tag:blogger.com,1999:blog-38452280525703661612024-03-13T15:37:20.569-04:00Cohen Cirugia Buco MaxilofacialDoctores Cohen especialistas en Cirugia Buco Maxilofacial. Valencia Venezuela
Dr. Omar Cohen Eizaga (Universidad de Buenos Aires Argentina)
Dra. Omaira Cohen Rios (Hospital Woodhull. NewYork - USA, CHET Valencia Venezuela)
tlf. 0414.4336695 Y 0414.4336696Anonymoushttp://www.blogger.com/profile/10412934167264959783noreply@blogger.comBlogger29125tag:blogger.com,1999:blog-3845228052570366161.post-91524479986608959532014-11-04T02:16:00.001-04:302014-11-04T02:16:00.559-04:30Fibromatosis agresiva TUMOR DESMOIDE<p dir="ltr">Se trata de paciente femenino de 2 años de edad que acude a la consulta por presentar aumento de volumen en hemicara derecha, con una evolución de 6 meses. <br>
Al examen clínico se evidencia lesión tumoral de aproximadamente 7cm x 7cm, que abarca desde región preauricular, ángulo mandibular y región sub mandibular, de consistencia dura, indolora con bordes circunscrito.</p>
<p dir="ltr">Se realizan estudios preoperatorios para realizar biopsia incisiónal. bajo anestesia general, intubación orotraqueal se procede a realizar tomo de muestra para realizar el estudio.</p>
<p dir="ltr">El resultado de la biopsia enviado como tumor de partes blandas arroja el siguiente resultado:<br>
Fibromatosis agresiva con miofibroblastos inmunoreactivos a vimentina, actina y actina de musculo liso focal. La expresión del indicador de proliferación celular PCNA fue baja +1. Los receptores de estrógenos y progesterona fueron negativos .</p>
<p dir="ltr">Este tipo de neoplasia se considera benigna ya que no mestastiza. Sin embargo tiene una capacidad de infiltración local y de recidiva. Por esta razón es fundamental su resección completa con suficientes margenes quirúrgicos libres de lesión. </p>
<p dir="ltr">Un tumor desmoide (TD) es un tumor benigno de los tejidos blandos localmente invasivo, asociado a una alta tasa de recurrencia pero sin potencial metastásico.</p>
<p dir="ltr">Los TD son el resultado de la proliferación de miofibroblastos bien diferenciados. El mecanismo etiopatogénico exacto aún se desconoce, pero parece tener un origen multifactorial en el que estarían implicados factores genéticos y hormonales. En cerca del 85 % de los casos esporádicos se han encontrado mutaciones somáticas en el gen CTNNB1 (3q21) que codifica la beta-catenina. En casos con PAF, los TD se han asociado a mutaciones en el gen supresor de tumores APC (5q21-q22) que codifica la proteína de la poliposis adenomatosa del colon. </p>
<p dir="ltr">Luego de obtener el resultado de la biopsia se procedió a realizar exceresis de lesión en su totalidad y se envía lesión completa a anatomía patológica </p>
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Al examen clínico se evidencia defecto oseo que abarca región geniana izquierda y se extiende hasta la orbita tomando el globo ocular izquierdo.<br>
Se planificó en conjunto con el técnico prótesista facial la confección de un dispositivo la cual simulara la proyección malar y el globo ocular, con la finalidad de devolverle a la paciente la seguridad para reintegrarse a la sociedad.</p>
<p dir="ltr">En las fotos se evidencia la secuencia del tratamiento</p>
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Representa el 3 a 6% de todos los tumores odontogénicos. Afecta preferentemente a mujeres entre los 25-35 años y se localiza con mayor frecuencia en los sectores posteriores mandibulares, seguido de los sectores incisivos, el maxilar y, excepcionalmente, el cóndilo mandibular.<br></p>
<p dir="ltr">Habitualmente, este tipo de tumores se manifiesta radiológicamente como una imagen radiolúcida multilocular en «pompas de jabón» o «panal de miel», similar a la descrita en el ameloblastoma. Menos frecuente es la presentación como una imagen unilocular de bordes bien o mal definidos. Es común la asociación de estos tumores con un diente no erupcionado. Cuando la lesión perfora la cortical ósea, puede presentar una imagen periférica de espículas radiadas en «sol naciente», característica de los sarcomas óseos, y que haría sospechar una lesión maligna, como en el caso descrito previamente. En ocasiones se observa rizólisis de las piezas dentarias adyacentes al tumor y más frecuentemente desplazamientos dentarios.<br><br></p>
<p dir="ltr">El tratamiento de los mixomas odontogénicos sigue siendo controvertido en el momento actual. Diversos autores abogan por una cirugía conservadora con enucleación y curetaje ante la naturaleza histológica benigna de estos tumores. Sin embargo, debido a la alta tasa de recurrencia local que oscila en torno a un 25 % de los casos, la cirugía radical con resecciones segmentarias y reconstrucción primaria parece ser la opción más correcta en lesiones </p>
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<p dir="ltr">Bajo anestesia general intubación orotraqueal se procede a realizar incisión pre-auricular derecha, disección y hemostasia, se procede a realizar biopsia exsicional de lesion tumoral en glándula parótida. Se envía al anatomopatologo enviando como resultado final de la biopsia ADENOMA PLEOMORFO </p>
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<p dir="ltr">El sistema linfático está formado por finos conductos que se ramifican por todo el cuerpo. Su función consiste en combatir las infecciones y las enfermedades neoplásicas.  El sistema linfático transporta un líquido incoloro denominado linfa, que contiene un tipo de glóbulos blancos llamados linfocitos (B y T). Los linfocitos B (también llamados células B) generan anticuerpos para combatir infecciones y los linfocitos T (células T) destruyen virus y células extrañas y activan a las células B para que generen anticuerpos.  En diferentes lugares del sistema linfático de todo el cuerpo existen grupos de órganos con forma de pequeña habichuela, llamados ganglios linfáticos. Los ganglios linfáticos se encuentran en grupos, en el abdomen, la ingle, la pelvis, las axilas, el tórax y el cuello. En los ganglios linfáticos se produce la maduración y activación de los linfocitos para que desarrollen su función fisiológica. </p>
<p dir="ltr">El sistema linfático también incluye el bazo, que produce linfocitos y filtra la sangre; el timo, que es un órgano ubicado debajo del esternón; y las amígdalas, que se encuentran en la garganta. </p>
<p dir="ltr">El linfoma de Hodgkin se forma a partir de un linfocito B que se encuentra en proceso de maduración/activación en el ganglio linfático. Este linfocito sufre una alteración en los genes que regulan su capacidad para producir anticuerpos, y se convierte en una célula incapaz de llevar a cabo su función fisiológica y por tanto debe morir en el ganglio linfático a través de un proceso de muerte celular programada. Sin embargo, y por motivos no bien conocidos, ocasionalmente ese linfocito alterado presenta otras alteraciones en sus genes que le confieren la capacidad de sobrevivir en el ganglio linfático, escapar al control de las células encargadas de la vigilancia inmunológica y proliferar de forma incontrolada. </p>
<p dir="ltr">Por lo general, el linfoma de Hodgkin comienza a afectar a los ganglios linfáticos del cuello o del mediastino (área anatómica que está entre los pulmones y la zona posterior del esternón). También pueden aparecer en los grupos de ganglios linfáticos que están en las axilas, en la ingle, en el abdomen o en la pelvis. </p>
<p dir="ltr">Si el linfoma de Hodgkin se disemina, es bastante común que lo haga al bazo o al hígado. También puede diseminarse a otras partes del cuerpo (pulmón, hueso, médula ósea), pero esto es poco frecuente.</p>
<p dir="ltr"> El linfoma de Hodgkin se diferencia de la mayoría de las neoplasias malignas en su especial composición celular, de forma que en la masa tumoral las células neoplásicas son minoritarias (menos del 1-5% de la población celular total) estando el componente mayoritario constituido por células inflamatorias. </p>
<p dir="ltr">a clasificación de la Organización Mundial de la Salud de los tumores hematopoyéticos divide al linfoma de Hodgkin en dos grandes grupos </p>
<p dir="ltr">Linfoma de Hodgkin predominio linfocítico nodular.<br>
Linfoma de Hodgkin clásico:</p>
<p dir="ltr">Linfoma de Hodgkin esclerosis nodular<br>
Linfoma de Hodgkin celularidad mixta.<br>
Linfoma de Hodgkin rico en linfocitos.<br>
Linfoma de Hodgkin depleción linfocítica.</p>
<p dir="ltr">El linfoma de Hodgkin clásico representa más del 95% de los casos y se caracteriza por la presencia en el ganglio linfático de células gigantes con varios núcleos celulares (células de Reed-Sternberg). Este grupo se divide a su vez en cuatro variantes que, en la actualidad, tienen una evolución muy similar y el tratamiento es el mismo para las cuatro.  El linfoma de Hodgkin clásico sin tratamiento es una enfermedad que puede poner en peligro la vida del paciente en unos meses o en pocos años y, por ello, siempre requiere tratamiento. </p>
