RESUMEN
Osteochondroma is a hamartomatous proliferation of cartilaginous tissue, which is the most common benign tumor of the long bones, but is relatively rare in the maxillofacial region. Most cases of mandibular condylar osteochondroma manifest with facial asymmetry or malocclusion with limited temporomandibular joint movements. Several approaches for management of this lesion have been proposed, as conservative condylectomy technique. This procedure has been suggested a valid approach to minimize facial asymmetry, contributing to the recovery of occlusion associated with no local tumor recurrence, and without condylar reconstruction procedure. Therefore, this article aims to describe a clinical report of a true osteochondroma of the mandibular condyle in a 35-year-old patient who was successfully treated using conservative condylectomy procedure.
Asunto(s)
Cóndilo Mandibular/cirugía , Neoplasias Mandibulares/cirugía , Osteocondroma/cirugía , Supervivencia sin Enfermedad , Cara/anomalías , Cara/cirugía , Asimetría Facial/congénito , Asimetría Facial/etiología , Asimetría Facial/cirugía , Estudios de Seguimiento , Humanos , Hiperplasia/etiología , Hiperplasia/cirugía , Masculino , Maloclusión/etiología , Maloclusión/cirugía , Neoplasias Mandibulares/complicaciones , Persona de Mediana Edad , Osteocondroma/complicaciones , Osteotomía/métodos , Procedimientos de Cirugía Plástica , Trastornos de la Articulación Temporomandibular/etiología , Trastornos de la Articulación Temporomandibular/cirugíaRESUMEN
Odontogenic abscess can become an orbital cellulitis, causing potentially serious intracranial and orbital complications. The full clinical complications from odontogenic orbital cellulitis in a pediatric patient are rarely seen daily in hospital emergency departments. Thus, odontogenic orbital cellulitis still remains a rarity, resulting in a medical challenge. With this in mind, this study aimed to describe a case of periorbital and orbital cellulitis resulting from odontogenic origin in a 6-year-old patient who was successfully treated by performing intravenous antibiotic administration combined with surgical drainage.
Asunto(s)
Infección Focal Dental/complicaciones , Celulitis Orbitaria/etiología , Antibacterianos/uso terapéutico , Niño , Terapia Combinada , Drenaje , Infección Focal Dental/terapia , Humanos , Imagenología Tridimensional , Masculino , Celulitis Orbitaria/terapia , Tomografía Computarizada por Rayos XRESUMEN
Temporomandibular joint (TMJ) disorder is a term that encompasses a number of overlapping conditions, such as closed lock. Closed lock of the TMJ is considered a consequence of a nonreducing deformed disc acting as an obstacle to the sliding condylar head that usually causes a decrease in the maximum mouth opening and acute pain. The management of the TMJ is still controversial. Thus, arthrocentesis of the TMJ is a valuable modification of the traditional method of arthroscopic lavage, which consists of washing the joint in order to remove chemical inflammatory mediators and intra-articular adhesions, changing intra-articular pressure. TMJ disorder has always presented as a therapeutic challenge to maxillofacial surgeons. Therefore, this paper aimed to describe a clinical report of a closed lock of the left TMJ in a 19-year-old female subject who was successfully treated by arthrocentesis procedure.
Asunto(s)
Artroscopía/métodos , Paracentesis/métodos , Trastornos de la Articulación Temporomandibular/cirugía , Síndrome de la Disfunción de Articulación Temporomandibular/cirugía , Articulación Temporomandibular/cirugía , Femenino , Humanos , Cuidados Posoperatorios/métodos , Radiografía Panorámica , Articulación Temporomandibular/diagnóstico por imagen , Trastornos de la Articulación Temporomandibular/diagnóstico por imagen , Síndrome de la Disfunción de Articulación Temporomandibular/diagnóstico por imagen , Irrigación Terapéutica/métodos , Adherencias Tisulares , Adulto JovenRESUMEN
Fractures of the severely atrophic (<10 mm) edentulous mandible are not common, and these fractures with a vertical height of 10 mm or less have long been recognized as being particularly problematic. Although there are advances in the treatment of the atrophic mandibular fracture, the treatment remains controversial. There are some options for treatment planning because of using small miniplates to large reconstruction plates. However, when the fixation method fails, it causes malunion, nonunion, and/or infection, and sometimes it has been associated with large bone defects. The authors describe a clinical report of a failed miniplate fixation for atrophic mandibular fracture management. The authors used a load-bearing reconstruction plate combined with autogenous bone graft from iliac crest for this retreatment. The authors show a follow-up of 6 months, with union of the fracture line and no complication postoperatively.