Asunto(s)
Osteonecrosis de los Maxilares Asociada a Difosfonatos/complicaciones , Osteonecrosis de los Maxilares Asociada a Difosfonatos/cirugía , Diabetes Mellitus Tipo 2/complicaciones , Fracturas Espontáneas/etiología , Fracturas Mandibulares/etiología , Fístula Oroantral/etiología , Adulto , Anciano , Osteonecrosis de los Maxilares Asociada a Difosfonatos/terapia , Desbridamiento , Femenino , Fracturas Espontáneas/cirugía , Fracturas Espontáneas/terapia , Humanos , Oxigenoterapia Hiperbárica , Masculino , Fracturas Mandibulares/cirugía , Fracturas Mandibulares/terapia , Persona de Mediana Edad , Fístula Oroantral/cirugía , Fístula Oroantral/terapia , Osteomielitis/etiología , Osteomielitis/cirugía , Osteomielitis/terapia , Arabia SauditaRESUMEN
Se presenta el caso de un paciente de sexo masculino de 48 años de edad, portador de una turmoración intrabucal de gran tamaño (10x7x5 cm), de consistencia firme, que no permitía al enfermo cumplir las funciones mínimas de deglución y fonación, además dificultaba seriamente la respiración normal del enfermo. Esta lesión tenía 20 años de evolución. El paciente fue examinado y diagnosticado en el hospital Félix Bulnes Cerda e intervenido en conjunto con el equipo del Hospital Traumatológico, ambos en Santiago de Chile. La lesión fue enucleada de acuerdo al diagnóstico clínico e histopatológico
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Adenoma Pleomórfico/cirugía , Adenoma Pleomórfico/diagnóstico , Neoplasias Palatinas , Adenoma Pleomórfico/epidemiología , Adenoma Pleomórfico , Adenoma Pleomórfico/ultraestructura , Biopsia , Chile , Diagnóstico Clínico , Fístula Oroantral/etiología , Neoplasias de las Glándulas SalivalesRESUMEN
OBJECTIVE: To evaluate application of laser biostimulation in the treatment of antro-oral communications. BACKGROUND DATA: Sixty-one patients between the ages of 14 and 58 were subjected to biostimulation with laser light. Therapy was performed with a CTL 1106 biostimulative laser of 30 mW power with a tip-emitting light of 830-nm wavelength. METHODS: Three cycles of laser irradiation were performed in a continuous mode. During one cycle, 3.5 min of extraoral irradiation of 4J with the contact "sweeping" method or the "woodpecker technique" was made through the facial skin to the suborbital region, 3.5 min of intraoral irradiation of 4J with the contact "point" method to the region of maxillary sinus floor, and 3.5 min of intraoral one of 4J with the contact "point" method to the alveolar process at the site of the antro-oral communication. The above cycle of irradiation was repeated for 4 days. RESULTS: After 4 days of laser therapy, a complete closure of antro-oral communication occurred. CONCLUSION: Laser therapy can be recommended as an effective method of treatment in this type of complication following tooth extraction.
Asunto(s)
Terapia por Láser , Fístula Oroantral/etiología , Fístula Oroantral/terapia , Extracción Dental/efectos adversos , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Actinomicosis Cervicofacial/terapia , Oxigenoterapia Hiperbárica , Enfermedades Maxilomandibulares/terapia , Actinomicosis Cervicofacial/complicaciones , Adolescente , Adulto , Humanos , Enfermedades Maxilomandibulares/complicaciones , Masculino , Persona de Mediana Edad , Fístula Oroantral/etiologíaRESUMEN
Results of otosclerosis surgery using the stapes footplate removal with various types of reconstruction are reported in 456 ears (360 patients). Primary success was obtained in around 95% while 83% retained their improvement over the years. The posterior crus on fascia has become the preferred method because of its stability and relative lack of inner ear complications. Inner ear damage is mostly due to perilymph fistulae, which should be promptly recognized and repaired, since revision after the ear has become deaf does not restore hearing. Some late inner ear losses may be due to reactions to foreign material introduced with the graft. Bilateral operations should not be done if the first operation was difficult or caused vertigo for several days.