<p dir="ltr">La enfermedad responde muy bien al tratamiento primario y la mayoría de los pacientes que alcanzan una remisión completa del linfoma pueden considerarse curados. Las posibles recaídas ocurren casi siempre en los primeros 2 o 3 años tras el tratamiento. Las recaídas después de los 5 años son extremadamente raras.<br>
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Anonymoushttp://www.blogger.com/profile/10412934167264959783noreply@blogger.com0tag:blogger.com,1999:blog-3845228052570366161.post-28748693548138785952013-10-01T21:56:00.002-04:302013-10-01T22:02:55.552-04:30Equipo Multidisciplinario CHET Maxilofacial - Cirugía CardioVascular - Cirugía General - AnestesiaEquipo Multidisciplinario CHET Maxilofacial - Cirugía CardioVascular - Cirugía General - Anestesia<br />
<br />
<br />
Dr Omar Cohen Eizaga<br />
<br />
Dra Omaira Cohen Rios<br />
<br />
Dr Orlando Riera<br />
<br />
Residentes<br />
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Anonymoushttp://www.blogger.com/profile/10412934167264959783noreply@blogger.com0tag:blogger.com,1999:blog-3845228052570366161.post-73845009712089642732013-10-01T21:49:00.001-04:302013-10-01T21:49:20.416-04:30Plasmocitoma Oseo en Mandibula Reporte de un Caso<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El mieloma central de
hueso (Plasmocitoma) es una proliferación neoplásica aislada de células
plasmáticas que tiene afectación solitaria, múltiple y ocasionalmente extra
ósea, los solitarios afectan sobre todo a los huesos largos y esqueleto axial,
siendo rara su localización a nivel de cabeza y cuello. Hasta la fecha, hay
pocos casos reportados en nuestro país . Presentamos a paciente femenino de 87 años de edad quien refiere inicio de enfermedad
hace 6 meses presentando aumento de volumen en hemicara izquierda acude a la
Ciudad Hospitalaria Dr. Enrique Tejera CHET por presentar hemorragia intrabucal
profusa de difícil control lo cual ocasiono anemia aguda, razón por la cual se
decide resolución quirúrgica de emergencia con
equipo multidisciplinario donde se realiza exceresis total de tumor sin
complicaciones intra y postoperatorias ,biopsia reporta plasmocitoma solitario
de mandíbula. Se realiza control por consulta externa al mes, 3 y 6 meses donde
la paciente se encuentra en buenas condiciones generales. Se reporta caso con
localización y comportamiento infrecuente.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Introducción
.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Las neoplasias de células
plasmáticas son definidas como proliferación de células linfoides tipo B . Se
clasifican principalmente en tres entidades : mieloma múltiple
(MM),plasmocitoma solitario óseo (PSO) y plasmocitoma solitario extramedular
(PSE) (1).<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">El MM forma parte de un
grupo de neoplasias derivadas de las células plasmáticas y representa el 90% de
este grupo de tumores . Comparten dos características básicas la producción de
anticuerpos monoclonales y las lesiones líticas Oseas múltiples principalmente
en huesos axiales y extremidades . La afectación de la mandíbula es infrecuente,
aunque el examen radiológico en largas series de pacientes afectados de MM
podría revelar una mayor frecuencia. (2)<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">El PSO se trata de un tumor
de baja frecuencia constituido de células plasmáticas que pueden aparecer en cabeza
y cuello, constituyendo menos del 1% de las neoplasias de esta región y cuando
aparece tiende a localizarse en el ángulo de la mandíbula<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Radiográficamente estas
lesiones se asemejan al ameloblastoma o a un granuloma central de células
gigantes. Representa el 5-10% de los tumores de células plasmáticas y el PSE
menos del 5%. En ambos casos la afectación es local , sin alteraciones
sistémicas marcadas y con mejor pronóstico que el mieloma múltiple. Pronóstico
de Plasmocitoma Óseo Solitario resulta ser peor que el plasmocitoma
extramedular ya que aproximadamente 50%
de los plasmocitomas óseos se transformaran a mieloma múltiple. La forma
aislada de plasmocitoma parece tener un mejor pronóstico(3).<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES;">La etiología de esta patología es desconocida, pero
estimulación crónica, radiación ionizante, sobre radiación, virus e
interacciones genéticas en el sistema retículo endotelial han sido sugeridos
como factores etiológicos. (4)<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES;">Usualmente es detectado en adultos mayores con una
edad promedio de 55 años de edad, teniendo una predilección masculino-femenino
de 3:1 respectivamente(5-6)<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Pacientes
y Métodos (Caso clínico).<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se trata de paciente
femenina de 87 años de edad quien refiere inicio de enfermedad 6 meses previos
a su ingreso presentando aumento de volumen en hemicara izquierda y dificultad
en la deglución ,acude a nuestra emergencia presentando 12horas previas
hemorragia intrabucal profusa de difícil control .<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Al examen físico de ingreso
paciente en regulares condiciones generales Frecuencia cardiaca 110 rpm , Tensión
Arterial :90/60mmhg , palidez cutáneo mucosa, desnutrición proteico-calórica,
pupilas isocoricas, se evidencia masa palpable, pétrea, no móvil en hemicara
izquierda , sangrado intrabucal.</span><span style="font-family: "Arial","sans-serif";">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
observa asimetría facial en tercio inferior izquierdo a nivel mandibular
presentando una lesión elevada de 8cm de ancho por 12 de largo, circunscrita de
consistencia blanda, indolora, en el examen bucal presenta edentulismo maxilar
y mandibular, en región retromolar cursa lesión elevada, circunscrita, de color
rojo-azulado con hemorragia.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se realizan paraclínicos;
laboratorios. Hemoglobina 6 mg/dl Hematocrito . 22% , leucocitos : 18.000,
segmentados : 70%, Plaquetas : 150.000. <o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">La paciente acude al centro
con una Radiografía panorámica donde se evidencia en el cuadrante inferior
izquierdo imagen radiolúcida, ovalada, que se extiende desde el ángulo
mandibular izquierdo abarcando hasta el cuerpo mandibular izquierdo, se
evidencia resorción ósea de cuerpo mandibular izquierdo.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Por presentar sangrado
activo no controlable lo que condiciono a una anemia aguda e inestabilidad
hemodinámica se decide resolución
quirúrgica de emergencia con equipo multidisciplinario (en conjunto con
cirugía general y cirugía cardiovascular) se realiza previo control vascular,
hemostasia prolija, disección por planos, evidenciándose lesión vascularizada,
blanda, de base sésil, se realiza exceresis total de tumoración en cuerpo y
ángulo mandibular izquierdo, no produciendo una comunicación con boca, dejando
indemne el piso de boca y región retromolar, cierre por planos. Se transfunden
hemoderivados y se estabiliza intraoperatoriamente. Se envía al anatomopatólogo
lesión de 13 x 10 cm para su estudio.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Paciente evoluciona
satisfactoriamente sin complicaciones intra y post operatorias, se deja
hospitalizada por un periodo de 10 días en los cuales recibe
antibioticoterapia, se estabiliza hemodinamicamente en conjunto con el servicio
de medicina interna.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se indica radiografía
panorámica post operatoria y control por consulta externa a la semana, mes y 3
meses donde se encuentra en buenas condiciones generales. <o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Resultados:<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se recibe biopsia de tumor
arrojando al examen microscópico lesión neoplásica constituida por una
proliferación difusa de células plasmáticas que se disponen en sabanas con
escaso tejido fibroconectivo laxo tratando de conformar islotes, estas células
se aprecian maduras, algunas con nucleótidos pequeños centrales y cromatina
dispersa en gránulos finos. Se llega al diagnóstico de plasmocitoma solitario
de mandíbula. Es referida a hospital oncológico para control y tratamiento.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En cuanto a la radiografía
control se evidencia en el cuadrante inferior izquierdo defecto óseo post
exceresis de plasmocitoma solitaria de cuerpo y ángulo mandibular, no se
