RESUMEN
Data of an experimental group of bilateral cleft lip and palate patients (BCLP) who had undergone premaxillary setback at a mean age of 10.2 years were compared with a control group of standard cephalometric values for the white population, and with cephalometric data of BCLP patients from the Oslo Cleft Lip and Palate Archive who did not have premaxillary setback. Cephalometric lateral skull radiographs were taken at a mean age of 16.6 years when most facial growth is completed. Overall, the most marked difference between the two cleft samples was a slightly more concave profile in the experimental BCLP group, mainly due to clockwise rotation of the maxillary plane. Other differences were a longer face and a larger mandible in the experimental group.
Asunto(s)
Labio Leporino/cirugía , Fisura del Paladar/cirugía , Maxilar/cirugía , Desarrollo Maxilofacial , Adolescente , Cefalometría , Niño , Labio Leporino/fisiopatología , Fisura del Paladar/fisiopatología , Huesos Faciales/crecimiento & desarrollo , Huesos Faciales/patología , Humanos , Mandíbula/crecimiento & desarrollo , Mandíbula/patología , Maxilar/crecimiento & desarrollo , Maxilar/patología , Rotación , Cráneo/crecimiento & desarrollo , Cráneo/patología , Dimensión Vertical , Población BlancaRESUMEN
A case of temporary abducent nerve palsy, following posterior superior alveolar nerve block during removal of an upper third molar tooth is presented. The relevant anatomy and other causes of sixth nerve palsy are considered, together with guidelines for the management of such an occurrence.
Asunto(s)
Nervio Abducens/efectos de los fármacos , Anestesia Dental/efectos adversos , Lidocaína/efectos adversos , Oftalmoplejía/inducido químicamente , Adulto , Enfermedades de los Nervios Craneales/inducido químicamente , Diplopía/inducido químicamente , Humanos , Masculino , Maxilar , Nervio Maxilar , Tercer Molar/cirugía , Bloqueo Nervioso/efectos adversos , Extracción DentalRESUMEN
A simple splint for the radial forearm donor site is described. It can be constructed preoperatively and provides for unlimited re-applications and has been used successfully in 15 consecutive cases.
Asunto(s)
Antebrazo/cirugía , Radio (Anatomía)/cirugía , Férulas (Fijadores) , Colgajos Quirúrgicos/métodos , Vendajes , Diseño de Equipo , Humanos , Plásticos , Cuidados PreoperatoriosRESUMEN
In the practice of orthognathic surgery, a patient presenting with a gummy smile and lip incompetence is readily diagnosed as having vertical maxillary excess, and a maxillary impaction osteotomy is usually the proposed treatment. If a short nose, an arched and upwardly displaced upper lip, and a broad face accompany these 2 features, nasal lengthening and caudal repositioning of the central portion of the upper lip by a nasal frame osteotomy should be considered instead. The technique of the nasal "frame" osteotomy, which was used in 1 patient with a 4-year follow-up, is described.