[Medial proximal tibia donor site: contribution to alveolar cleft repair in children]. / Le prélèvement tibial médioproximal : intérêt dans l'alvéoloplastie secondaire chez l'enfant.

INTRODUCTION: Cancellous bone is the best material for alveolar cleft repair (or secondary alveolar cleft repair). It is usually harvested from the iliac bone but morbidity of this donor site is high. Among the other possible donor sites the tibial harvesting procedure seems safe with lower morbidity. The authors assessed the medio-proximal tibial harvesting procedure on a consecutive series of 55 children having undergone secondary alveoloplasty. PATIENTS AND METHOD: An individual questionnaire was used to assess retrospectively the intensity and duration of postoperative pain, functional impotence, possible late complications, and scar length. Postoperative tibial in frontal and profile radiographs were used to assess corticotomy diameter, the distance between corticotomy and growth plate, and local complications. RESULTS: The mean patient age was nine years. No complications were reported. Sixty nine percent of patients complained of postoperative pain with an average intensity of four out of 10 for a period of 17 days. Sixty five percent of patients complained of discomfort in walking for an average of 12 days. The average scar length was 10 mm. Two patients (3.6%) presented with sequels two years after surgery, residual scar pain for one, and painless ectopic tibial ossification next to the sampling site for the other. DISCUSSION: The medio-proximal tibial site bone harvesting morbidity is low. The surgical procedure is easy, rapid, and safe. The amount of cancellous bone collected is sufficient for two simultaneous alveolar defect grafts. This site seems especially well adapted for secondary alveoloplasty in children.

Síndrome de Melkersson Rosenthal: reporte de un caso y revisión de la literatura / Melkersson-Rosenthal syndrome: case report and literature review

El Síndrome de Melkersson Rosenthal se describe como la asociaciónde edema labial (queilitis granulomatosa de Miescher) y/o facial recurrente,parálisis facial recidivante y lengua fisurada. El edema labial recurrentese presenta en uno o ambos labios, el cual puede llegar a ser persistente.Cuando se presenta en forma aislada se considera como una forma monosintomaticade este síndrome. El objetivo de esta revisión es mostrar el seguimientode un caso clínico atendido en nuestro servicio con el diagnósticosíndrome de Melkersson Rosenthal que presenta una gran queilitis granulomatosaasociada a lengua fisurada, cuyo tratamiento consistió en la infiltraciónde corticoides intralesionales y una posterior queiloplastía(AU)

Melkersson-Rosenthal syndrome is described as theassociation of recurrent lip edema (Miescher’s cheilitis granulomatosa)and/or facial edema, recurrent facial paralysis, and plicated tongue.Recurrent edema occurs in one or both lips, and can be persistent.When lip edema alone occurs, the case is considered amonosymptomatic form of this syndrome. The aim of this reviewwas to discuss the follow-up of a patient seen in our departmentwith the diagnosis of Melkersson-Rosenthal syndrome who presentedintense cheilitis granulomatosa associated with plicated tongue.The patient was treated with infiltration of intralesional corticoidsand later cheiloplasty(AU)

Fractura patológica de la mandíbula asociada a quiste radicular. Reporte de 3 casos clínicos / Mandibular pathologic fracture associated with radicular cyst. Report of three clinical cases

Introducción. El quiste radicular es el quiste más común de losmaxilares. Su tamaño puede variar desde una lesión que abarca el procesoalveolar hasta uno extenso que oblitera el espacio antral maxilar o causa unafractura patológica mandibular.Reporte de casos. Se reportan tres casos con fractura patológica mandibularasociados a quiste radicular ocurridos después de trauma facial. El diagnósticofue sugerido por un estudio clínico, radiografía panorámica y confirmadopor el estudio histopatológico de la pieza operatoria. El tratamientoconsistió en enucleación quística seguido por inmovilización de fragmentoscon osteosíntesis o bloqueo intermaxilar. El resultado clínico y radiológicoa corto plazo fue favorable.Discusión. Se discuten aspectos propios de la patología y su terapia.Conclusión. El éxito del tratamiento depende de una adecuada terapia enque sus principios más importantes son la remoción de la lesión medianteenucleación y una fijación estable(AU)

Introduction. Radicular cyst is the most common cyst ofthe oral cavity. It may range in size from a small periapical lesionto one that can obliterate the antral space or cause mandibularfracture.Case reports. We report three cases of radicular cyst complicatedby mandibular fracture that occurred after maxillofacial trauma.The diagnosis was strongly suggested by panoramic radiographyand confirmed by pathology examination of the operative specimen.Treatment consisted in cyst enucleation followed by immobilizationof fragments by osteosynthesis or maxillomandibular fixation. Theclinical and radiologic outcome was favorable.Discussion. The particularities and treatment are discussed.Conclusion. Treatment success is dependent on adequate therapy,the principles of which are removing the lesion and providing stablefixation(AU)