evidencia recidivas.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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Anonymoushttp://www.blogger.com/profile/10412934167264959783noreply@blogger.com0tag:blogger.com,1999:blog-3845228052570366161.post-54786484962574126632012-11-01T22:18:00.000-04:302012-11-01T22:18:00.375-04:30Traumatismo Facial de alto impacto Por Proyectil Arma de Fuego EscopetaSe trata de paciente masculino de 45 años de edad quien inicia enfermedad actual posterior a sufrir herida por arma de fuego escopetazo en región facial el cual ingresa a la unidad de Trauma Shock de la Ciudad Hospitalaria Dr. Enrique Tejera C.H.E.T en horas de la madrugada.<br />
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Se traslada inmediatamente a quirofano practicandosele Traqueostamia de emergencia para garantizar la vía aérea, una vez garantizada la vía aérea, entra el equipo de cirugía maxilofacial liderado por la Dra. Omaira Cohen Rios, los cuales exploran mediante disección prolija y hemostasia a reconstruir todo el estamento facial dañado. Se realiza control de daños posterior a Herida por arma de fuego, reconstrucción de todos los tejidos colocando una placa reconstructiva de titanio y tornillos para devolver la anatomía de la mandíbula, previa reconstrucción del paladar, lengua y pirámide nasal. Cierre por planos y plastia facial.<br />
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Actualmente el paciente se encuentra en estables condiciones generales, y se planifica por el servicio de cirugía maxilofacial de la C.H.E.T intervenciones reconstructivas para devolver la anatomía facial.Unknownnoreply@blogger.com5tag:blogger.com,1999:blog-3845228052570366161.post-5946992809985997932011-10-26T21:29:00.011-04:302011-10-26T22:31:23.930-04:30Higroma Quistico de Lengua<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMqKV8NjvhTup8sz3Sx4Z9PU8qKmeyF_wc3b1Mrfiw75y2-q-a3t9hd1HIHxUt1VwePaaWaBPTapfG3oqPvqNt17ZEW44AiFDmm54SV9Jcr5Z4nfFzOWqT7PioM0tBfBFQLpvQR-cMEkXy/s1600/28.jpg"><br /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyYFZx0wzZzsYjtIiyzeVjC3jFwIpOFPY50h2sUfBHod-kxAAdNQ8JaSaVaU-UM45-re3EEKqyJRH0it_m9bXQEbYs1x0idMqgREIRX9yw51Yg03uAMulif9FXTMvzQOPOrO_iV6Fd4xc3/s1600/1.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyYFZx0wzZzsYjtIiyzeVjC3jFwIpOFPY50h2sUfBHod-kxAAdNQ8JaSaVaU-UM45-re3EEKqyJRH0it_m9bXQEbYs1x0idMqgREIRX9yw51Yg03uAMulif9FXTMvzQOPOrO_iV6Fd4xc3/s320/1.JPG" alt="" id="BLOGGER_PHOTO_ID_5667992987703517746" border="0" /></a><br /><div style="text-align: justify;">Se trata de una niña de 72 horas de nacida, que ingresa al hospital de niños de la Ciudad Hospitalaria Enrique Tejera de Valencia, Edo. Carabobo Venezuela, presentando una insuficiencia respiratoria, por presentar una lesión gigantesca en la lengua que le impide respirar.<br /><br />Se trata de un higroma quistico, que es una anomalia congenita que puede presentarse en cabeza y cuello. Esta lesión se forma en el utero. Normalmente este tipo de patologia crece a la par con el crecimiento del niño en el utero. En este caso el higroma quistico es detectado al nacer.<br /><br />El higroma quistico o linfangioma es un tumor benigno del sistema linfatico de origen embrionario originado por una obstrucción del drenaje de los ganglios linfaticos. El higroma como vemos se desarrolla en la vida uterina y es sumamente raro encontrarlo en la lengua.<br /><br />Se pueden realizar los siguientes examenes pre operatorios que consisten en Rx. de torax, Tomografia axial computarizada (que es la que acompaña este trabajo) y una ecografia.<br /></div><br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMqKV8NjvhTup8sz3Sx4Z9PU8qKmeyF_wc3b1Mrfiw75y2-q-a3t9hd1HIHxUt1VwePaaWaBPTapfG3oqPvqNt17ZEW44AiFDmm54SV9Jcr5Z4nfFzOWqT7PioM0tBfBFQLpvQR-cMEkXy/s1600/28.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 239px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMqKV8NjvhTup8sz3Sx4Z9PU8qKmeyF_wc3b1Mrfiw75y2-q-a3t9hd1HIHxUt1VwePaaWaBPTapfG3oqPvqNt17ZEW44AiFDmm54SV9Jcr5Z4nfFzOWqT7PioM0tBfBFQLpvQR-cMEkXy/s320/28.jpg" alt="" id="BLOGGER_PHOTO_ID_5667995903501758210" border="0" /></a><br /><br /><div style="text-align: justify;"><span style="font-weight: bold;">Tratamiento:</span> es quirurgico de emergencia y consiste en la extirpación del tejido anormal cuando no se comprometa como en este caso, las estructuras de la lengua. En este caso se procedio en el acto quirurgico mediante a sedacion anestesica, a drenar el liquido quistico para reducir el volumen del tumor.Luego se procedio a realizar la intubacion orotraqueal para realizar la marsupialización del quiste. La marsupialización se realizo para proceder a la diseccion del proceso tumoral encapsulado y luego cierre por planos.<br /></div><br /><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBF0JBSmHq9p37Jyeb9lQPc83ti7BhofeBvzXZwBMoLBwQfH9yhGpNj1qnZOmgVhjmIQyenR0kspBUvV2z94DchPR2MDd6l1JE5hdmMspJ3d9q5XO9pUmpicFz60Bv5w1LoPCDlfARhxTi/s1600/2.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBF0JBSmHq9p37Jyeb9lQPc83ti7BhofeBvzXZwBMoLBwQfH9yhGpNj1qnZOmgVhjmIQyenR0kspBUvV2z94DchPR2MDd6l1JE5hdmMspJ3d9q5XO9pUmpicFz60Bv5w1LoPCDlfARhxTi/s320/2.JPG" alt="" id="BLOGGER_PHOTO_ID_5667992968499361410" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGETXI6v1uM534E10JtsPw31aJ5uEnlf06AZU3p9gf86O-1mtud8lxftl9e93jtJYqCTa4tOCoiNlqbgy8SLnxYiRIrbwt5T56bUAv34Itddt9K6VLPHUdrTBjSBKSu13EyHfZdPff53gf/s1600/3.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 239px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGETXI6v1uM534E10JtsPw31aJ5uEnlf06AZU3p9gf86O-1mtud8lxftl9e93jtJYqCTa4tOCoiNlqbgy8SLnxYiRIrbwt5T56bUAv34Itddt9K6VLPHUdrTBjSBKSu13EyHfZdPff53gf/s320/3.jpg" alt="" id="BLOGGER_PHOTO_ID_5667992966478506402" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8wqrUdz7IY1gP_ZFXyLn8dCsjIBuszuI0dINSZ5hevAiM18Z-5hGQBoHAMHkyxRrkHjAaClO9Cf5nFkn6NkjKWfONgkDFH-HbfuBfbYWTbrz_xUaUA7SqdUlrOj4QDtTbnV9OyM2mHzOn/s1600/4.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 239px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8wqrUdz7IY1gP_ZFXyLn8dCsjIBuszuI0dINSZ5hevAiM18Z-5hGQBoHAMHkyxRrkHjAaClO9Cf5nFkn6NkjKWfONgkDFH-HbfuBfbYWTbrz_xUaUA7SqdUlrOj4QDtTbnV9OyM2mHzOn/s320/4.jpg" alt="" id="BLOGGER_PHOTO_ID_5667992953357539842" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAZ2SFFMhnhGrsc-zGgL63g7G0_GgB6lSjO9pID8R5WC88eA8-5mk4XLKzMGwFl6GhwqRGp1SAuZs1tuZk-t1x8UvMbg6prWxaRjqqAvPutxts5dhAybj6SJeYzazJqERipVozJDL_IPuW/s1600/5.jpg"><img style="display: block; 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margin: 0px auto 10px; text-align: center; cursor: pointer; width: 239px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioFBpXUF4Ifg-0TMZwOPaOoH3gLTzvBiJ4WgaOlD-6y3KAkc87iN7RRgnCn62X06IN9XiJwEJECLSZLlYKv2eiHcokerfnvsr3NswOBoNXCLBiLt9dzBTfnGh3kuTczm0QdmW8LDa7x8-Y/s320/29.jpg" alt="" id="BLOGGER_PHOTO_ID_5667987233921157090" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh60rp2EHQ4Q8FhZHotWfaYlxxrcpbpJB-4m7AWq_dRUaw7RSqqconLKDrhQT1aTEjM1WmwthLhZHSkpWn02AUjogKG1rDPfD2ii9z8hf_LLkYQP_FquJoTEqq_a24_lIpuVcF0mbGXoWt6/s1600/30.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 239px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh60rp2EHQ4Q8FhZHotWfaYlxxrcpbpJB-4m7AWq_dRUaw7RSqqconLKDrhQT1aTEjM1WmwthLhZHSkpWn02AUjogKG1rDPfD2ii9z8hf_LLkYQP_FquJoTEqq_a24_lIpuVcF0mbGXoWt6/s320/30.jpg" alt="" id="BLOGGER_PHOTO_ID_5667987227094538850" border="0" /></a><br /><span style="font-weight: bold;">Equipo quirurgico de la CHET que realizo la intervención quirurgica </span>Unknownnoreply@blogger.com12tag:blogger.com,1999:blog-3845228052570366161.post-27647716443735972442011-05-24T12:08:00.010-04:302011-05-24T17:25:52.437-04:30Quiste Submaxilar<p align="justify">Se trata de un paciente escolar de 9 años de edad que acude a la Ciudad Hospitalaria Enrique Tejera, al servicio de Cirugia Maxilofacial Dr. Omar Cohen por presentar tumoracion en la zona submaxilar.</p><p>Al ser estudiado el caso se da con un diagnostico definitivo de Quiste Submaxilar.</p><p>Este quiste se encuentra clasificado dentro de los quistes de los tejidos blandos, pueden tener origen congenito, son entidades benignas que por lo general aparecen localizados en las regiones del cuello, submentoniana y submaxilar. Se requiere una tecnica quirurgica de resección y disección minuciosa para lograr la curación.</p><br /><p>En las fotos publicadas se observa el paciente al llegar al servicio maxilofacial con la tumoración a nivel submaxilar, luego la tecnica quirúrgica y el post-operatorio a los 15 dias en el cual el paciente presento una evolucón favorable.