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Cureus ; 16(4): e58160, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38741866


Background Advancements in regenerative techniques have been utilized in placental amnion and chorion for a variety of purposes. Their ability to regenerate tissues has led to their usage in tissue engineering, wound healing, and other therapeutic applications. This study aims to evaluate and compare the efficacy of amnion and chorion in facial tissue wound healing. Methodology  The study was an observational comparative study conducted in the Department of Oral and Maxillofacial Surgery, involving 20 participants divided into two groups (Group I and Group II). Study groups were selected according to the inclusion and exclusion criteria. A dehydrated human amnion/ chorion membrane was applied to the affected site of each group respectively. Its efficacy in wound healing was analyzed in the first, third, seventh day, and second week. Statistical analysis was done using SPSS software (IBM Corp., Armonk, NY). Results Patients treated with amnion membrane showed a decrease in wound size and the wound was completely healed by second week with mean scores of wound sizes of 0.00 whereas the wound remained unhealed by second week with mean of 1.70 to those treated with chorion membrane. Conclusion Amnion showed superior efficacy in wound healing at two-week intervals when compared to the chorion. Hence, this could be used in regenerative medicine as a graft to induce healing in facial wounds.

Med. leg. Costa Rica ; 40(2)dic. 2023.
Artigo em Espanhol | LILACS, SaludCR | ID: biblio-1514471


Las armas de aire comprimido son utilizadas desde hace muchos años con distintos usos que van desde el tiro recreativo hasta el control de plagas. Las más comunes son aquellas que disparan ''balines" o esferas metálicas que pueden llegar a tener capacidad de penetrar tejidos dependiendo del tipo de carga y de la longitud del cañón. Se presenta un caso clínico de un masculino que fue agredido con un arma tipo pistola con carga de CO2 que recibió un impacto a nivel facial y sufrió laceración en piel de labio y fractura dental complicada.

Air guns have been used for many years for a variety of purposes ranging from recreational shooting to pest control. The most common are those that shoot "pellets" or metallic spheres that can penetrate tissues depending on the type of load and the length of the barrel. A clinical case is presented of a male who was assaulted with a CO2-loaded pistol-type weapon, hit at facial level, and suffered laceration of the lip's skin and complicated dental fracture.

Humanos , Masculino , Pessoa de Meia-Idade , Ar Comprimido , Violência com Arma de Fogo , Traumatismos Dentários/diagnóstico , Costa Rica
Rev. med. cine ; 18(4): 315-327, dic. 2022. ilus
Artigo em Espanhol | IBECS | ID: ibc-213914


Adrien Fournier; un joven teniente francés de ingenieros es herido por uno de los primeros obuses de la Primera Guerra Mundial. Aunque sobrevive, presenta unas importantes lesiones en cara y cavidad oral por lo que es trasladado a un hospital de Paris. En el pabellón de oficiales del hospital, hay otros soldados con importantes heridas faciales. En la película se refleja el miedo al rechazo social, los intentos de suicidio, la labor de las enfermeras y del cirujano, así como la camaradería y el apoyo entre pacientes. (AU)

Adrien Fournier; A young French lieutenant of engineers, is wounded by one of the first bombs of the First World War. Although he survives, he has important injuries to his face and oral cavity for which he is transferred to a hospital in Paris. In the officers' ward of the hospital, there are other soldiers with significant facial injuries. The film reflects the fear of social rejection, suicide attempts, the work of the nurses and the surgeon, as well as the camaraderie and support among patients. (AU)

Humanos , Cirurgia Bucal , Medicina nas Artes , Máscaras Faciais , I Guerra Mundial , Filmes Cinematográficos
J Stomatol Oral Maxillofac Surg ; 121(3): 278-281, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31678461


Pressure therapy (PT) is commonly used to manage hypertrophic scars. It is often based on the use of elastic pressure garments, which are poorly suited for a facial localization. We describe the conception, fabrication, and use of a custom-made PT facial mask for primary prevention of hypertrophic scarring of complex facial wounds. The main advantage of the device is that it is quick and easy to manufacture in a conventional prosthetics laboratory, with a good level of observance and tolerance in our experience of 20 treated patients.

Queimaduras , Cicatriz Hipertrófica , Traumatismos Faciais/terapia , Face , Humanos , Prevenção Primária
J Plast Reconstr Aesthet Surg ; 71(12): 1682-1692, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30268743


INTRODUCTION: Surgeons are often judged based on the cosmetic appearance of any scar after surgery rather than the functional outcome of treatment, especially when considering facial wounds. OBJECTIVE: We performed a systematic review of the literature to determine whether absorbable or non-absorbable suture materials result in different cosmetic outcomes for patients requiring primary closure of facial wounds. METHODS: An extensive systematic review was carried out to identify studies meeting our inclusion criteria. Risk of bias in each study was assessed using the Cochrane risk of bias assessment tool. Data were extracted from those articles that met our inclusion criteria, and statistical analysis was carried out using the Cochrane RevMan. RESULTS: We found no significant difference in any aspect of our analysis including Visual Analogue Cosmesis scale, Visual Analogue Satisfaction scale, infection, dehiscence, erythema or stitch marks. Most authors concluded that they prefer to use absorbable sutures. However, the overall quality of evidence is poor, and significant variation exists regarding the methods of assessment between papers. CONCLUSION: Use of absorbable suture material appears to be an acceptable alternative to non-absorbable suture material for the closure of facial wounds as they produce similar cosmetic results.

