RESUMEN
The authors study, based on three cases of maxillary osteoma brought to their attention, evaluates the most suitable type of operation to perform, and the method with which to attention which to approach the problem of postoperative functional rehabilitation. This pathological condition is characterized by slow developments and the late appearance of symptoms deriving from the invasion of surrounding tissues. The chosen technique is surgery, involving the removal of the neoplasm. The benign nature of the neoplasm makes conservative surgery possible, including the partial removal of the neoplasm, in order to preserve the bone tissue indispensable for prosthetic rehabilitation. In cases in which the neoplasm spreads to surrounding tissues, in which more destructive surgery is required with an attendant loss of considerable portions of bone, we have used osteo-muscular pedicle flaps in combination with implantation techniques to obtain adequate functional and prosthetic rehabilitation.
Asunto(s)
Neoplasias Mandibulares/rehabilitación , Neoplasias Maxilares/rehabilitación , Osteoma/rehabilitación , Adolescente , Femenino , Fibroma/diagnóstico por imagen , Fibroma/rehabilitación , Fibroma/cirugía , Humanos , Masculino , Mandíbula/cirugía , Neoplasias Mandibulares/diagnóstico por imagen , Neoplasias Mandibulares/cirugía , Prótesis Mandibular , Maxilar/cirugía , Neoplasias Maxilares/diagnóstico por imagen , Neoplasias Maxilares/cirugía , Prótesis Maxilofacial , Persona de Mediana Edad , Osteoma/diagnóstico por imagen , Osteoma/cirugía , Radiografía , Colgajos QuirúrgicosRESUMEN
Trauma in the maxillary-facial region can causes loss of mucous, dental and bone tissues, particularly in cases of ballistic trauma in which the explosive force disperses the affected tissues to some distance. This circumstance greatly complicates functional rehabilitation, a process requiring not only the construction of prostheses to replace the lost dental structures, but also the reconstruction of the mucous and bone tissues that will support the prostheses. Using methods involving the formation of pedicle bone grafts and the use of implantation techniques, it has been possible to guarantee a satisfactory functional rehabilitation, and in addition good results from the point of view of appearance have been obtained.
Asunto(s)
Dentaduras , Prótesis Mandibular , Traumatismos Maxilofaciales/rehabilitación , Prótesis Maxilofacial , Adulto , Trasplante Óseo , Humanos , Masculino , Traumatismos Maxilofaciales/diagnóstico por imagen , Radiografía , Heridas por Arma de Fuego/diagnóstico por imagen , Heridas por Arma de Fuego/rehabilitaciónRESUMEN
The Authors describe a case of gall-stone ileus complicated by a bowel perforation they had the chance to observe. They have treated it surgically with success. Starting from this clinical care, they have analysed the cases of gall-stone ileus in their department in these last ten years, then they have looked over the literature and the draw conclusions concerning diagnosis, time of hospitalisation and a surgical treatment and the levels where occlusions occur more frequently.