</p><br /><br /><p></p><br /><br /><p><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1AyqSJ5j3jnilePP0fcuSdkYg0lw-MN1tNgqWoxAYHjRmejs1hxv1PXBuUHgxX52MlJRZDyRVyu91W1ctZBA_t7z73Wz1CReUvgzSvR289kIceIbBBVS7l_cfv-8Xv3ie7v-SfIkP9H2K/s1600/DSC02336.JPG"><img id="BLOGGER_PHOTO_ID_5610326990441259634" style="margin: 0px 0px 10px 10px; float: right; width: 240px; height: 320px;" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1AyqSJ5j3jnilePP0fcuSdkYg0lw-MN1tNgqWoxAYHjRmejs1hxv1PXBuUHgxX52MlJRZDyRVyu91W1ctZBA_t7z73Wz1CReUvgzSvR289kIceIbBBVS7l_cfv-8Xv3ie7v-SfIkP9H2K/s320/DSC02336.JPG" border="0" /></a></p><br /><br /><p><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiL3datcqpKPHQ63Up6PgaNc6HflvbDkRsMOxP-rpJeYwI5ezQ1Drji00L7rdKRhVoPvrdiV3PsW1MCly5HhqpeHYfBFt9HXeHSdF0IA1Qg-uSD3KojGfBc41mWtAPZ-6dxQOA7Zc6mLDoy/s1600/DSC02332.JPG"></a></p><br /><br /><div align="center"><br /></div><br /><br /><div align="center"><br /><br /><br /></div><br /><br /><div align="center"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi62WQmGopPqfsZoTXIOuo2tyNB_I8DuI5rMNbD317DlQjXJ0i7sfIXV4-F5eVUpSgO6zEC4pKweDZfAtiKI1QyTQmdQRyOF8fHf0dvBQhhc79JnLiav1hP8a83am19Lp3gowkGh2QEmwyF/s1600/DSC02338.JPG"><img id="BLOGGER_PHOTO_ID_5610326982312768962" style="margin: 0px 0px 10px 10px; 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display: block; width: 320px; height: 240px; text-align: center;" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQIcZCxsECOvA16WRPbEdVqPUkPWD9ooGzpmHqJsq5ttdnJlT16gFjvkEVIrIs7m2EGb8HF9Twah1jO1DXFmw4EB5NCSJazSsdcxxdwvJNcPbcIONXYZd0SUFLnmPnBcA9d62cCq-FcLT_/s320/Camara+de+manu+576.jpg" border="0" /></a><br /><br /><div><br /><br /><br /><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivyl19tO_1fjH2jcNXDdg6sJNllv86EGmKohykjLsGoV-mBNbJFCgJHF63A5ZY03lwGquKo7NyrP0ZcuC4h3Gs0Pg2u6UnBa8QPslajQyusoAbeJsufOxuV2GnOznPukYEKiQAfcqLEeo7/s1600/Camara+de+manu+621.jpg"><img id="BLOGGER_PHOTO_ID_5610324400559384546" style="margin: 0px auto 10px; display: block; width: 320px; height: 240px; text-align: center;" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivyl19tO_1fjH2jcNXDdg6sJNllv86EGmKohykjLsGoV-mBNbJFCgJHF63A5ZY03lwGquKo7NyrP0ZcuC4h3Gs0Pg2u6UnBa8QPslajQyusoAbeJsufOxuV2GnOznPukYEKiQAfcqLEeo7/s320/Camara+de+manu+621.jpg" border="0" /></a><br /><br /><br /><br /><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjqv935T5zfWacEM3uckoAyimJvFBffGgONu6VMdhWr24pyFC9_4BnMYDigsVP1QyEri1ZeTLaDNvu48AJM4K5xIIlziAXgCd_VTU2Cv3vesnrSUuV1kGvpUvI599NPYUYr79wqIneKjKw_/s1600/Camara+de+manu+619.jpg"><img id="BLOGGER_PHOTO_ID_5610324387559333410" style="margin: 0px auto 10px; display: block; width: 320px; height: 240px; text-align: center;" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjqv935T5zfWacEM3uckoAyimJvFBffGgONu6VMdhWr24pyFC9_4BnMYDigsVP1QyEri1ZeTLaDNvu48AJM4K5xIIlziAXgCd_VTU2Cv3vesnrSUuV1kGvpUvI599NPYUYr79wqIneKjKw_/s320/Camara+de+manu+619.jpg" border="0" /></a><br /><br /><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQE3oQh9kfRYKSRfAgCRIqJRBKmfU0TO8VUWmPLujVKeMC7L4shWIZsrouc-3fPRKnDptmYdFIyF3R2uWfhNndtyaZlZycE8EO2q8xLR3WdPtxOkv09DB5SKSE1ioqscl-l_VBi3n1pUQj/s1600/Camara+de+manu+615.jpg"><img id="BLOGGER_PHOTO_ID_5610324383642141714" style="margin: 0px auto 10px; display: block; width: 320px; height: 240px; text-align: center;" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQE3oQh9kfRYKSRfAgCRIqJRBKmfU0TO8VUWmPLujVKeMC7L4shWIZsrouc-3fPRKnDptmYdFIyF3R2uWfhNndtyaZlZycE8EO2q8xLR3WdPtxOkv09DB5SKSE1ioqscl-l_VBi3n1pUQj/s320/Camara+de+manu+615.jpg" border="0" /></a><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><div></div></div></div></div></div></div></div></div><br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3845228052570366161.post-82332556422118252782011-01-20T21:51:00.010-04:302011-01-20T23:24:57.395-04:30Extirpación Quirúrgica de un Ameloblastoma RecidivanteEl ameloblastoma es un tumor que tiene su origen en las células embrionarias productoras de los germenes dentarios. Es un tumor odontogenico que se le conoce con el nombre de adamantinoma, de crecimiento lento, pero que en sus estadias terminales pueden desarrollar malignidad, por lo cual en su comportamiento puede decirse que es un tumor de tipo benigno.<br /><br /><br />Al examen radiologico se distinguen 2 tipos, unilocular y multiloculares, estos últimos dan la imagen de pompas de jabón. Los uniloculares casi siempre se confunden con quistes benignos.<br /><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9_JfIfGQrPj7uGmDI3pGJJTn620qxtMNXBV-WAV7r3KzHOkQMsUUrzA-2_qh6d8pZCoNyINdo-Nh2kLs_WNAWBRzZZE3InzjbvJld1DC9CAdb7dKg1tc-dsWcy_Vv8w9M2zOJ0lvcM5bv/s1600/100_2959.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9_JfIfGQrPj7uGmDI3pGJJTn620qxtMNXBV-WAV7r3KzHOkQMsUUrzA-2_qh6d8pZCoNyINdo-Nh2kLs_WNAWBRzZZE3InzjbvJld1DC9CAdb7dKg1tc-dsWcy_Vv8w9M2zOJ0lvcM5bv/s320/100_2959.JPG" alt="" id="BLOGGER_PHOTO_ID_5564479920944132642" border="0" /></a>Imagen radiologica de hace 10 años de la lesión.<br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivUwuD26A6pguuOoeYNR680PsWJcfAqKXiQbOHZsq6U705Upic1qbqIIb6tfRmWMjt6-LjFhQ92c40fi51KQV4-vZ1X-PQMadMXxFr-eVx3oUpOKOU2z6hcMJK2zy9tLM5ITcvYpnWcpRD/s1600/100_2960.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivUwuD26A6pguuOoeYNR680PsWJcfAqKXiQbOHZsq6U705Upic1qbqIIb6tfRmWMjt6-LjFhQ92c40fi51KQV4-vZ1X-PQMadMXxFr-eVx3oUpOKOU2z6hcMJK2zy9tLM5ITcvYpnWcpRD/s320/100_2960.JPG" alt="" id="BLOGGER_PHOTO_ID_5564479229038580194" border="0" /></a><br />Placa de titanio con tornillos colocada en el primera recosntrucción<br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQHFgAgonDAyJwye8yXIp6QX4h4-gs1OfTvdUBz4l9cDDUwsB3v-P0QmIV2bNX_2Q3p4tir13pwaQ594nctTPV8FPef5Tf0eh86vjyDlRVdQ4CqjzUlXF5uBelQUekXnS5tlMkAb2cjMGZ/s1600/100_2961.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQHFgAgonDAyJwye8yXIp6QX4h4-gs1OfTvdUBz4l9cDDUwsB3v-P0QmIV2bNX_2Q3p4tir13pwaQ594nctTPV8FPef5Tf0eh86vjyDlRVdQ4CqjzUlXF5uBelQUekXnS5tlMkAb2cjMGZ/s320/100_2961.JPG" alt="" id="BLOGGER_PHOTO_ID_5564478779124589330" border="0" /></a><br /><br /><br /><div style="text-align: justify;">Estos tumores crecen por extensión hacia los tejidos adyacentes y pueden perforar al hueso. El diagnostico se realiza por previa biopsia, son tumores expansivos de crecimiento lento algunos en su comportamientoy otros crecen rapidamente presentando tendencias definidas a la malignidad. Para establecer un diagnostico preciso se debe diferenciarlo del adenoma ameloblastico y el fibroma ameloblastico ambas dos entidades benignas. Este tipo de tumor aparecen con mayor frecuencia en la segunda y tercera edad de la vida.<br /><br />El caso que se presenta es de un paciente de 56 años, que se le practico hace 10 años hemimandibulectomia por presentar un ameloblastoma mandibular , reconstruyendolo con un placa de titanio fijado al condilo mandibular y a la sinfisis con implantes de chips de cresta iliaca. Este tumor evoluciona favorablemente hasta Octubre de 2010 en el que el paciente refiere aumento de tamaño de hemicara izquierda, se realiza la biopsia respectiva dando como resultado un ameloblastoma recidivante sin signos malignos.<br /><br /><br />Se somete a intervencion quirurgica bajo anestesia general inhalatoria, intubacion nasotraqueal por endoscopia por intubacion dificil y por via de Risdon o sub-angulo mandibular se procede mediante disección prolija y hemostasia a la resección del proceso tumoral, dejando la placa de titanio bien esqueletizada. Con esto queremos demostrar que este tipo de tumor en estadias posteriores no desarrollo malignidad sino que presenta crecimiento recidivante, pero en el tiempo transcurrido la operación se puede considerar como exitosa.<br /></div><br /><br /><br /><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyqcw_2VsGu42zlezzbrmMYjme_3XwNHjYCskOfMcl_ka0aSzXJZW_zKgIpV2haE2xKx1RsxVkJ5cT5Swph6SXyuZzpwDWI15B3LHT_Q9DY5tdstOB2NVaj9Y_IHLZVCcyj2imlFY4nx9p/s1600/100_2962.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyqcw_2VsGu42zlezzbrmMYjme_3XwNHjYCskOfMcl_ka0aSzXJZW_zKgIpV2haE2xKx1RsxVkJ5cT5Swph6SXyuZzpwDWI15B3LHT_Q9DY5tdstOB2NVaj9Y_IHLZVCcyj2imlFY4nx9p/s320/100_2962.JPG" alt="" id="BLOGGER_PHOTO_ID_5564478775895527506" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg8Sf08u8GS-IHL5cWfLRdPZ3ehXhgAOmkwz42g8N3LTWB9djXroHiJbPvGPnDlun3g4dS8QkRnuk2SJuHcfmd4WtpPDrH2KXMVkk3E8GWrKO4pmHQUuNoYpuF2c9DdC2yMkcYsYaWGSXfN/s1600/100_2963.JPG"><img style="display: block; 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Colocación del separador de Digman<br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNy6cXOpygl0Q-sw_rohz5VC0lboi9AuClSGx1E8Too8-yfm8GctF-oGf9J4bFq-2YV3OS9ak0wn4pG5WO8ysOzG1Cyml_gO0QNxZ1vcYCtvrRyYUnkEtmoUNe4bpnx1AnScnk_zZy3M2N/s1600/100_3042.