Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1126/2020
Laura Verde Sanchez, M. M. Guerra, Philip Brabyn, A. Capote, L. N. Gías
Progressive condylar resorption is a specific condition that affects the temporomandibular joint that causes a slow and progressive resorption of the mandibular condyle. Despite being a well-documented pathology with some predilection in young women between 15 and 35 years old, the exact cause and pathogenesis remain unclear. It has been associated with rheumatoid arthritis, connective tissue diseases, hyperdivergent pattern in the sagittal plane, dentoskeletal Class II, preexisting TMJ dysfunction or even after orthodontic treatment or orthognathic surgery. A case of a patient with condylar resorption that had been previously treated by temporomandibular joint dysfunction by operative arthroscopy is presented.
{"title":"Reabsorción condilar de la articulación temporomandibular tras un procedimiento artroscópico","authors":"Laura Verde Sanchez, M. M. Guerra, Philip Brabyn, A. Capote, L. N. Gías","doi":"10.20986/recom.2020.1126/2020","DOIUrl":"https://doi.org/10.20986/recom.2020.1126/2020","url":null,"abstract":"Progressive condylar resorption is a specific condition that affects the temporomandibular joint that causes a slow and progressive resorption of the mandibular condyle. Despite being a well-documented pathology with some predilection in young women between 15 and 35 years old, the exact cause and pathogenesis remain unclear. It has been associated with rheumatoid arthritis, connective tissue diseases, hyperdivergent pattern in the sagittal plane, dentoskeletal Class II, preexisting TMJ dysfunction or even after orthodontic treatment or orthognathic surgery. A case of a patient with condylar resorption that had been previously treated by temporomandibular joint dysfunction by operative arthroscopy is presented.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68149542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Parotid surgery is a common technique with multiple approaches and reconstruction options. Primary reconstruction options are the superficial musculoaponeurotic system (SMAS) flap, the sternocleidomastoid muscle flap, free or microvascular grafts and biomaterials (Alloderm), among others. We present our experience in periumbilical abdominal free fat graft for primary reconstruction of the parotid defect. Material and methods: A observational study was performed in patients requiring a parotidectomy (superficial, total or radical) due to a primary parotid neoplasm or tumor recurrence. In all cases were used a free abdominal fat graft. The patients were operated by the same surgeon between May 2013 and January 2019. The study analyzes epidemiological and clinical aspects, approach, surgical time, hospital stay, post-surgical complications, sequelae, clinical follow-up and aesthetic results. Results: A total of 22 patients were incluyed after a conservative, total or radical superficial parotidectomy. Thirteen men and nine women aged between 13 and 79 years (46 years on average), with the initial diagnosis made by fine water aspiration puncture (FNA) and Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI). Aesthetic result in all patients was excellent or very good. No long-term sequelae or syndromes Frey. No complications interest except minor postsurgical hematomas and seroma. Conclusion: A very simple technique with few complications is presented for the primary reconstruction of postparotidectomy defects with excellent aesthetic results.
{"title":"Reconstrucción de defectos parotídeos con injertos de tejido graso libre abdominal. Estudio clínico de una sencilla técnica quirúrgica","authors":"Ignacio Arribas García, Fátima Martínez Pérez, A. Hernández, Modesto Álvarez Flórez","doi":"10.20986/recom.2020.1101/2019","DOIUrl":"https://doi.org/10.20986/recom.2020.1101/2019","url":null,"abstract":"Introduction: Parotid surgery is a common technique with multiple approaches and reconstruction options. Primary reconstruction options are the superficial musculoaponeurotic system (SMAS) flap, the sternocleidomastoid muscle flap, free or microvascular grafts and biomaterials (Alloderm), among others. We present our experience in periumbilical abdominal free fat graft for primary reconstruction of the parotid defect. Material and methods: A observational study was performed in patients requiring a parotidectomy (superficial, total or radical) due to a primary parotid neoplasm or tumor recurrence. In all cases were used a free abdominal fat graft. The patients were operated by the same surgeon between May 2013 and January 2019. The study analyzes epidemiological and clinical aspects, approach, surgical time, hospital stay, post-surgical complications, sequelae, clinical follow-up and aesthetic results. Results: A total of 22 patients were incluyed after a conservative, total or radical superficial parotidectomy. Thirteen men and nine women aged between 13 and 79 years (46 years on average), with the initial diagnosis made by fine water aspiration puncture (FNA) and Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI). Aesthetic result in all patients was excellent or very good. No long-term sequelae or syndromes Frey. No complications interest except minor postsurgical hematomas and seroma. Conclusion: A very simple technique with few complications is presented for the primary reconstruction of postparotidectomy defects with excellent aesthetic results.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68148453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/RECOM.2020.1155/2020
F. M. Gil, R. G. Garcı́a
{"title":"Y de repente... Apareció el COVID-19","authors":"F. M. Gil, R. G. Garcı́a","doi":"10.20986/RECOM.2020.1155/2020","DOIUrl":"https://doi.org/10.20986/RECOM.2020.1155/2020","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68150320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1118/2020