Traumatismos Faciais/cirurgia , Suturas , Materiais Biocompatíveis/uso terapêutico , Cicatriz/psicologia , Cicatriz Hipertrófica/psicologia , Eritema/etiologia , Traumatismos Faciais/psicologia , Humanos , Satisfação do Paciente , Deiscência da Ferida Operatória/etiologia , Infecção da Ferida Cirúrgica/etiologia , Técnicas de Sutura , Resultado do Tratamento , Técnicas de Fechamento de Ferimentos
Natl J Maxillofac Surg ; 9(1): 96-99, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29937669


Although leopards are found worldwide, the incidence of leopard attack on humans is reported most often from India and Nepal. Usually, leopards avoid contact with people, but humans may occasionally be targeted as prey. Animal bite wounds may express as punctures, abrasions, tears, or avulsions. The force and bluntness of the teeth increase the probability of a crush injury with devitalized tissue. The clinical presentation and appropriate treatment of infected bite wounds vary according to extent of the wound. These wounds are considered complex injuries infected with a unique polymicrobial inoculum. As the bite injuries are commonly found on the face, an oral and maxillofacial surgeon should be familiar with the management of animal bites. This article reviews a case of a victim attacked by the leopard, the treatment provided to the victim, and brief notes on the management of such facial animal bite injuries.

Oral Maxillofac Surg ; 21(4): 425-428, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28905120


INTRODUCTION: Animal bite injuries to the head and neck regions are an important public health problem. Most of these bites are from dogs. A 10-year retrospective study was undertaken to determine the prevalence of animal and human bites. MATERIALS AND METHODS: This retrospective study was done from January 2011 to December 2016 and included 387 patients with a mean age of 21.51 years. Data collection included age, sex, days of hospitalization, lesion type, and clinical management. RESULTS: Majority of patients were in age group of 21-29 years, followed by 31-55 years. Out of the total 281 patients, 42 patients (51.60%) were males and 34 patients (48.40%) were females. Mean hospital stay was 7.2 days with a minimum of 5 days and a maximum of 12 days. Surgical management included cleansing and primary closure of the wound. CONCLUSIONS: We concluded that the use of empiric antibiotic prophylaxis is essential for management of facial animal bite, and the antibiotic of first choice is amoxicillin-clavulanic acid. The aim of immediate surgical repair (< 6 h) is to avoid infections. The persistence of dog bite is public health problem in Venezuela.

Mordeduras e Picadas/epidemiologia , Mordeduras Humanas/epidemiologia , Gatos , Cães , Traumatismos Faciais/epidemiologia , Hospitais Públicos/estatística & dados numéricos , Hospitais Urbanos/estatística & dados numéricos , Adolescente , Adulto , Idoso , Animais , Mordeduras e Picadas/cirurgia , Mordeduras Humanas/cirurgia , Criança , Pré-Escolar , Estudos Transversais , Traumatismos Faciais/cirurgia , Feminino , Haplorrinos , Cavalos , Humanos , Lactente , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Venezuela , Adulto Jovem
J Maxillofac Oral Surg ; 14(2): 142-53, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26028828


INTRODUCTION: Animal bites are a significant public health problem, with the majority of bites coming from dogs, cats and humans. These may present as punctures, abrasions, tears, or avulsions. The force and relative bluntness of the teeth also increases the possibility of a crush injury with devitalized tissue .The clinical presentation and appropriate treatment of infected bite wounds vary according to the animal and causative organisms. These wounds have always been considered complex injuries contaminated with a unique polymicrobial inoculum. MATERIALS: This article reviews animal bite wound incidence, bacteriology, risk factors for complications, evaluation components, recommended treatment and prevention based on advanced PUBMED search of the English language literature from the years 1970 to present. CONCLUSION: As the bite wounds are frequently located on the face, an oral and maxillofacial surgeon needs to be familiar with the treatment of animal bites, pitfalls in management and to educate patients on ways to avoid future bite injuries. The management of animal bites is an evidence poor area and most recommendations are based on small case series, microbiological data and expert opinion. The main controversies include whether wounds should or should not undergo primary closure and the use of prophylactic antimicrobials.

Med Clin North Am ; 98(6): 1261-79, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25443676


This article reviews common dental and orofacial traumatic injuries, and provides a broad overview and general principles of the diagnosis and management of common dental and orofacial injuries. Such knowledge will aid the physician in recognition and assessment of injury, proper treatment, and appropriate referral to the specialist. Although many of these injuries warrant appropriate consultation, a sound understanding of assessment and treatment protocol is important.

Traumatismos Faciais/terapia , Fraturas Ósseas/terapia , Atenção Primária à Saúde , Traumatismos Dentários/terapia , Coroas , Humanos , Doenças Periodontais/terapia