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNy6cXOpygl0Q-sw_rohz5VC0lboi9AuClSGx1E8Too8-yfm8GctF-oGf9J4bFq-2YV3OS9ak0wn4pG5WO8ysOzG1Cyml_gO0QNxZ1vcYCtvrRyYUnkEtmoUNe4bpnx1AnScnk_zZy3M2N/s320/100_3042.JPG" alt="" id="BLOGGER_PHOTO_ID_5564475675472673682" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-rDEsPFVKlwi78hvCshK80WNPbVV1OCQ2ZQKGf7b9b-xb5Ydd_I-fs0RHm12wu9m1AhG8_kOxJUvn3-yhJqv_9rY_H5iot-eipozEWTZ1WFQtRF75nbOQN7OAwFr4PeP9DGL4iIOH5EYc/s1600/100_3049.JPG"><img style="display: block; 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margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUijGwdvhVeGU6qoJtr_uG_rNviZcBccHYfar1Jl8ENMzPXPte2nreYdHjCL3dFwbxfM6ejUD9Yj3eFg3vbwLxXbDvsoilndkPZtM3_jKfWSnlzpfM7lIDMUsJJ5-Y620I513W2uns90CZ/s320/100_3077.JPG" alt="" id="BLOGGER_PHOTO_ID_5564472898987335970" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfdjdDhGFtZ2O-ciP1AeaVeVMlXewiqF6iC_PnnWRcSkQ69JKlo0hhFQM5mZj7URbYsYbASrsHowVc7528qPjhawIpPWypwqkq_VUtI0z0KJeQ4M6mGGC_LcaUyugWo6KsKwNyqEeNA2Lw/s1600/100_3078.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfdjdDhGFtZ2O-ciP1AeaVeVMlXewiqF6iC_PnnWRcSkQ69JKlo0hhFQM5mZj7URbYsYbASrsHowVc7528qPjhawIpPWypwqkq_VUtI0z0KJeQ4M6mGGC_LcaUyugWo6KsKwNyqEeNA2Lw/s320/100_3078.JPG" alt="" id="BLOGGER_PHOTO_ID_5564472886123546962" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyVxyG5tX4mdMr1q74k5AA48gIXMTyxrccHO6_4eu5NnYlRJbw4ybVCLylH_89HEAgGPbkV83lyQMgx5wrx3CK70lgsGDJ1gah3TzBHalSFQ4XdpvMBrhtj7GBCxmt5O67sFhTMawRt8gn/s1600/100_3081.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyVxyG5tX4mdMr1q74k5AA48gIXMTyxrccHO6_4eu5NnYlRJbw4ybVCLylH_89HEAgGPbkV83lyQMgx5wrx3CK70lgsGDJ1gah3TzBHalSFQ4XdpvMBrhtj7GBCxmt5O67sFhTMawRt8gn/s320/100_3081.JPG" alt="" id="BLOGGER_PHOTO_ID_5564472886703284370" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEQOlwKTaMGo-OLv3f2bWO7VI-29KVZEHehPvghlrqNcPF7ReTmfftR2Er4wTobjNQvfaxQmjbbSeM9DowXVCMuJ62qErpmmjjpVRGxAF6ndg0Q38wChuMTXPXPy0j52I0utY7ICxXut2r/s1600/100_3083.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEQOlwKTaMGo-OLv3f2bWO7VI-29KVZEHehPvghlrqNcPF7ReTmfftR2Er4wTobjNQvfaxQmjbbSeM9DowXVCMuJ62qErpmmjjpVRGxAF6ndg0Q38wChuMTXPXPy0j52I0utY7ICxXut2r/s320/100_3083.JPG" alt="" id="BLOGGER_PHOTO_ID_5564472879581503906" border="0" /></a>Imagen Radiografica con intensificador de imagen en el momento que se termina la operación, donde se aprecia la intubacion y la correcta colocación de la placa<br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmfeWHxL4EKtqzoTvQozcPctx-uP7zcH3BYNFF-m8Q0Zyfa8Usvc6dw9GHOt66acIuOf5Rf-DzHkglW201L-KEhQyRDFd19UrY_5c1kfbfjkre6boqlZxlxDxm71IeYoGSbx9AOjnv6KwA/s1600/100_3084.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmfeWHxL4EKtqzoTvQozcPctx-uP7zcH3BYNFF-m8Q0Zyfa8Usvc6dw9GHOt66acIuOf5Rf-DzHkglW201L-KEhQyRDFd19UrY_5c1kfbfjkre6boqlZxlxDxm71IeYoGSbx9AOjnv6KwA/s320/100_3084.JPG" alt="" id="BLOGGER_PHOTO_ID_5564472874863398930" border="0" /></a><br /><div style="text-align: justify;"><br /></div>Unknownnoreply@blogger.com5tag:blogger.com,1999:blog-3845228052570366161.post-18612615636575563762010-08-25T20:16:00.008-04:302010-08-25T20:59:48.167-04:30Resección de glandula submaxilar por tumor mixto adenoma pleomorfo con añadido de fibroquisteSe trata de paciente femenino de 18 años de edad quien presenta tumoracion indurada en la región sub-angulo mandibular. <br />En la intervención quirúrgica se realiza una incisión baja en la piel para evitar que se lesione la rama mandibular del nervio facial. En la disección prolija se debe evitar la lesión de los nervios Hipogloso y Lingual, se hace la ligadura de la vena facial anterior superficial mientras que la arteria que la acompaña la maxilar interna se liga en su comportamiento a través de la glandula.<br /><br />Las relaciones anatomicas que hay que seguir en el acto quirúrgico desde afuera hacia adentro son: - piel, - musculo cutaneo del cuello con su delgada aponeurosis, - Nervio Mandibular, - Vasos y Capsulas de la glandula.<br /><br />Los ganglios linfaticos se encuentran tambien dentro de la capsula de la glandula y los que se consiguen en la periferia deben ser extirpados. Muy importante es la preservación del nervio facial, del Nervio Lingual y del Hipogloso para evitar daños colaterales.<br /><br /><br />El conducto de wharton debe ser ligado adecuadamente solo debe ser extirpado cuando se esta en presencia de litiasis del conducto de Wharton para evitar una futura Whartonitis.<br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEja2vmBb_LXEftiOyME_J0nLggiH6bB8gXzCPW3unf4X0KUel630_Hcoyssotcx0Ig5KHizOsArwjUWuQMu_WCAPUuFo2BkySjEsbN5LbQXLyQpybjMZPIDd4ymlNITgbfQ3vRfSePBBVUG/s1600/100_2724.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEja2vmBb_LXEftiOyME_J0nLggiH6bB8gXzCPW3unf4X0KUel630_Hcoyssotcx0Ig5KHizOsArwjUWuQMu_WCAPUuFo2BkySjEsbN5LbQXLyQpybjMZPIDd4ymlNITgbfQ3vRfSePBBVUG/s320/100_2724.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5509522603049851218" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuZDw5O-TGKoxIRzVhB-o2PpXF0xf5jtm3r0v1ZgkByAsAglKs_IttQWZZh0NQ06HMA2q8MUf2UfjZlDk_V7VjJX0gRNPEWgxG_fuO7ZyrUiLuWOgkkJudfBH_XS_Ck2pZilNHkzFTypXo/s1600/100_2726.JPG"><img style="float:left; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmU3YIATWLvbM2XIwIoaKy-10rDfg-I8Dlg99xSdtidgh8rE65_9Ua0xr4CacyaR5jX_dBhSuyizRAmFzJSfe2KqfhIeOYkp1tQ4RQDEilgPK_-KRcG-ngowYewO0wdYW82r2TGNkOrAAt/s320/100_2871.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5509517778517727122" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyPDw0H_X2qIYpxefYJT-Werth23NDnGLh7LdAfFJj1O36xg3Jd4pHBFabELeGikBM-sSFRfXZhSQK4iPAbLQVAc2H0tJvJspN85kNhzh8Q_50MYHcRNduIA3mst47fqWePz2HrlS6ISYv/s1600/100_2882.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyPDw0H_X2qIYpxefYJT-Werth23NDnGLh7LdAfFJj1O36xg3Jd4pHBFabELeGikBM-sSFRfXZhSQK4iPAbLQVAc2H0tJvJspN85kNhzh8Q_50MYHcRNduIA3mst47fqWePz2HrlS6ISYv/s320/100_2882.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5509517761289719586" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZjN0g-CKfXiE-c1GcOs3ZvPdXucUzon1CTIFYXkyrlhHxXnof71Bnt49OAjPflXIVFhN-wj1fX_i1Foqaf5FuI9mmHDLEMIjje8flkx0AYLUBm5Wgvgf3K_fDfc6r2NWpU9fE8eMO4W1h/s1600/100_2883.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZjN0g-CKfXiE-c1GcOs3ZvPdXucUzon1CTIFYXkyrlhHxXnof71Bnt49OAjPflXIVFhN-wj1fX_i1Foqaf5FuI9mmHDLEMIjje8flkx0AYLUBm5Wgvgf3K_fDfc6r2NWpU9fE8eMO4W1h/s320/100_2883.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5509517753645625762" /></a>Unknownnoreply@blogger.com6tag:blogger.com,1999:blog-3845228052570366161.post-45291527136624769322010-05-12T23:01:00.002-04:302010-05-12T23:08:32.209-04:30Derivación submandibular en la intubación orotraqueal para cirugía máxilofacial.Derivación submandibular en la intubación orotraqueal para cirugía máxilofacial. <br /><br />Caso publicado en la revista Salud Integral Hoy. Año VI .Nº XXXIX<br />Dra. Omaira Cohen. Cirujano Maxilofacial.<br />Dr. Jose Escobar. Anestesiólogo.<br /><br />En el manejo de la vía aérea en los pacientes afectados de fracturas del tercio medio facial, constituye un reto para el anestesiólogo y el cirujano, ya que las vías naturales de intubación, nariz y boca, están comprometidas por el traumatismo. Por otra parte, estos pacientes usualmente requieren de inmovilización maxilomandibular trans y post operatoria. Los métodos tradicionales de abordaje y mantenimiento de la vía aérea que se han empleado han sido la traqueostomia y el cambio de tubo de nariz a boca, tratando primero la nariz y posteriormente el maxilar y mandíbula. Actualmente la intubación submandibular o submentoniana ha ganado un lugar en el manejo de estos pacientes dado a su factibilidad, seguridad y pocas complicaciones en comparación a los métodos mencionados.<br /><br />La técnica inicialmente descrita por Hernandez Altamir en la década de los ochenta, ha sido objeto de modificaciones en cuanto al sitio de acceso en el piso bucal. En nuestra experiencia, que data de apenas cuatro años, cuando comenzamos a utilizarla en el Hospital Central Enrique Tejera de Valencia, aplicamos la vía parasinfisiaria, obteniendo excelentes resultados y sin complicaciones en un historial de 14 casos clínicos.<br /><br />Este procedimiento no interfiere con la manipulación quirúrgica intra oral y la fijación maxilomandibular. Además no presenta secuelas quirúrgicas de importancia, evita lesión de estructuras nasales y el riesgo de intubación craneal, lo que permite al cirujano, la libre manipulación de los segmentos óseos, así como la exclusión de una traqueostomia y con ello mayores complicaciones post operatorias. Las secuelas reportadas son leves y de fácil resolución, como son la infección en el sitio de la incisión y las fístulas buco cutáneas. En cambio en la traqueostomia, requiere de mayor disección quirúrgica y manipulación de estructuras anatómicas, tomando mayor tiempo quirúrgico para establecer una vía aérea segura, con el riesgo de lesiones del nervio laríngeo recurrente, la glándula tiroides, hemorragias y fístulas traque-esofágicas entre otras.