could not be rejected.


Assuntos
Osso e Ossos/patologia , Epitélio/patologia , Boca/fisiologia , Poliésteres/química , Regeneração , Cicatrização , Animais , Materiais Biocompatíveis/farmacologia , Regeneração Óssea/efeitos dos fármacos , Regeneração Óssea/fisiologia , Osso Esponjoso/patologia , Regeneração Tecidual Guiada , Masculino , Mucosa Bucal/patologia , Neovascularização Fisiológica/efeitos dos fármacos , Osteogênese/efeitos dos fármacos , Coelhos , Cicatrização/efeitos dos fármacos
8.
Drug Metab Rev ; 51(4): 570-588, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31296117

RESUMO

This review intended to comparatively explain and present the most important medical use and biological impact of poly-lactides and lactide-based composites. The utilization and degradation of compounds based on lactic acid and polylactides is described in detail. Understanding the metabolism and degradation phenomenon and the factors that potentially influence it is key to modulating their properties as well as their characteristics driven from the fabrication procedures and the fields of use. All these are commented according to the clinician's criteria. The current debate on the advantages and shortcomings of various resorbable polymeric materials categories is also analyzed, from the perspective of the users of resorbable polylactide-based biomaterials. The scientific literature comprises either distinct chemical and physical or specific animal or medical description of resorbable materials; so that in compensation, the present review covers all topics for the most appropriate comprehensive update of the reader.


Assuntos
Implantes Absorvíveis , Poliésteres/administração & dosagem , Poliésteres/química , Animais , Materiais Biocompatíveis/química , Materiais Biocompatíveis/metabolismo , Humanos , Ácido Láctico/química , Poliésteres/metabolismo
9.
Int J Dent ; 2018: 4706487, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30420885

RESUMO

This study investigated the prevalence of temporomandibular disorder (TMD) among patients before and after orthognathic surgery and assessed the effect of orthognathic surgery on each of the TMD symptoms (clicking, pain, crepitus, and MRI findings). A sample of 100 consecutive patients undergoing bimaxillary surgery for correction of craniofacial deformities (31 male and 69 female), with ages ranging between 17 and 58 years (mean age: 27.7 ± 9.3 years), were interviewed and examined regarding signs and symptoms of TMD. Clinical examination and X-ray and magnetic resonance imaging of the temporomandibular junction were performed at the time of surgery and 1 year thereafter. The prevalence of TMD preoperatively and postoperatively was 35% and 27%, respectively. A high frequency of relief was found in the patients with TMD symptoms (74.3%; 19 (70.3%) of patients had reduced clicking, 7 (87.5%) patients had reduced pain, 4 (100%) patients had reduced crepitus, and 4 (57.1%) patients showed changes in MRI findings), 12 patients who were asymptomatic before surgery developed clicking in TMJ after surgery, 3 developed pain, and 3 developed crepitus. TMD problems can occur in a variety of patients, including those who have facial deformities, and require orthognathic surgery. However, orthognathic surgery may not predictably treat or reduce the symptoms of TMD.

10.
Nat Commun ; 8(1): 1226, 2017 10 31.
Artigo em Inglês | MEDLINE | ID: mdl-29089510

RESUMO

The catalytic synthesis of linear α-olefins from ethylene is a technologically highly important reaction. A synthesis concept allowing the formation of selective products and various linear α-olefin product distributions with one catalyst system is highly desirable. Here, we describe a trimetallic catalyst system (Y-Al-Ni) consisting of a rare earth metal polymerization catalyst which can mediate coordinative chain transfer to triethylaluminum combined with a simultaneously operating nickel ß-hydride elimination/transfer catalyst. This nickel catalyst displaces the grown alkyl chains forming linear α-olefins and recycles the aluminum-based chain transfer agent. With one catalyst system, we can synthesize product spectra ranging from selective 1-butene formation to α-olefin distributions centered at 850 gmol-1 with a low polydispersity. The key to this highly flexible linear α-olefin synthesis is the easy tuning of the rates of the Y and Ni catalysis independently of each other. The reaction is substoichiometric or formally catalytic regarding the chain transfer agent.

11.
Drug Metab Rev ; 47(4): 455-69, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26689239

RESUMO

Craniofacial bone structures are frequently and extensively affected by trauma, tumors, bone infections and diseases, age-related degeneration and atrophy, as well as congenital malformations and developmental anomalies. Consequently, severe encumbrances are imposed on both patients and healthcare systems due to the complex and lengthy treatment duration. The search for alternative methods to bone transplantation, grafting and the use of homologous or heterologous bone thus responds to one of the most significant problems in human medicine. This review focuses on the current consensus of bone-tissue engineering in the craniofacial area with emphasis on drug-induced stem cell differentiation and induced bone regeneration.