Á. G. Domingo, Pilar Toledano Valero, Erika Olmos Juárez
{"title":"Sialometaplasia necrotizante: una entidad simuladora.","authors":"Á. G. Domingo, Pilar Toledano Valero, Erika Olmos Juárez","doi":"10.20986/recom.2020.1118/2020","DOIUrl":"https://doi.org/10.20986/recom.2020.1118/2020","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68149258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1158/2020
Marc Agea Martínez, M. Tousidonis, C. N. Cuéllar, Raúl Antúnez-Conde, Dafne Gascon Alonso, J. Salmerón
{"title":"Sarcoma de Kaposi iatrogénico diseminado con debut en encía maxilar: a propósito de un caso.","authors":"Marc Agea Martínez, M. Tousidonis, C. N. Cuéllar, Raúl Antúnez-Conde, Dafne Gascon Alonso, J. Salmerón","doi":"10.20986/recom.2020.1158/2020","DOIUrl":"https://doi.org/10.20986/recom.2020.1158/2020","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68150368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1088/2019
Adaia Valls Ontañón, Laura Pozuelo arquimbau, Silvia Cuscó Albors, A. M. Roig
{"title":"Aplicación de la tecnología CAD/CAM para el manejo de la fisura alveolar: a propósito de un caso clínico","authors":"Adaia Valls Ontañón, Laura Pozuelo arquimbau, Silvia Cuscó Albors, A. M. Roig","doi":"10.20986/recom.2020.1088/2019","DOIUrl":"https://doi.org/10.20986/recom.2020.1088/2019","url":null,"abstract":"","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68148238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1083/2019
D. Campos, J. Moreno, H. Arámbula, Mildred Gabriela Hernández Martínez
Peripheral giant cell granuloma (PGCG) is a benign reactive lesion of the oral cavity. Although PGCG is classified as a tumor-like lesion, it does not represent a true neoplasm, however it is often associated with a response of local irritation and trauma. Clinically, it appears as an exophytic growth with either sessile or pedunculated base, it can be located in gingiva or edentulous alveolar mucosa and usually does not exceed two cm in diameter. The following report describes the case of a 64-year-old female diagnosed with a PGCG of a particularly large size and rapidly evolving, located in the upper jaw area. The lesion was completely excised, and the diagnosis was confirmed by histopathology, there is no apparent recurrence in the area after 12 months of follow-up. A few cases of PGCG greater than 5 cm in diameter have been reported. Furthermore, exceptional cases might present an abnormal rapid growth as well. An opportune diagnosis based on clinical examination, radiographic and histopathological study are fundamental for a prompt and efficient treatment.
{"title":"An unusually large peripheral giant cell granuloma: a case report.","authors":"D. Campos, J. Moreno, H. Arámbula, Mildred Gabriela Hernández Martínez","doi":"10.20986/recom.2020.1083/2019","DOIUrl":"https://doi.org/10.20986/recom.2020.1083/2019","url":null,"abstract":"Peripheral giant cell granuloma (PGCG) is a benign reactive lesion of the oral cavity. Although PGCG is classified as a tumor-like lesion, it does not represent a true neoplasm, however it is often associated with a response of local irritation and trauma. Clinically, it appears as an exophytic growth with either sessile or pedunculated base, it can be located in gingiva or edentulous alveolar mucosa and usually does not exceed two cm in diameter. The following report describes the case of a 64-year-old female diagnosed with a PGCG of a particularly large size and rapidly evolving, located in the upper jaw area. The lesion was completely excised, and the diagnosis was confirmed by histopathology, there is no apparent recurrence in the area after 12 months of follow-up. A few cases of PGCG greater than 5 cm in diameter have been reported. Furthermore, exceptional cases might present an abnormal rapid growth as well. An opportune diagnosis based on clinical examination, radiographic and histopathological study are fundamental for a prompt and efficient treatment.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68148749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1106/2019
Irene Ruiz Martin, Ana Ramos Zayas, Natalia Torres Calcines, G. S. Aniceto
Malignant peripheral nerve sheath tumour (MPNST) is a rare mesenchymal tumor that arises from peripheral nerve sheath cells. It has aggressive behavior. It usually occurs in extremities and trunk, being its presence in head and neck very infrequent. We report a rare case of TMVNP of the inferior dental nerve in its mandibular intraosseous pathway, not associated with neurofibromatosis.
{"title":"Tumor maligno de la vaina nerviosa periférica mandibular. Caso clínico y revisión de la literatura.","authors":"Irene Ruiz Martin, Ana Ramos Zayas, Natalia Torres Calcines, G. S. Aniceto","doi":"10.20986/recom.2020.1106/2019","DOIUrl":"https://doi.org/10.20986/recom.2020.1106/2019","url":null,"abstract":"Malignant peripheral nerve sheath tumour (MPNST) is a rare mesenchymal tumor that arises from peripheral nerve sheath cells. It has aggressive behavior. It usually occurs in extremities and trunk, being its presence in head and neck very infrequent. We report a rare case of TMVNP of the inferior dental nerve in its mandibular intraosseous pathway, not associated with neurofibromatosis.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68148576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1108/2019
Mauricio Barreda Hale, J. Millard, E. Apablaza, Daniel Pino Diaz, C. Torres
movement in the vertical repositioning of the maxillomandibular-complex, compared to the use of EMC. Both techniques can be used as a complement, being aware of the effect of triangulation.