<br /><br />Finalmente, la intubación submandibular es una técnica sencilla, con indicaciones específicas en las que presentan ciertas ventajas y evita las complicaciones de una traqueostomia sin llegar a sustituir este método cuando existe su indicación formal. Nosotros la empleamos en pacientes con fracturas de tercio medio facial y mandibular que va a requerir de fijación intermaxilar, que no presenta otras lesiones importantes de otros órganos vitales, y con posibilidad de extubación temprana post operatoria. <br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOu0f302136bHFFwAdfjhwOF1KSBCtrUwnERooan5MNkn0P9C5YqMM4RoeMI7Ey6dnDjuT5DwR_CIkRbJ-diRMb0iWRxtHI2wo5WGnQJOL1IlHyAJEqnwpACAO49xaVxK42VVTYxMa3rrh/s1600/Imagen3.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 215px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOu0f302136bHFFwAdfjhwOF1KSBCtrUwnERooan5MNkn0P9C5YqMM4RoeMI7Ey6dnDjuT5DwR_CIkRbJ-diRMb0iWRxtHI2wo5WGnQJOL1IlHyAJEqnwpACAO49xaVxK42VVTYxMa3rrh/s320/Imagen3.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5470593761144296226" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDQEw1lPpnMg5ZjE9dR_8qyn-dIigiXZMndcLrg3BveSErX34Loo0XxC2oOi3bS9CrmQ17ksl3yyvtyUPbNLZaY_A1Q7CFMjdMltUcnyczoOCt1IR1Eru0FpwIDhfvUoeWEAYmCyh-luC2/s1600/Imagen2.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 189px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDQEw1lPpnMg5ZjE9dR_8qyn-dIigiXZMndcLrg3BveSErX34Loo0XxC2oOi3bS9CrmQ17ksl3yyvtyUPbNLZaY_A1Q7CFMjdMltUcnyczoOCt1IR1Eru0FpwIDhfvUoeWEAYmCyh-luC2/s320/Imagen2.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5470593754502143858" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlbTEk-5vDzOBfxMKfUmZfqoscrwp05g8qgerQf84XmQrqOukmJzJACjwp7sHWEbqknEZEAK1COZOdiDbCJFQ-RorMkilk6X1VOVX9CsnsHXCXgukH5NGT9Jjt6VzPECJ80fKyNjvInpf-/s1600/Imagen1.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 194px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlbTEk-5vDzOBfxMKfUmZfqoscrwp05g8qgerQf84XmQrqOukmJzJACjwp7sHWEbqknEZEAK1COZOdiDbCJFQ-RorMkilk6X1VOVX9CsnsHXCXgukH5NGT9Jjt6VzPECJ80fKyNjvInpf-/s320/Imagen1.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5470593750856127634" /></a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-3845228052570366161.post-71993964117499321202010-05-07T23:31:00.004-04:302013-10-01T20:33:35.576-04:30Equipo Multidisciplinario en Neurocirugia y MaxilofacialEquipo Neurocirugia: Dr. Hanny, Dr. Luis Rodriguez, Dr. Javier Lopez, Dr. Ramon Pinto<br />
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Equipo Maxilofacial: Dra Omaira Cohen, Dr. Omar Cohen Eizaga, Dra. Judith Pimentel.<br />
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Lugar: Centro Policlinico Valencia La Viña<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDUrz5Jl2MSmcmzaVX_9SX7x6bf8a3SBGfQ8Np-KEU_iiYezduZol6yoFsoal2C2q8YTBVkn6OIjdy8NG2014ks7sd_YVlc9y9KM-Mwl1g-cKCeHrUXufTb3biIA7mw6r8giiXXdwuDN9N/s1600/DSCN9745.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5468745748160924514" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDUrz5Jl2MSmcmzaVX_9SX7x6bf8a3SBGfQ8Np-KEU_iiYezduZol6yoFsoal2C2q8YTBVkn6OIjdy8NG2014ks7sd_YVlc9y9KM-Mwl1g-cKCeHrUXufTb3biIA7mw6r8giiXXdwuDN9N/s320/DSCN9745.JPG" style="cursor: hand; cursor: pointer; float: left; height: 240px; margin: 0 10px 10px 0; width: 320px;" /></a><br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim_JzH2bWZ_UnJrCgS1N9-YU6AMbiLyWjZU4eyIuNgph1rjpyr5bBonLYzLCiI40ZA3MBFWU2sJve0DAhnBY_npkjjs2plfKTcSZHn9Pr6FK9qf0_LDox4TAywxPZKbcavwtfGpKUK1iCv/s1600/DSCN9746.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5468745744079150226" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim_JzH2bWZ_UnJrCgS1N9-YU6AMbiLyWjZU4eyIuNgph1rjpyr5bBonLYzLCiI40ZA3MBFWU2sJve0DAhnBY_npkjjs2plfKTcSZHn9Pr6FK9qf0_LDox4TAywxPZKbcavwtfGpKUK1iCv/s320/DSCN9746.JPG" style="cursor: hand; cursor: pointer; float: left; height: 240px; margin: 0 10px 10px 0; width: 320px;" /></a><br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiULyLmjBU_6fdiMy-tOUiZosYQwAVZTy-_9PC3SyuTSxJ-03picLwEyDzCqaHOV5L1TfBllitkD7Ip0lFyt6SnsvsJvV-Uegi5jEtuNIZGPm58y0asaMduhb1-cnH-IUttXy5zBdwfiNmm/s1600/DSCN9747.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5468745734604001442" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiULyLmjBU_6fdiMy-tOUiZosYQwAVZTy-_9PC3SyuTSxJ-03picLwEyDzCqaHOV5L1TfBllitkD7Ip0lFyt6SnsvsJvV-Uegi5jEtuNIZGPm58y0asaMduhb1-cnH-IUttXy5zBdwfiNmm/s320/DSCN9747.JPG" style="cursor: hand; cursor: pointer; float: left; height: 240px; margin: 0 10px 10px 0; width: 320px;" /></a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3845228052570366161.post-91889097721430244642010-05-07T22:46:00.005-04:302010-05-07T23:15:00.116-04:30Mordida Abierta, Mordex ApertusSe trata de un paciente de 20 años de edad, que acude a la consulta de nuestro servicio en la ciudad hospitalaria Enrique Tejera de Valenca por presentar mordida abierta anterior, deglución atipica y respiración bucal. Previa toma de impresiones y llevadas al articulador semiajustable de hanoe se realizaron los cortes previos a la cirugia para corregir la patologia y confecciónar la ferula rigida de acrilico, la cual nos ayuda a llevar los segmentos quirurgicos de la osteotomia realizada durante el acto quirurgico a la posición en la cual deben quedar, utilizando como bloqueo maxilo-mandibular los arcos de erich con ligaduras elasticas y alambres de acero inoxidable para hacer la fijación de los segmentos.<br />En las diastasis obtenidas en la separacion de segmentos se coloco ingerto osea de cresta iliaca, no se usaron placa de titanio ya que en esa epoca no habian salido al mercado, ya que este es un caso quirurgico de los principios de los años 90.<br /><br />acontinuación la secuencia quirurgica: 1.- osteotomia segmentaria de maxilar,2.- osteotomia segmentaria de la región mentoniana cuidando la integridad de los dientes, 3.- bloqueo maxilo-mandibular con arcos de erich y ligaduras elasticas.<br /><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtwM_OBbaZaJycoFi31OIfKGyul93EqffrjNyLM3iA-rTXcXNwTm7GFBBIOpME2s9USdIIm-iMagSlAPtrrSUIqfknS52OnGaqxOotZet4XgEpAW_gYFts506QBjeHLtkIn3OWZn-YwNus/s1600/Imagen1.jpg"><img style="float:left; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 221px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEittJO7aSo8Zo7cnwUjoDdJ-mBiaE5DOq0ZmLos514IhHYsxZFr76tfIbdfXX13sGM2H7nZ4WZS5K7WxMldCuVOTh9CWxEIWBtxgqqIJsD2Z6OXSSVZhuDTyci5Q27M1fuyPWtb8EmPFxbT/s320/Imagen9.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5468735154027934050" /></a>Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-3845228052570366161.post-82547987363746024272010-04-25T16:27:00.009-04:302010-04-25T19:54:47.035-04:30Hemangioma Cavernoso de MandibulaEn los maxilares aparecen tumores que no tiene origen en el hueso ni en el tejido odontogenico, se pueden presentar algunos tumores como el hemangioma, el neuroma traumatico. Este tipo de tumor se produce por la proliferacion intraosea de vasos sanguineos, son tumores como su nombre lo indica de origen vascular. De por si son neoplasias que presentan el peligro de hemorragias incoercible, se pueden tratar los hemangiomas pequeños con agentes esclerosantes.<br /><br />El caso que se presenta se le practico la arteriografía y se practico a nivel de la bifurcación de la carotida externa la embolización para disminuir el riesgo de una hemorragia masiva. Es importante saber que existen 2 tipos de hemangioma, el hemangioma juvenil y el hemangioma cavernoso el cual vamos a describir. El procedimiento quirúrgica consta de colocar 2 placas de titanio con tornillos, una la inferior para darle soporte a la porcion bacilar del hueso mandibular para que no se fracture y la placa de titanio superior para fijar los fragmentos de hueso de cresta iliaca que se colocaron para la reconstruccion como ingerto osteogenico, todo esto luego de haber ennucleado con margen de seguridad el hemangioma en cuestión.<br /><br />secuencia radiografica: en la primera Rx. panoramica se observa una gran lesión radiolucida. La segunda Rx. panoramica se onservan las placas de titanio colocadas. En la tercera Rx. panoramica se observa que se retiraron las placas de titanio ya que hubo una regeneración osea y en la cuarta y última Rx. panoramica se observa la protesis dental que se le coloco al paciente.<br />Hay que hacer enfasis en la extirpación quirúrgica completa de este tumor por lo dificil de establecer el tamaño de la lesion previo al acto quirúrgico, algunos autores en los hemangiomas pequeños, indican a utiluizar agentes esclerosantes que se inyectan directamente en la lesión y algunos llegan a indicar como tratamiento la irradiación, pero esta practica va cada dia mas en desuso dejandola para el tratamiento de la lesiones neoplasicas. <br /><br />Caso Clinico presentado en el XI congreso de cirugia bucomaxilofacial de la sociedad venezolana de cirugia maxilofacial 2007.