Assuntos
Regeneração Óssea/efeitos dos fármacos , Sistemas de Liberação de Medicamentos , Crânio/efeitos dos fármacos , Engenharia Tecidual/métodos , Animais , Transplante Ósseo/métodos , Diferenciação Celular/efeitos dos fármacos , Diferenciação Celular/efeitos da radiação , Humanos , Crânio/patologia , Crânio/transplante , Células-Tronco/citologia , Células-Tronco/efeitos dos fármacos , Alicerces Teciduais
12.
J Oral Maxillofac Surg ; 72(5): 902.e1-6, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24742486

RESUMO

We present a case of implant rehabilitation of the mandible in a young patient affected by craniofacial fibrous dysplasia. A computed tomography scan showed involvement of the left orbital contour and left maxilla, with total involvement of the mandible. We performed conservative surgical treatment from 2004 to 2011 to reconstruct and recontour the orbital and mandible region. Next, we performed implant rehabilitation of the mandible. This case emphasizes the importance of conservative and nondemolition treatment to obtain excellent functional and esthetic results.


Assuntos
Implantação Dentária Endóssea/métodos , Ossos Faciais/cirurgia , Displasia Fibrosa Poliostótica/cirurgia , Mandíbula/cirurgia , Crânio/cirurgia , Transplante Ósseo/métodos , Criança , Implantes Dentários , Estética , Feminino , Seguimentos , Humanos , Doenças Mandibulares/cirurgia , Reconstrução Mandibular/métodos , Doenças Maxilares/cirurgia , Doenças Orbitárias/cirurgia , Osseointegração/fisiologia , Procedimentos de Cirurgia Plástica/métodos , Tomografia Computadorizada por Raios X/métodos
14.
Small ; 9(7): 984-9, 2013 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-23554140

RESUMO

SiCN fibers with a mean diameter of 50 nm and an aspect ratio of up to 100 are produced in a two-step process by R. Kempe and co-workers. The key step to fabricate the longitudinal and cross-sectional views of the mesofibers shown here is a concerted block-copolymer synthesis, microphase separation, and cross linking at 140 °C followed by pyrolysis at 1100 °C. Inexpensive components like a commercially available silazane and polyethylene are linked. The fibers may find application in electronic devices, as components of ceramic matrix composites, as fiber beds in high-temperature nano-filtering like diesel fine dust removal, or as thermally robust and chemically inert catalyst supports. Furthermore, the SiCN nanofibers introduced on page 984 are a promising alternative to ultrathin carbon fibers, due to their oxidation resistance.


Assuntos
Cianetos/química , Nanofibras/química , Polímeros/química , Compostos de Silício/química , Nanofibras/ultraestrutura , Nanotecnologia
15.
Chemistry ; 18(44): 13974-8, 2012 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-22996172

RESUMO

Monoguanidinato titanium complexes are efficient catalysts to make OH end-group-functionalized polyethylene (PE-OH) by a catalyzed version of Ziegler's "Aufbaureaktion". This PE-OH can be structured to mesoporous polyethylene or polyethylene nanofibers/ribbons through diblock copolymer synthesis, microphase separation, and etching of the sacrificial polylactide block.

16.
Inorg Chem ; 50(10): 4598-606, 2011 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-21486015

RESUMO

A series of titanium complexes have been prepared using either salt metathesis or amine elimination reactions. Reacting the potassium salt of Ap*H {Ap*H = N-(2,6-diisopropylphenyl)-[6-(2,4,6-triisopropylphenyl)pyridin-2-yl]amine} (1) with [TiCl(4)(THF)(2)] results in the formation of a nucleophilic ring-opening product of the coordinated tetrahydrofuran (THF) ligand [Ap*TiCl(2)(OC(4)H(8)Cl)] (7). Alkylation with benzylmagnesium chloride gave rise to the corresponding benzyl complex [Ap*TiBn(2)(OC(4)H(8)Cl)] (8). However, THF ring opening was overcome by adopting an amine elimination route instead of salt metathesis. Mono(aminopyridinato)titanium trichloro complexes were prepared in high yields using [(CH(3))(2)NTiCl(3)], together with the corresponding sterically demanding aminopyridine as the starting material. The synthesized complexes could then be alkylated selectively. These complexes were characterized by spectroscopic methods, and their behavior in olefin polymerization and copolymerization of ethene and propene was explored. These mono(aminopyridinato)titanium trichloro complexes are less active if activated with methylaluminoxane (MAO). However, the activity increases strongly if MAO is replaced by d-MAO ("dry methylaluminoxane"). The catalysts show moderate activity toward propene polymerization, while ethylene-propylene copolymers in high-productivity with separated propene units were observed. The catalysts are also highly active in the co- and terpolymerization of 2-ethylidenenorbornene (ENB) with ethylene or ethylene-propylene, together with a very good incorporation of ENB. In all cases, the activity increases with an increase in the steric bulk of the protecting ligand.