{"title":"Clinical comparison of two external anatomical references for maxillary positioning in orthognathic surgery","authors":"Mauricio Barreda Hale, J. Millard, E. Apablaza, Daniel Pino Diaz, C. Torres","doi":"10.20986/recom.2020.1108/2019","DOIUrl":"https://doi.org/10.20986/recom.2020.1108/2019","url":null,"abstract":"movement in the vertical repositioning of the maxillomandibular-complex, compared to the use of EMC. Both techniques can be used as a complement, being aware of the effect of triangulation.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"156 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68148767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/recom.2020.1140/2020
J. Brunsó, Carlos Prol Teijeiro, F. Carlos, V. Cabriada, J. Mendiola, L. Barbier
Objectives: To present the working protocol, clinical outcomes and upper airway changes of a 20patient cohort with moderate-severe obstructive sleep apnea/hypopnea syndrome undergoing maxillo-mandibular advancement with counterclockwise rotation. Material and methods: A multidisciplinary committee determines the surgical indication, which patients consent. Computed tomographies and polysomnographies are performed before and after surgery, as the usual clinical practice protocol. The clinical investigation ethics institutional review board approved the study. Lengths, volumes, minimum area, antero-posterior dimension, transverse dimension and other measurements are determined in the upper airway. Statistical analysis is descriptive and comparative by pairs with p < 0.05. Results: Planned movements are 10.40 mm of advance and 2.11 mm of anterior impaction. Apnea/hypopnea index reduces by 30.50 points and minimum peripheral capillary oxygen saturation increases by 5.00 points. Clinically and statistical significant findings are: 10.98 mm of shortening and 6.26 mm^3 of volume enlargement, especially in the retro-palatal compartment; 91.45 mm^2, 3.68 mm and 8.00 mm of area, antero-posterior dimension and transverse dimension widening respectively; hyoid bone advances 1.92 mm. Conclusions: Maxillo-mandibular advancement with counterclockwise rotation in moderatesevere obstructive sleep apnea/hypopnea syndrome achieves in short-term follow-up apnea/hypopnea index < 15 in 80 % and minimum peripheral capillary oxygen saturation ˃ 85 in 75 % of our series. Main upper airway changes are: shortening, volume and area increase, elliptical shape, and antero-superior hyoid bone movement.
{"title":"Planificación, resultados y anatomía de la vía aérea superior en síndrome de apnea/hipopnea obstructiva del sueño tras avance bimaxilar: 20 casos","authors":"J. Brunsó, Carlos Prol Teijeiro, F. Carlos, V. Cabriada, J. Mendiola, L. Barbier","doi":"10.20986/recom.2020.1140/2020","DOIUrl":"https://doi.org/10.20986/recom.2020.1140/2020","url":null,"abstract":"Objectives: To present the working protocol, clinical outcomes and upper airway changes of a 20patient cohort with moderate-severe obstructive sleep apnea/hypopnea syndrome undergoing maxillo-mandibular advancement with counterclockwise rotation. Material and methods: A multidisciplinary committee determines the surgical indication, which patients consent. Computed tomographies and polysomnographies are performed before and after surgery, as the usual clinical practice protocol. The clinical investigation ethics institutional review board approved the study. Lengths, volumes, minimum area, antero-posterior dimension, transverse dimension and other measurements are determined in the upper airway. Statistical analysis is descriptive and comparative by pairs with p < 0.05. Results: Planned movements are 10.40 mm of advance and 2.11 mm of anterior impaction. Apnea/hypopnea index reduces by 30.50 points and minimum peripheral capillary oxygen saturation increases by 5.00 points. Clinically and statistical significant findings are: 10.98 mm of shortening and 6.26 mm^3 of volume enlargement, especially in the retro-palatal compartment; 91.45 mm^2, 3.68 mm and 8.00 mm of area, antero-posterior dimension and transverse dimension widening respectively; hyoid bone advances 1.92 mm. Conclusions: Maxillo-mandibular advancement with counterclockwise rotation in moderatesevere obstructive sleep apnea/hypopnea syndrome achieves in short-term follow-up apnea/hypopnea index < 15 in 80 % and minimum peripheral capillary oxygen saturation ˃ 85 in 75 % of our series. Main upper airway changes are: shortening, volume and area increase, elliptical shape, and antero-superior hyoid bone movement.","PeriodicalId":35298,"journal":{"name":"Revista Espanola de Cirugia Oral y Maxilofacial","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68149292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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