<br /><br />Puedes ver la operacion ingresando a galeria de videos o directamente a: http://www.youtube.com/user/omarcohen#p/a/u/1/UMinkGY5cpE<br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhRcoQAY19Fnifstb6Hxc1CabYClZWNB5jB7lPsuK3eOzns6Tbow-EJkp3DxD3UlgfPc9j-sUYuR3r2rw-wEDOrlajXoNJwB-i0Q-e204erJfzipe-GFyLZjNEF9l7ztVKuzqqjmi7QPm1p/s1600/rx+inicial.jpg"><img style="float: left; 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margin: 0pt 10px 10px 0pt; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4k8Tb9c8PBapICgwGMUX5xQwaeSx3C1szDn5vujg386MozOAKjcffUJrg-JxMyei7HjJ_FOgKdNNCbYeuS-fd2aHA6ES3iOa-_NLrHnMyPW463uANLHIq8FtguBiS4cNkorSA1e0bWPNu/s320/P1010043.JPG" alt="" id="BLOGGER_PHOTO_ID_5464185816621434066" border="0"></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjw6waoRT9ySedEvzRvjdZ1jCQBz0hmTPBjAO_KsS3EHPcoFRN7MWacTiq0kskgYH5w2gF21DE42Y_egmcaHUyQXNvvkcUQqtlwpJmJUO_-RfdKCqh6eNzReYJFqcD7kgKSHjNy71cXn9mP/s1600/P1010041.JPG"><img style="float: left; margin: 0pt 10px 10px 0pt; cursor: pointer; width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjw6waoRT9ySedEvzRvjdZ1jCQBz0hmTPBjAO_KsS3EHPcoFRN7MWacTiq0kskgYH5w2gF21DE42Y_egmcaHUyQXNvvkcUQqtlwpJmJUO_-RfdKCqh6eNzReYJFqcD7kgKSHjNy71cXn9mP/s320/P1010041.JPG" alt="" id="BLOGGER_PHOTO_ID_5464185812856840722" border="0"></a><br /><object id="BLOG_video-FAILED" class="BLOG_video_class" contentid="FAILED" width="320" height="266"></object><br /><br /><br /><br /><br /><br />.Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-3845228052570366161.post-65062355307281987682010-03-27T14:12:00.007-04:302010-03-27T14:42:05.252-04:30Adenoma Pleomorfo de Glandula SubmaxilarPaciente femenino de 38 años que acude al nuestros servicio en la ciudad hospitalaria Enrique Tejera de Valencia, Carabobo Venezuela, con una tumuracion de larga data de evolucion situada en la zona submandibular derecha, de consistencia dura, sesil, indolora que al palparla da signos de crepitacion. Previa realizacion de todos los examens pre operatorios, se procede a la extirpacion quirurgica, utilizando como via de abordaje la via de Ridsdong, haciendo incision a dos dedos a traves del cuerpo de la mandibula, diseccion prolija, hemostasia ligando la arteria facial, obviando el nervio facial en su rama de yaffee, cuidando la integridad del nervio hipogloso, el facial y sus ramas, y las estructuras anatomicas de la zona como son el vientre anterior y posterior del disgastrico y los musculos milohiodeos del piso de la boca. Cierre por planos. Se trata de un tumor de consistencia dura, de 6 centimetros, aspecto granulomatoso que indica su consistencia hialinica. La paciente fue dada de alta al siguiente dia para llevar un control post operatorio inmediato en la consulta externa, destacandose la evolucion satisfactoria.<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjb6bdMmPPaccwMDWJJuqRbAsU1DwgNIVpENvQfwjogrfJoZK_01DKJOtLYwmk7z15UFOttayTrppOys3EdhiPFXio9YGZE3AsG4iFLfMdbVWbmz1JTNEbplqAkYL1r4MzkviTWrJ93rHV5/s1600/DSC02668.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjb6bdMmPPaccwMDWJJuqRbAsU1DwgNIVpENvQfwjogrfJoZK_01DKJOtLYwmk7z15UFOttayTrppOys3EdhiPFXio9YGZE3AsG4iFLfMdbVWbmz1JTNEbplqAkYL1r4MzkviTWrJ93rHV5/s320/DSC02668.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5453390794405294114" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-IMOTR2lQo-sE6iouX1tpmDoRsL8Ic23xV4At58oRAJNnCg0xOwKP8fKEEYh2cyLeY2rCwaDff8FYbBjQH9qwpCpNOC4LOfHAlpgx9RK-TKS7S39jQB_bXONVnK0CXNBRf5Wd3QRvV6WB/s1600/Imagen2.jpg"><img style="float:left; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj6V9km5iuvL5gmVitCMleUvFh8PCnncUcOVThk0jlZmM2rpTJAgyavz8M0kXIXGdq-LTTciE6r-c0Tlpr4R4RQ-yONoTaOab_bIvFhnAx8JnoFprzwziUeu3Gd8fPN2wvw78LLIPhsXaOH/s320/DSC02696.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5453386997428682898" /></a>Unknownnoreply@blogger.com7tag:blogger.com,1999:blog-3845228052570366161.post-32416440319400221942010-03-18T22:26:00.008-04:302010-03-19T19:15:38.583-04:30Reconstruccion de Fistula Bucal Post HemimandibulectomiaPaciente masculino de 68 años de edad, quien fue sometido a una intervencion quirurgica para realizarle la extirpacion de un carcinoma, colocandole en su lugar una placa de titanio con condilo incluido y vaciamiento de cuello.<br />Posteriormente El paciente acude a la consulta para resolucion de una fistula. presentandose con un Levin para alimentacion parenteral por lo cual su via aerea estaba comprometida y para lo cual se le practico previamente una traqueotomia baja, que facilito la reconstruccion de la via fistulosa, mediante diseccion meticulosa del musculo Masetero, Pterigiodeo Interno, Platisma, Musculo disgastrico y los musculos del piso de la boca. En las fotografias se aprecia la secuencia clinica del caso. 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwgpTJZoK8pWMYGfnTAq1l7J6nQczWDgNlZLXpsO-sAdjeuYmogRfYQXWvNRTi9ptImHSsEGw7045XkxugPdqfLEyG6IgP79VJByWiOCuFfPWMFUw8ah0CILuthf1srom3o21_D8tuOy0H/s320/2.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5450176409511091586" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-mErdz9gR1K9-P5xUMoJ0o4NadHNtGo-CfR5os24gySnxapfdkj6OmprrJRb_uVlyNOSqPzFS4_DpHZ8mL13tdJy7ZF-DWyJJZ6jqO2FzLyZUnm_eh8BIX-yrjRa3-hlnKQWgF2xsYCeD/s1600-h/1.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-mErdz9gR1K9-P5xUMoJ0o4NadHNtGo-CfR5os24gySnxapfdkj6OmprrJRb_uVlyNOSqPzFS4_DpHZ8mL13tdJy7ZF-DWyJJZ6jqO2FzLyZUnm_eh8BIX-yrjRa3-hlnKQWgF2xsYCeD/s320/1.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5450176405821606690" /></a>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-3845228052570366161.post-71252538657322266022010-03-17T23:42:00.005-04:302010-04-10T02:38:35.693-04:30Cirugia Ortognatica Caso 2Paciente Masculino de 17 años de edad, acude a la consulta por presentar exceso de dimension vertical del menton, se le practico cirugia bajo anestesia general inhalatoria, intubacion naso-traqueal para realizar osteotomia deslizante doble del menton con el fin de reducir el exceso del mismo.<br />Obteniendo resultados satisfactorios para el paciente.<br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdz26gmLFtWWSAd6htdP1Xp6xmxStWIKySt1GyiKvPWHPV0IXJ_BtNfPEYCYnX0PFUpHxCZLN3lqD_yN50kT4c1f0Nw1gkZbDxOjFRyDgbk1hT-hl9Tu5QO9crlZvknTng1VswjtRrhgTz/s1600-h/Imagen13.jpg"><img style="float:left; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 214px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj5iw1k5v0CSmkwfkum6M0jZqZEFigCnCNion2QErQAt5GpmOkxax7RNbCeTEA1TrdXoy9ZtqN7cCnifhiivmpY9tvK_H1nA7_YnPDpjOjW-rz3x3Z44iiBElHcmvjwDqhK9glgrPszZObq/s320/Imagen17.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5449828024839095330" /></a><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1wCBJz_yTY_dRCmLmLhsf-TUO4jGAmN1OQndE4re4BiXnrBjU_d7DzdwZ7wxcsvXMHHj_4uH3VqvlQa7yKGKD7r2dSEn4BzYHWdHYdo6RCCHf4ZM9iz3Ny1Ewg6DVdl7PBMDxV6Phe0fQ/s1600-h/Imagen19.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 224px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1wCBJz_yTY_dRCmLmLhsf-TUO4jGAmN1OQndE4re4BiXnrBjU_d7DzdwZ7wxcsvXMHHj_4uH3VqvlQa7yKGKD7r2dSEn4BzYHWdHYdo6RCCHf4ZM9iz3Ny1Ewg6DVdl7PBMDxV6Phe0fQ/s320/Imagen19.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5449827358172130306" /></a><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFWBlQ0nn-K8p0ltbZ44Se4v2dChZ-XbSmsNhm4VE59hEH0cgAT_Nv-NZ5fPBSbuvpBvOIt3x6AO_DWfqxr7_gLJxXUIzxzVcfKlMckb5nXxBWsMOY91LZRj82fuU0UiW8FSgb9X_eFF1Y/s1600-h/Imagen20.jpg"><img style="float:left; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 221px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9X9lpuuPiQlWs7pKzn8M9ADdX0xYgN6OBwfLF8VU1LN_M8i6tiWgaOoavMg4Y1L7wX_2aAYud0h-0bfBQIQuPXsihsEeROqmbY79eESYWPVZTf27dsFjzfCEYCW_httMkC9t03OqitZPf/s320/Imagen22.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5449827329102349890" /></a><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGVVdtuMV88LuiBLhFQxgxLyO6FOtkTlJ80JVXnp5lAWApKC2dhTp9np-YWc9XFR7kmWGi3O6clKNTHM2XqvV8DY1pxzODC3cKHfz3vRiPusdGa8TxuBnyhWc-eQhFF3J7do-rjxWvzNr3/s1600-h/Imagen16.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 221px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGVVdtuMV88LuiBLhFQxgxLyO6FOtkTlJ80JVXnp5lAWApKC2dhTp9np-YWc9XFR7kmWGi3O6clKNTHM2XqvV8DY1pxzODC3cKHfz3vRiPusdGa8TxuBnyhWc-eQhFF3J7do-rjxWvzNr3/s320/Imagen16.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5449828033622932946" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjq7aQWdQoyEtNWHBxCYw5A3vVfN3w25s4ijzZdJFVwi2-Wvskzjpl9dBI8PY0mjdLg_iFHwU_5IuvQPOcW85d25UJfw9WeD5JNDDjNhsrBpRoFvLv6Xk3Esbq4wk5829JZ5TFxHC7riFdV/s1600-h/Imagen14.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 210px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjq7aQWdQoyEtNWHBxCYw5A3vVfN3w25s4ijzZdJFVwi2-Wvskzjpl9dBI8PY0mjdLg_iFHwU_5IuvQPOcW85d25UJfw9WeD5JNDDjNhsrBpRoFvLv6Xk3Esbq4wk5829JZ5TFxHC7riFdV/s320/Imagen14.