17.
J Oral Maxillofac Surg ; 69(3): 861-9, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21050640

RESUMO

PURPOSE: The transverse dentoalveolar and skeletal stability of multipiece Le Fort I osteotomies with 3 different techniques was investigated. MATERIALS AND METHODS: The records of 87 patients undergoing bimaxillary osteotomies with 3-piece Le Fort I osteotomy were evaluated. According to the surgical technique of maxillary expansion, the subjects were divided into 3 groups: unilateral palatal osteotomy (group A), bilateral palatal osteotomy (group B), and unilateral palatal osteotomy with fixation of the palatal vault with a resorbable plate (group C). In group A palatal bone grafts were used in 9 patients. Posterior-anterior cephalograms and dental casts were taken before surgery (T1), immediately after surgery (T2), and after a follow-up of 12 to 15 months (T3). The skeletal base was measured between the intersections of the lateral contour of the maxillary alveolar process and the lower contour of the maxillo-zygomatic process. Dentoalveolar width was measured between the first premolars and the first molars. According to the magnitude of expansion, the groups were divided into the following subgroups: negative (constriction), 0 to 2 mm, greater than 2 mm to 4 mm, and greater than 4 mm. An analysis of variance with Bonferroni correction was used to compare the demographic and treatment characteristics and the surgical and postsurgical transverse movements of the 3 study groups. The paired t test was run to evaluate the surgical changes (T2 - T1) and the postsurgical stability (T3 - T2). The influence of palatal bone grafts and downgrafting of the maxilla on the amount of relapse was investigated with the unpaired t test. RESULTS: The study variables (T1), the surgical changes (T2 - T1), and the postsurgical changes (T3 - T2) showed no significant differences between the 3 study groups. However, a tendency for less relapse in cases with major expansion was seen in group C. The mean expansion of the entire sample was 2.13 mm at the skeletal base, 1.11 mm in the premolar region, and 1.99 mm in the molar region. Mean relapses of 0.20 mm (9%) at the skeletal base, 0.76 mm (68%) in the premolar region, and 1.20 mm (60%) in the molar region were seen. Palatal bone grafts had no significant effect on the postsurgical changes in group A. Anterior and posterior downgrafting did not result in significantly more relapse. CONCLUSIONS: Surgical expansion of the maxilla provides stable results at the maxillary skeletal base but high relapse rates in the dentoalveolar area. Preoperative orthodontic expansion is one of the main sources of transverse relapse. Fixation of the palatal vault with resorbable plates is a possible technique to improve transverse stability. Larger samples are necessary to provide statistical significance.


Assuntos
Anormalidades Maxilofaciais/cirurgia , Osteotomia de Le Fort/métodos , Técnica de Expansão Palatina , Palato Duro/cirurgia , Implantes Absorvíveis , Adulto , Análise de Variância , Placas Ósseas , Transplante Ósseo , Cefalometria , Feminino , Humanos , Técnicas de Fixação da Arcada Osseodentária/instrumentação , Masculino , Anormalidades Maxilofaciais/terapia , Ortodontia Corretiva , Osteotomia de Le Fort/instrumentação , Recidiva , Estudos Retrospectivos , Adulto Jovem
18.
Dalton Trans ; 39(29): 6847-52, 2010 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-20658763

RESUMO

The cationic lanthanoid alkyl complexes (NCN)YR(THF)(+) (R = CH(2)SiMe(3)) bearing a NCN-ligand based on N,N'-bis(2,6-diisopropylphenyl)-benzamidine (AmH), N-[6-(2,4,6-triisopropyl-phenyl)-pyridin-2-yl]-(2,6-diisopropyl)aniline (ApH) or 1,3-bis(2,6-diisopropylphenyl)-2,2-dimethylguanidine (GuaH) combined with an excess of trialkyl aluminium compounds (AlR(3); R = Et, iso-Bu, n-Oct) are efficient catalysts for the highly controlled coordinative chain transfer polymerisation (CCTP) of ethylene, a catalysed version of the "Aufbaureaktion". The aluminium terminated polyethylene (PE) can be oxidised to yield long chain alcohols which are the basis for a diverse polymer chemistry.

