Résumé
Ultrasonography (US) is the diagnostic tool of choice for evaluating soft tissue lesions in the head and neck region. It is an economic, noninvasive, easily performed exam and provides real-time images, without the exposure to ionizing radiation, and contrast media is not required. It is usually believed that bone tissue constitutes an obstacle for its utilization, due to the reflection of sonographic waves. A case of mandibular intraosseous cystic pathology is reported, with utilization of US for evaluating the content of the lesion and planning the surgical procedure.
Résumé
O objetivo desta revisão sistemática de literatura é avaliar indicações para remoção ou não do material de síntese utilizado no tratamento cirúrgico das fraturas da face. Utilizou-se para a revisão de literatura o índice ?Medline? com as palavras-chave ?facial fracture and miniplates removal?, onde foram encontrados 06 artigos publicados entre os anos de 1998 a 2007 e que apresentavam indicações para a remoção de material de síntese. As principais indicações para a remoção foram: infecção, dor, placas palpáveis e exposição. Concluiu-se que não existem estudos definitivos quanto a melhor conduta a ser tomada, cabendo ao cirurgião avaliar cada caso para definir qual a melhor conduta a ser tomada
The objective of this systematic literature review is to present justifications or not, and indications for the removal of plates and screws used in the treatment of facial fractures. It was used, for the literature revision, the index ?Medline? with the key-word ?facial fracture and miniplates removal?, we found 06 articles published from 1998 to 2007 that presented indications for the removal of synthesis material. The main indications for the removal were: infection, pain, palpable plates and plate exposure. The conclusion was that definitive studies, regarding the best conduct to be taken, still don?t exist. The surgeon must evaluate each case to define the best conduct to take