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5449822532632737426" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEihRlair2b8_CmK3I4nNw8nApKBakuEPivIAufg2dM5bHZ1_r1xFCJJwWFBzjCZcuXR1s2-cK69g3tsGm2pLs_TYug2FjSKXdratLgir2Q6IKc1_MMMc_kUjugWUUjtnmMHaengOaFq_24r/s1600-h/Imagen1.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 210px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEihRlair2b8_CmK3I4nNw8nApKBakuEPivIAufg2dM5bHZ1_r1xFCJJwWFBzjCZcuXR1s2-cK69g3tsGm2pLs_TYug2FjSKXdratLgir2Q6IKc1_MMMc_kUjugWUUjtnmMHaengOaFq_24r/s320/Imagen1.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5449822527979378354" /></a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3845228052570366161.post-75120799720999886302010-03-17T23:15:00.008-04:302010-03-19T19:35:50.647-04:30Cirugia Ortognatica Caso 1Se trata de paciente femenino de 35 años de edad, de ocupacion enfermera, quien presento una protrusion del maxilar, con un diastema inter-incisal. Bajo anestesia general inhalatoria, intubacion naso-traqueal se procede quirurgicamente a la disyuncion osteotomia Le Fort I y medio para realizar osteotomia segmentaria interdental como se aprecia en las siguientes fotos. Previamente mediante toma de impresiones y modelos de estudios,con montaje en articulador se realizan los cortes en los modelos de yeso y la confeccion de una ferula de acrilico. Se presenta el caso antes y despues de realizar la intervencion quirurgica.<br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3AxZttT9npT5mIY9-RfcpedS7w1jWMapB2AQofGTbJFMVMOzNk_jxlY_4oiEuDJDs0B8nFrBYeZ_ktE_983CwfFz6AAYbvQecSckkFVKL66p4YIXM0w2kOzKFSxNO1PT3luTkLsima_f0/s1600-h/Imagen11.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 212px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3AxZttT9npT5mIY9-RfcpedS7w1jWMapB2AQofGTbJFMVMOzNk_jxlY_4oiEuDJDs0B8nFrBYeZ_ktE_983CwfFz6AAYbvQecSckkFVKL66p4YIXM0w2kOzKFSxNO1PT3luTkLsima_f0/s320/Imagen11.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5449816695728548274" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYgbAsIk4hDieCUPomv8Zgp95-lsluC7FjqvTCErJq6cZFcZwGBilU14hgrGs-Qf-fMNmFyxu5WYE3OfH4FHtp0fTXfUspdYol4B5UCCxBFPkc_Fl_az43MwhxHoAdqe2f6YC77-g6bbDF/s1600-h/Imagen10.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 267px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-v2kOzJxiexBIOvgzIS-Dmn8qgkFzBDdXXotWPChbKiqQWDhMPAMH30wjedFt1aRqI7v3FRP5pcFBi4jTK4i5xktdiotoEtExVCDR0OCk36eS5LjVbkwfZpqv6ceRD_6va1PYP0y7YoLy/s320/Dibujo.bmp" border="0" alt=""id="BLOGGER_PHOTO_ID_5449816179517067186" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidvVFLU8XHfS6I9bKlRaFv7O-9H-809uD_OJtkWxcQdWD-FnqkPVKFKxHnWaYkowJWpjOnDqU7CruGBj_aMPGuvckzM-eHRtna5FTwnglGm6J3h_IEsJjDdWam4tK9CcUgDQUnC3pSpWPU/s1600-h/Dibujofinal.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 253px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidvVFLU8XHfS6I9bKlRaFv7O-9H-809uD_OJtkWxcQdWD-FnqkPVKFKxHnWaYkowJWpjOnDqU7CruGBj_aMPGuvckzM-eHRtna5FTwnglGm6J3h_IEsJjDdWam4tK9CcUgDQUnC3pSpWPU/s320/Dibujofinal.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5449819766167490818" /></a>Unknownnoreply@blogger.com11tag:blogger.com,1999:blog-3845228052570366161.post-12888504534457744822010-03-07T22:09:00.002-04:302010-03-19T19:37:15.638-04:30Fractura Grave de Condilo MandibularSe trata de una paciente femenina de 27 años de edad quien posterior a un accidente automovilistico, ingresa a la emergencia del Centro Policlinico Valencia La Viña por presentar fractura grave del condilo mandibular izquierdo, siendo intervenida de emergencia bajo anestesia general inhalatoria intubacion nasotraqueal. Previa asepsia del campo operatorio y utilizando como via de abordaje la region pre-auricular, diseccion minuiciosa y hemostasia prolija cuidando la integridad del nervio facial, logramos la avulsion del condilo que estaba profundamente insertado en el musculo pterigoideo externo , llevandolo a su posicion dentro de la cavidad glenoidea y fijandolo con placas de titanio de 4 orificios y 4 tornillos de titanio de cuatro ceros (0000) de diametro, como se demuestra en la secuencia del caso. Practicando previamente el bloqueo maxilo-mandibular con arco de erich y ligaduras rigidas metalicas, cierre por planos. utilizando el intensificador de imagenes podemos ver los resultados inmediatos de la secuencia quirurgica.<br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKbY1kAr27REIgazGME4FcOYx8YJ89uXgyxjXG84KXM25oeg8tMuC7nxb9BlXcWBwHfS9OWs7ZPgUzmpHgfwHAudzs_cKEM-DuJ9gj4QRS8E41ltWRPJdW_GdImrvcJPr4odm7x1WxkzPO/s1600-h/P1010131.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 240px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKbY1kAr27REIgazGME4FcOYx8YJ89uXgyxjXG84KXM25oeg8tMuC7nxb9BlXcWBwHfS9OWs7ZPgUzmpHgfwHAudzs_cKEM-DuJ9gj4QRS8E41ltWRPJdW_GdImrvcJPr4odm7x1WxkzPO/s320/P1010131.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5446091190011636130" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiq1-TJmcwwgosSyAeh4VclqCd_vE0mvu2HBeIixnCHXBdV9XDQWVPAL48dzsXmDm6yaNE-M3kXD39FRqInnPswGG0zZ5WBK72rhgEuR2elf8IpZ0Q6Zocy0sc08rLZs2CXlvcOvDHjUREJ/s1600-h/P1010134.JPG"><img style="float:left; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4EPynt8UZzF0UDGNRqDgkj6uSvN0C8m7zQZEXf1X3rN1Anr7stIXUEYGexY8lZV7XiG9JfedT2TehtRsRvqRBtfY1iGo2XVv4eOlE5IGXaq88z-qxWH7rtkAglnkaqP2BkcCqY_dzzthT/s320/P1010143.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5446088568918937010" /></a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-3845228052570366161.post-78984533755946698642010-03-07T21:31:00.002-04:302010-04-10T02:39:26.323-04:30Hemangioma MandibularPaciente de 42 años de edad, quien asiste a nuestro servicio de cirugia maxilofacial, por presentar dolor ubicado en la mandibula, limitacion del atm, halitosis y aumento de volumen de la zona, se le realizaron todos los estudios complementarios para intervenirla quirurgicamente y extirparle la patologia presentada, se trata de un hemengioma cavernoso mandibular. <br />se le practico bajo anestesia general por intubacion nasotraqueal, se logra extirpar el tumor que hacia inherencia hacia el vestibulo bucal, el cual fue cerrado por planos anatomico, se le practico bloqueo maxilo mandibular previamente con arco de erich y ligaduras metalicas. el caso es parcialmente edentulo.<br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTLICRVW4es883aoEh5Iy8LYCjQ82WFVHFDCOeuNr-HKtilw_XPsxBv2fLfgnhs02hEJbQUQBMiORragHw8jlsdFR0XB0P0nkny2hG-f0UjUnUY23sh2qS7esmoJC_-G_EzCFSV315DaSx/s1600-h/DSCN1193.JPG"><img style="float:left; 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margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDgjp1QJfsENhVzyw6CyaeHUq9NbEWQo-4SIaZj8w0EJQdCrh9Y_DiByYmD7sSNpvcNAxPbWPJTlb7BfagDrGEqv2FInC88d6UwY5F3qFeZwHjiPTTjoh2gM2l7DebwdQ40x-C72bS-8-h/s320/DSCN3155.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5446071851307734450" /></a>Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-3845228052570366161.post-15282465558391930252010-03-04T22:26:00.003-04:302010-04-10T02:40:39.940-04:30Adenoma Pleomorfo de Glandula ParotidaSe trata de un paciente femenino de 45 años de edad, proveniente de un caserio del Estado Falcon, Venezuela, el cual deambulo durante años en servicios hospitalarios buscando la resolucion de su problema patologico. Incursiona en nuestra consulta despues de haber pasado penurias soportando las criticas y extrañesas de las personas.<br />Fue sometida a intervencion quirurgica previo a examenes complementarios de rutina, TAC de la cara y previa biopsia del tumor.<br />Bajo anestesia general, se procedio a la extirpacion del gran tumor mediante prolija hemostasia, de cirugia limpia, diseccion cuidadosa y cierre del lorst quirurgico dejando via de drenaje.<br /><br />Evoluciono de manera satisfactoriamente insertandose al conglomerado social.<br /><br />Creemos que este es una caso interesante para la cirugia maxilo-facial.<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8aQENYymqPf7bVbn99NGk_IVNos0i0ezY85x-u5ErlC28W3649jzgZZEyRXGhb2qklkaRBtuEQu4kVmnThFsqY5NSr8XK3Bi-WZkqUQDlfUivwjyddtpbQX0wH915GyZb6GLrnAvIHIdi/s1600-h/DSCN0828.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8aQENYymqPf7bVbn99NGk_IVNos0i0ezY85x-u5ErlC28W3649jzgZZEyRXGhb2qklkaRBtuEQu4kVmnThFsqY5NSr8XK3Bi-WZkqUQDlfUivwjyddtpbQX0wH915GyZb6GLrnAvIHIdi/s320/DSCN0828.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5444982902098298050" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBaMOiXZyrO6E61VhWa2S78JME6UxLjNK63GPUUIRsGsgjVbsbwFpW3srJR8PM8_ZvkErfj8aqm-jwzegRAGBZngCjoorH9XY7ua7qOE6zDIdrHpRZYITlxk3UYe4o08PGCWMvA_EAEXNY/s1600-h/DSCN0830.JPG"><img style="float:left; 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