19.
J Oral Maxillofac Surg ; 68(2): 372-80, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20116710

RESUMO

PURPOSE: The aim of the present study was to investigate the effect of segmentation on the stability of Le Fort I osteotomies in bimaxillary procedures. PATIENTS AND METHODS: One hundred twenty patients undergoing bimaxillary osteotomies (60 single-piece maxilla, 60 3-piece maxilla) were included in the study. Cephalometric analysis was performed before surgery (T1), immediately after surgery (T2), and after a follow-up of 12 to 15 months (T3). The positional changes of 6 angles (angle of nasion-sella line to A point-nasion line, angle of nasion-sella line to B point-nasion line, angle of nasal line [plane] to nasion-sella line, angle of mandibular line [plane] to nasion-sella line, angle of upper incisor to nasion-sella line, angle of lower incisor to mandibular line [plane]) and 4 maxillary landmarks (upper incisor edge, mesial cusp upper first molar, anterior nasal spine, posterior nasal spine) were measured by superimposition of radiographs. Paired t test was run to evaluate surgical changes (T2-T1) and postsurgical stability (T3-T2). Differences between the 1-piece maxilla group and the 3-piece maxilla group were analyzed with 2-tailed t test. Pearson correlation coefficient was calculated to determine relations among the magnitude of maxillary advancement, superior and inferior repositioning and postsurgical changes of angle of nasion-sella line to A point-nasion line, and the respective landmarks. RESULTS: The study variables (T1), surgical changes (T2-T1), and postsurgical changes (T3-T2) showed no significant differences between groups with single-piece and 3-piece maxilla. However, a tendency for more relapse was observed in the 3-piece maxilla group in the vertical direction. A significant inferior movement of the upper molar (mesial cusp upper first molar) was seen in the single-piece maxilla group (0.5 mm) and the 3-piece maxilla group (0.4 mm). In both groups and all directions, the T2-to-T3 changes had no significant correlation with the T1-to-T2 changes. No differences were observed between superior and inferior repositioning. CONCLUSIONS: Segmentation of the maxilla does not provoke major skeletal or dental instability and should be considered whenever indicated. Adequate bone grafting provides good stability in anterior and inferior repositioning of the maxilla.


Assuntos
Maxila/cirurgia , Osteotomia de Le Fort/métodos , Adolescente , Adulto , Transplante Ósseo , Cefalometria/estatística & dados numéricos , Feminino , Humanos , Masculino , Má Oclusão Classe II de Angle/cirurgia , Má Oclusão Classe III de Angle/cirurgia , Mandíbula/cirurgia , Anormalidades Maxilofaciais/cirurgia , Pessoa de Meia-Idade , Recidiva , Estudos Retrospectivos , Adulto Jovem
20.
Artigo em Inglês | MEDLINE | ID: mdl-19615656

RESUMO

OBJECTIVE: The aim of the present study was to investigate the effect of segmentation and different movements of the segments in LeFort I osteotomies on the bone blood flow (BBF). MATERIAL AND METHODS: The study sample of the prospective cohort study was composed of subjects scheduled to undergo 3-piece LeFort I osteotomies and simultaneous BSSO for correction of developmental skeletal deformities. The primary predictor variables were: time (T1, before LeFort I osteotomy; T2, after LeFort I osteotomy; T3, after segmentation and fixation of the maxilla) and magnitude of maxillary movement in the sagittal, vertical, and transverse planes measured in millimeters (mm). The subjects were assigned to 2 risk groups (high/low) depending on the amount of the movement. The primary outcome variable was maxillary bone blood flow measured with a laser Doppler at 4 sites: premaxilla, right and left maxillary lateral segments, and the mandible. RESULTS: No significant difference was observed among the 3 maxillary regions. The mean decrease of the maxillary BBF between T1 and T2 as well as the reduction of BBF between T2 and T3 were statistically significant for all regions (P = .028 to P = .005 for T1/T2; P = .003 to P = .028 for T2/T3). No significant difference could be found between the 2 risk groups of maxillary movements. CONCLUSIONS: Multisegmental maxillary osteotomies lead to a significant reduction of BBF. Moderate maxillary movements have no significant influence on the blood supply.


Assuntos
Fluxometria por Laser-Doppler , Maxila/irrigação sanguínea , Osteogênese por Distração , Osteotomia de Le Fort , Fluxo Sanguíneo Regional/fisiologia , Adolescente , Adulto , Análise de Variância , Estudos de Coortes , Humanos , Maxila/cirurgia , Osteogênese por Distração/métodos , Osteotomia de Le Fort/métodos , Estudos Prospectivos , Adulto Jovem
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